Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters.
Evaluation of Stress Levels of Trainee Cardiac Surgery Residents during Training Interventions Using Physiological Stress Parameters.
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DOI：
10.3390/ijerph182211953
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发表时间：
2021-11-14
影响因子：
--
通讯作者：
Böckelmann I
中科院分区：
文献类型：
--
作者：
Awad G;Pohl R;Darius S;Thielmann B;Kuzmin B;Slottosch I;Wippermann J;Schmidt H;Scherner MP;Böckelmann I
背景：本研究分析了心脏手术中的心理和心理情绪压力。使用心率变异性 (HRV) 分析，可以记录外科医生术中的客观应激反应。该研究的目的是借助 HRV 参数来评估在完全相同的工作环境下，与经验丰富的高级心胸外科医生相比，培训中的心脏外科医生的假定压力水平增加，以便对手术干预期间的生理压力做出资格差异化的陈述。方法：在外科教学过程中，记录了两名手术住院医师及其协助高级医师的长期心电图数据（每人 n = 15）。分析了时域和频域 HRV 参数。结果：与时间相关的副交感神经主导的 HRV 参数 RMSSD（19.5 ms vs. 28.1 ms）、NN50（297.67 vs. 693.40）和心动间隔平均 RR（692.8 ms vs. 737.3 ms）表明，与经验丰富的外科医生相比，手术住院医师的压力水平更高。较高的压力指数（11.61 vs. 8.86）证实了这一点。结论：与经验丰富的外科医生相比，住院医师在心脏手术训练过程中表现出较低的副交感神经活动和较高的压力水平。
Background: This study analysed the psychological and psycho-emotional stress in cardiac surgery. Using heart rate variability (HRV) analysis, it is possible to record intraoperative objective stress responses in surgeons. The aim of the study was to assess with the help of HRV parameters the postulated increased stress levels of cardiac surgeons in training compared to experienced senior cardiothoracic surgeons in exactly the same work situation in order to make qualification-differentiated statements about physiological stress during surgical interventions. Methods: During surgical teaching procedures, long-term ECG data (n = 15 each) for two operating residents and their assisting senior physicians were recorded. Time and frequency domain HRV parameters were analysed. Results: The time-related parasympathetic-dominated HRV parameters RMSSD (19.5 ms vs. 28.1 ms), NN50 (297.67 vs. 693.40), and cardiac interval mean RR (692.8 ms vs. 737.3 ms) indicate a higher stress level in the operating residents compared to the experienced surgeons. The higher stress index (11.61 vs. 8.86) confirms this. Conclusion: Compared to experienced surgeons, operating residents showed lower parasympathetic activity and higher stress levels during cardiac surgery training procedures.
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