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高容量三级保健中心常规工作日中手术团队的精神疲劳评估。

Mental Fatigue Evaluation of Surgical Teams during a Regular Workday in a High-Volume Tertiary Healthcare Center.

机构信息

Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Department of Urology, Prof. Dr. Ion Chiricuta Institute of Oncology, Cluj-Napoca, Romania.

出版信息

Urol Int. 2020;104(3-4):301-308. doi: 10.1159/000504988. Epub 2020 Jan 17.

DOI:10.1159/000504988
PMID:31955166
Abstract

INTRODUCTION

Considering the complex set of manual and psychological tasks a surgeon has to perform during the day, it is very important to assess the surgeon's fatigability, reaction time, attention, and memory.

OBJECTIVE

Here, we wanted to determine the mental fatigue status of surgeons and how their abilities are affected through a regular workday.

METHODS

We included 3 senior urologists and 6 urology residents. In a set period of time, we assessed their fatigue through self-assessed fatigue, Samn-Perelli score, and Karolinska sleepiness scale score. Further, reaction time, attention, and memory correlated with the number of the operations in the day, and total number of operations in that day were assessed.

RESULTS

As the number of tasks increases, and as the surgeons advance to the end of the workday, they become more fatigued, reaction time ultimately increases, and attention and memory become slightly altered.

CONCLUSIONS

Complications resulting from the fatigue of surgeons could be serious. Their performance status and skills decrease as they perform more tasks or advance through the day.

摘要

简介

考虑到外科医生在一天中要执行的一系列复杂的手动和心理任务,评估外科医生的疲劳程度、反应时间、注意力和记忆力非常重要。

目的

本研究旨在确定外科医生的精神疲劳状态,以及他们的能力如何通过正常工作日受到影响。

方法

我们纳入了 3 名资深泌尿科医生和 6 名泌尿科住院医师。在一段时间内,我们通过自我评估疲劳、Samn-Perelli 评分和 Karolinska 嗜睡量表评分来评估他们的疲劳程度。此外,我们还评估了反应时间、注意力和记忆力与当天手术数量的相关性,以及当天的总手术数量。

结果

随着任务数量的增加,以及外科医生接近工作日结束,他们会变得更加疲劳,反应时间最终会增加,注意力和记忆力也会略有改变。

结论

外科医生疲劳导致的并发症可能很严重。随着他们执行更多任务或工作日推进,他们的表现状态和技能会下降。

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