Whelehan Dale F, Connelly Tara M, Burke Joshua R, Doherty Eva M, Ridgway Paul F
Department of Surgery, School of Medicine, Trinity College Dublin, The University of Dublin, Ireland.
Department of Surgery Tallaght University Hospital, Ireland.
Ann Med Surg (Lond). 2021 Apr 27;65:102299. doi: 10.1016/j.amsu.2021.102299. eCollection 2021 May.
Surgeons regularly educate patients on health promoting behaviours including diet, sleep and exercise. No study thus far has explored surgeons' personal compliance with these health behaviours and their relationship with surgical performance. The primary outcomes of this study were self-reported health, health related behaviours, wellbeing, fatigue and surgical performance.
A survey of validated themes on health related behaviours, workplace variables and performance was distributed to surgical trainees and consultants in the UK and Ireland through the Association for Surgeons in Training (ASiT). Non-parametric analysis was used to determine inferential associations.
Ninety five surgeons (51.5% female, 39.9% registrars) completed the survey. 94% and 74% reported 'good' or better overall health and mental wellbeing respectively. The majority (54.7%) reported inconsistent sleep patterns. Less than a quarter engage in regular exercise. Sixty two and 64.2% reported being regularly fatigued and bothered by feelings of anxiety and/or depression respectively. Poor self-reported health and wellbeing were associated with poorer reported off-call performance (p < .01). Higher levels of fatigue negatively impacted self-reported surgical and non-surgical task proficiency (p < .01).
Surgeons reported high levels of overall health. However, healthy behaviours around sleep, diet and exercise were not consistently reported. Fewer reported good mental health and emotional well-being. Self-reported health behaviours including sleep and physical activity were associated with surgical performance. Strategies to improve modifiable lifestyle factors which will optimise physical health, mental wellbeing and levels of fatigue may optimise surgical performance.
外科医生经常就包括饮食、睡眠和运动在内的健康促进行为对患者进行教育。迄今为止，尚无研究探讨外科医生个人对这些健康行为的遵守情况及其与手术表现的关系。本研究的主要结果是自我报告的健康状况、与健康相关的行为、幸福感、疲劳程度和手术表现。
通过英国和爱尔兰外科培训协会（ASiT），向英国和爱尔兰的外科实习医生和顾问发放了一份关于健康相关行为、工作场所变量和表现的经过验证的主题调查问卷。采用非参数分析来确定推断性关联。
95名外科医生（51.5%为女性，39.9%为住院医生）完成了调查。分别有94%和74%的人报告总体健康状况和心理健康状况为“良好”或更好。大多数人（54.7%）报告睡眠模式不一致。不到四分之一的人定期锻炼。分别有62%和64.2%的人报告经常感到疲劳以及受到焦虑和/或抑郁情绪的困扰。自我报告的健康状况和幸福感较差与报告的非值班表现较差相关（p < 0.01）。较高程度的疲劳对自我报告的手术和非手术任务熟练程度产生负面影响（p < 0.01）。
外科医生报告总体健康水平较高。然而，关于睡眠、饮食和运动等健康行为的报告并不一致。报告心理健康和情绪幸福感良好的人较少。自我报告的包括睡眠和体育活动在内的健康行为与手术表现相关。改善可改变的生活方式因素的策略，这将优化身体健康、心理健康和疲劳程度，可能会优化手术表现。
