Negative stress-coping strategies among novices in surgery correlate with poor virtual laparoscopic performance
Negative stress-coping strategies among novices in surgery correlate with poor virtual laparoscopic performance
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DOI：
10.1002/bjs.5544
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发表时间：
2006-12-01
影响因子：
9.6
通讯作者：
Zielke, A.
中科院分区：
文献类型：
--
作者：
Hassan, I.;Weyers, P.;Zielke, A.
背景：本研究使用虚拟现实模拟器探讨了习惯性压力应对策略对新手腹腔镜手术表现的影响。方法：对 12 名医学院最后一年的医学生（相机持有者）和 12 名缺乏经验的外科住院医生（研究生 1-3 年）进行了 SVF78 压力应对问卷调查。调查问卷包括压力情况下的贬值、压力情况下的分心、对压力反应的控制以及消极应对策略，例如避免压力和需要社会支持。腹腔镜灵活性的评估是基于虚拟现实模拟器的表现结果。分析了完成任务所需的时间、错误和运动经济性等变量，得分较高表明表现较差。使用 Pearson 和非参数 Spearman 相关性来比较受试者在 SVF78 上与 LapSim(R) 上的结果。结果：完成任务所需的时间与分心压力应对策略的高值相关 (P = 0.002) 和负性压力应对策略的高值 (P = 0.042)。结论：无效的压力应对策略与较差的虚拟腹腔镜性能相关。显然需要有效的术中压力应对策略。
Background: This study explored the impact of habitual stress-coping strategies on the laparoscopic performance of novices in surgery using a virtual reality simulator.Methods: The SVF78 stress-coping questionnaire was administered to 12 medical students in their final year of medical school (camera holders) and to 12 inexperienced surgical residents (postgraduate years 1-3). The questionnaire included devaluation during stressful situations, distractions from stressful situations, control over stressful reactions and negative coping strategies such as stress avoidance and need for social support. Assessment of laparoscopic dexterity was based on the results of performance on a virtual reality simulator. The variables of time taken to complete the task, errors and economy of motion were analysed, with a higher score indicating poor performance. Pearson and non-parametric Spearman correlations were used to compare the subjects' results on the SVF78 with those on the LapSim(R).Results: Time taken to complete the task correlated with high values in distractive stress-coping strategies (P = 0.002) and high values in negative stress-coping strategies (P = 0.042).Conclusion: Ineffective stress-coping strategies correlate with poor virtual laparoscopic performance. The need for effective intraoperative stress-coping strategies is evident.