From the Departments of Anesthesiology and Pain Medicine (R.B., O.T.G., A.A.F., E.M., K.J.G.), and Center for Minimally Invasive Surgery (M.K.), UT Southwestern Medical Center, Dallas, TX.
Simul Healthc. 2020 Feb;15(1):39-45. doi: 10.1097/SIH.0000000000000402.
Psychological stress arises from a stressor placed on an individual that leads to both emotional and physiological responses. The latter is referred to as psychophysiological stress. Healthcare simulation provides a platform to investigate stress psychobiology and its effects on learning and performance. However, psychophysiological stress measures may be underused in healthcare simulation research. The inclusion of such measures with subjective measures of stress in healthcare simulation research provides a more complete picture of the stress response, thereby furthering the understanding of stress and its impact on learning and performance. The goals of this article were to review 2 commonly used psychophysiological stress measures involving heart rate variability and electrodermal activity reflecting sweat gland activity and to demonstrate their utility in an example pilot study in healthcare simulation research.
心理压力是由施加在个体身上的压力源引起的，会导致情绪和生理反应。后者被称为心理生理压力。医疗保健模拟为研究压力的心理生物学及其对学习和表现的影响提供了一个平台。然而，心理生理压力测量在医疗保健模拟研究中可能未得到充分利用。在医疗保健模拟研究中，将这些测量方法与压力的主观测量方法结合起来，可以更全面地了解压力反应，从而进一步了解压力及其对学习和表现的影响。本文的目的是回顾 2 种常用的心理生理压力测量方法，涉及心率变异性和皮肤电活动，反映汗腺活动，并在医疗保健模拟研究中的一个示例试点研究中展示它们的实用性。
