模拟气道紧急情况期间手术室团队自主激活的生理与心理测量之间的关系
Relationship between physiologic and psychological measures of autonomic activation in operating room teams during a simulated airway emergency.
作者信息
Phitayakorn Roy, Minehart Rebecca D, Hemingway Maureen W, Pian-Smith May C M, Petrusa Emil
机构信息
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA; MGH Learning Laboratory, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA.
MGH Learning Laboratory, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA; Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, 460 Wang ACC, 15 Parkman St., Boston, MA, USA.
出版信息
Am J Surg. 2015 Jan;209(1):86-92. doi: 10.1016/j.amjsurg.2014.08.036. Epub 2014 Oct 22.
BACKGROUND
Emotional stability is important for individual and team performance during operating room (OR) emergencies. We compared physiologic and psychological anxiety assessments in OR teams during simulated events.
METHODS
Twenty-two teams participated in a "cannot intubate/cannot ventilate" simulation. Participants completed the State-Trait Anxiety Inventory and wore a galvanic skin response (GSR) sensor. Differences in State-Trait Anxiety Inventory scores and GSR levels were analyzed. Anxiety scores were correlated with GSR levels.
RESULTS
Resident physicians had significantly higher trait anxiety than the nurses, certified registered nurse anesthetists, and surgical technicians (43.9 ± 9.9 vs 38.3 ± 9.3, P < .01). Senior practitioners had significantly higher trait anxiety than junior practitioners (43.7 ± 9.6 vs 40.0 ± 9.9, P = .03). All groups showed significant increases in GSR. Psychological and physiologic data did not correlate.
CONCLUSIONS
Senior practitioners and residents have higher levels of baseline trait anxiety for unclear reasons. Also, OR team training results in physiological signs of anxiety that do not correlate to self-reported psychological measurements.
背景
在手术室（OR）紧急情况期间，情绪稳定对个人和团队表现很重要。我们比较了模拟事件期间手术室团队的生理和心理焦虑评估。
方法
22个团队参与了“无法插管/无法通气”模拟。参与者完成了状态-特质焦虑量表，并佩戴了皮肤电反应（GSR）传感器。分析了状态-特质焦虑量表得分和GSR水平的差异。焦虑得分与GSR水平相关。
结果
住院医师的特质焦虑显著高于护士、注册护士麻醉师和外科技术员（43.9±9.9对38.3±9.3，P<.01）。高级从业者的特质焦虑显著高于初级从业者（43.7±9.6对40.0±9.9，P=.03）。所有组的GSR均显著增加。心理和生理数据不相关。
结论
高级从业者和住院医师基线特质焦虑水平较高，原因不明。此外，手术室团队培训导致焦虑的生理迹象与自我报告的心理测量不相关。
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