Department of Surgery, Parkinson Pavilion, Philadelphia, PA 19140, USA.
Am J Surg. 2013 Feb;205(2):169-74. doi: 10.1016/j.amjsurg.2012.10.007.
Much effort in surgical education is placed on the development of clinical judgment and technical proficiency. However, little focus is placed on the management of stress associated with surgical performance. The inability to manage stress may lead to poor patient care, attrition from residency, and surgeon burnout.
A blinded, matched, comparison group study to evaluate the efficacy of an educational program designed to improve surgical resident performance during stressful scenarios was conducted. The experimental group (n = 11) participated in stress training sessions, whereas the control group (n = 15) did not. Both groups then completed a simulation during which stress was evaluated using objective and subjective measures, and resident performance was graded using a standardized checklist.
Performance checklist scores were 5% higher in the experimental group than the control group (P = .54). No change existed in anxiety state according to the State Trait Anxiety Inventory (P = .34) or in heart rate under stress (P = .17) between groups.
There was a trend toward improved performance scoring but no difference in anxiety levels after stress training. However, 91% of residents rated the stress training as valuable.
外科教育投入了大量精力来培养临床判断和技术能力。然而，对于与手术表现相关的压力管理关注甚少。无法管理压力可能导致对患者护理不佳、住院医师流失和外科医生倦怠。
进行了一项盲法、匹配、比较组研究，以评估旨在提高外科住院医师在紧张情况下表现的教育计划的效果。实验组（n = 11）参加了应激训练课程，而对照组（n = 15）则没有。然后，两组都完成了一项模拟，使用客观和主观措施评估压力，并使用标准化清单对住院医师的表现进行评分。
实验组的表现检查表评分比对照组高 5%（P =.54）。根据状态特质焦虑量表（State Trait Anxiety Inventory），两组之间的焦虑状态没有变化（P =.34），在应激下的心率也没有变化（P =.17）。
尽管应激训练后焦虑水平没有差异，但表现评分有提高的趋势。然而，91%的住院医师认为应激训练很有价值。
