Department of Surgery, Radboud University Medical Center, The Netherlands.
Department of Surgery, Radboud University Medical Center, The Netherlands.
Am J Surg. 2018 Aug;216(2):361-368. doi: 10.1016/j.amjsurg.2017.05.015. Epub 2017 Jun 6.
Stress may negatively affect surgeons' performance during surgical procedures, jeopardizing patient safety. For measuring stress, complex methods are used that cannot record stress real time. This study reports stress measurements in surgeons and residents using a novel patch sensor to identify activities and risk factors of stress.
In this explorative study, surgeons and residents wore the HealthPatch™ during all daily activities for 2-3 days. The patch recorded heart rate variability (HRV), and real time stress percentage using a validated algorithm of heart rate (HR) and HRV. The patch was compared with self perceived stress reporting using STAI.
A significant increase in HRV and stress percentage was shown in twenty surgeons and residents during surgery in comparison with other activities. Consultants showed lower stress levels while operating compared to fellows and residents. Stress according to the patch did not correlate with STAI outcome.
Continuous stress monitoring using a wearable sensor patch reveals relevant data on actual stress of surgeons and residents. Stress was highest performing an operation, particularly in fellows and residents.
压力可能会对外科医生在手术过程中的表现产生负面影响，从而危及患者安全。为了测量压力，使用了复杂的方法，但这些方法无法实时记录压力。本研究使用新型贴片传感器报告外科医生和住院医师的压力测量值，以识别压力的活动和危险因素。
在这项探索性研究中，外科医生和住院医师在 2-3 天内全天佩戴 HealthPatch™。该贴片使用经过验证的心率 (HR) 和心率变异性 (HRV) 算法记录心率变异性 (HRV) 和实时压力百分比。该贴片与使用 STAI 进行的自我感知压力报告进行了比较。
与其他活动相比，二十名外科医生和住院医师在手术期间的 HRV 和压力百分比显著增加。顾问在手术时的压力水平低于研究员和住院医师。根据贴片测量的压力与 STAI 结果无关。
使用可穿戴传感器贴片进行持续的压力监测可以揭示外科医生和住院医师实际压力的相关数据。压力在进行手术时最高，尤其是在研究员和住院医师中。
