Choxi Ankeet A, Degnan Meredith, Candiotti Keith A, Rodriguez-Blanco Yilliam F
The authors are at The University of Miami, Miami, FL. , is in the Department of Anesthesiology; is in the Department of Anesthesiology; is in the Department of Anesthesiology; is in the Department of Anesthesiology.
J Educ Perioper Med. 2017 Apr 1;19(2):E601. eCollection 2017 Apr-Jun.
There has been an increase in health problems among physicians due to low primary care maintenance, noncompliance with recommendations for physical activity and balanced eating practices, high levels of caffeine intake, and reduced amount of sleep. We hypothesize that physical health, specifically blood pressure (BP) control, is suboptimal among anesthesiology residents.
The purpose of this study is to investigate the prevalence of hypertension and stress among an anesthesiology resident population, and attempt to correlate possible hypertension and increased stress among residents with life and work environment factors. All University of Miami anesthesiology residents in the year 2016 were invited to participate. Blood pressures were taken and anonymous surveys, including demographic and lifestyle questions, were administered.
Of 85 invited residents, 80 (92%) participated. 18 (22.50%) residents had blood pressures within the normal range. Twenty (25.00%) residents were hypertensive and 42 (52.50%) were pre-hypertensive. Males exhibited higher systolic blood pressures than females (p<0.0001). The mean Perceived Stress Scale (PSS) for all residents was 17.16 ± 7.2. Fifty-four (67.50%) residents scored a PSS above 13, indicating stress levels greater than the national average. Thirty-three (41.25%) residents scored above 20, indicating the presence of severe stress. Females were more likely than males to have stress (p=0.0314). Residents sleeping less than 6 hours per night were more likely to have stress (p=0.0158). Residents reporting more than one overnight call per week were also more likely to have stress (p=0.013).
Our study showed 75% of residents have hypertensive disease and 68% of residents exhibit clinically significant stress. These findings emphasize the need for greater attention to personal health and well-being.
由于基层医疗保健维持不足、不遵守体育活动和均衡饮食建议、咖啡因摄入量高以及睡眠时间减少，医生的健康问题有所增加。我们假设麻醉科住院医师的身体健康状况，尤其是血压控制情况欠佳。
本研究旨在调查麻醉科住院医师人群中高血压和压力的患病率，并尝试将住院医师可能存在的高血压和压力增加与生活和工作环境因素相关联。邀请了2016年迈阿密大学所有麻醉科住院医师参与。测量了血压，并进行了匿名调查，包括人口统计学和生活方式问题。
在85名受邀住院医师中，80名（92%）参与了调查。18名（22.50%）住院医师血压在正常范围内。20名（25.00%）住院医师患有高血压，42名（52.50%）为高血压前期。男性的收缩压高于女性（p<0.0001）。所有住院医师的平均感知压力量表（PSS）为17.16±7.2。54名（67.50%）住院医师的PSS得分高于13，表明压力水平高于全国平均水平。33名（41.25%）住院医师得分高于20，表明存在严重压力。女性比男性更易有压力（p=0.0314）。每晚睡眠时间少于6小时的住院医师更易有压力（p=0.0158）。每周值一个以上夜班的住院医师也更易有压力（p=0.013）。
我们的研究表明，75%的住院医师患有高血压疾病，68%的住院医师表现出具有临床意义的压力。这些发现强调了需要更加关注个人健康和幸福。
