Health Education and Improvement Wales' School of Surgery, Nantgarw, UK.
Department of Surgery, Morriston Hospital, Swansea, UK.
Physiol Rep. 2020 Jun;8(11):e14454. doi: 10.14814/phy2.14454.
A high prevalence of stress and burnout has been reported among healthcare professionals; however, the current tools utilized to quantify such metrics are not in keeping with doctors' busy lifestyles, and moreover do not comply with infection prevention policies. Given that increased stress can subsequently impact both the healthcare profession and the patient in care, this study aimed to assess the validity of a wearable biosensor to monitor and manage stress experienced by healthcare professionals.
In all, 12 healthy, male volunteers completed an incremental exercise protocol to volitional exhaustion, which aimed to induce physiological stress in a graded manner. A wearable consumer-grade biosensor (Vital Scout, VivaLNK, Inc.) was used to measure stress, energy expenditure, respiration rate, and activity throughout the exercise protocol. These variables were validated against online breath-by-breath analysis (MedGraphics Ultima Series).
When compared against online "gold standard" measurements, the Vital Scout biosensor demonstrated a high level of accuracy to measure energy expenditure (r = .776, p < .001) and respiration rate (r = .744, p < .001). The increase observed during the incremental exercise test was associated with the Vital Scout biosensor's measurement of activity (r = .777, p < .001). In contrast, there was a poor relationship between the changes in and the Vital Scout biosensor's ability to detect stress (r = -.195, p = .013).
The Vital Scout biosensor provided an accurate assessment of energy expenditure and respiration when compared to the "gold standard" assessment of these parameters. Biosensors have the potential to measure stress and deserve further research in the peri-hospital environment.
研究表明,医护人员普遍面临较大的压力和职业倦怠;然而,目前用于量化这些指标的工具并不能适应医生忙碌的生活方式,而且也不符合感染预防政策。鉴于压力的增加可能会对医护人员和接受护理的患者产生影响,本研究旨在评估一种可穿戴生物传感器监测和管理医护人员所经历压力的有效性。
共有 12 名健康的男性志愿者完成了递增运动直至力竭的方案,旨在逐步诱导生理压力。使用可穿戴式消费级生物传感器(Vital Scout,VivaLNK,Inc.)来测量运动方案期间的压力、能量消耗、呼吸频率和活动。这些变量与在线呼吸分析(MedGraphics Ultima 系列)进行了验证。
与在线“金标准”测量值相比,Vital Scout 生物传感器在测量能量消耗(r =.776,p <.001)和呼吸频率(r =.744,p <.001)方面具有较高的准确性。递增运动测试中观察到的增加与 Vital Scout 生物传感器的活动测量值相关(r =.777,p <.001)。相比之下,变化与 Vital Scout 生物传感器检测压力的能力之间的相关性较差(r = -.195,p =.013)。
与这些参数的“金标准”评估相比,Vital Scout 生物传感器在评估能量消耗和呼吸方面提供了准确的评估。生物传感器具有测量压力的潜力,值得在医院环境周边进一步研究。