Exploring Emotional Responses After Postoperative Complications: A Qualitative Study of Practicing Surgeons.
Exploring Emotional Responses After Postoperative Complications: A Qualitative Study of Practicing Surgeons.
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DOI：
10.1097/sla.0000000000004041
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发表时间：
2022-01-01
影响因子：
9
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中科院分区：
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这项定性研究探讨了术后并发症对外科医生及其健康状况的影响。
并发症是外科实践中固有的一部分。尽管人们已经付出了大量努力来减少术后并发症，但并发症对外科医生的影响尚未得到充分研究。外科医生往往只能自行处理对这些并发症的情绪反应，而这些反应的影响尚未得到很好的描述。
我们对密歇根州各地不同类型的46名外科医生进行了半结构化访谈，以探讨他们对术后并发症的反应以及对整体健康状况的影响。通过主题分析所指导的步骤对数据进行了反复分析。
参与者描述了在术后出现并发症后的悲伤、焦虑、沮丧、悲痛、失败和失望等感受。当被要求详细阐述这些反应时，参与者描述了一些内心过程，比如个人责任感和失败感、自我怀疑以及让患者和家属失望等。参与者还描述了影响这些反应的外部压力，包括对声誉的潜在影响和医疗法律问题。经验水平、并发症类型以及外科医生的个人性格是影响这些反应强度的具体因素。
术后并发症发生后外科医生的情绪反应可能会对个人健康状况产生负面影响，如果这些问题仍然得不到充分认识和解决，可能会对整个外科行业构成威胁。了解不良或意外结果对外科医生的影响对于制定和实施应对外科行业中经常遇到的挑战的策略至关重要。
This qualitative study explored the impact of postoperative complications on surgeons and their well-being. Complications are an inherent component of surgical practice. Although there have been extensive efforts to reduce postoperative complications, the impact of complications on surgeons have not been well-studied. Surgeons are often left to process their own emotional responses to these complications, the effects of which are not well characterized. We conducted 46 semi-structured interviews with a diverse range of surgeons practicing across Michigan to explore their responses to postoperative complications and the effect on overall well-being. The data were analyzed iteratively, through steps informed by thematic analysis. Participants described feelings of sadness, anxiety, frustration, grief, failure, and disappointment after postoperative complications. When asked to elaborate on these responses, participants described internal processes such as feelings of personal responsibility and failure, self-doubt, and failing the patient and family. Participants also described external pressures influencing the responses, which included potential impact to reputation and medicolegal issues. Experience level, type of complication, and the surgeon’s individual personality were specific factors that influenced the intensity of these responses. Surgeons’ emotional responses after postoperative complications may negatively impact individual well-being, and may represent a threat to the profession altogether if these issues remain inadequately recognized and addressed. Knowledge of the impact of unwanted or unexpected outcomes on surgeons is critical in developing and implementing strategies to cope with the challenges frequently encountered in the surgical profession.