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唾液应激生物标志物的变化及其与急诊医护人员焦虑、自我效能感和睡眠质量的关系。

Variations in Salivary Stress Biomarkers and Their Relationship with Anxiety, Self-Efficacy and Sleeping Quality in Emergency Health Care Professionals.

机构信息

Departamento de Bioquímica, Campus Universitario "Los Pajaritos", Biología Molecular y Fisiología, Facultad de Ciencias de la Salud, GIR de "Ejercicio Físico y Envejecimiento", Universidad de Valladolid, 42004 Soria, Spain.

Departamento de Anatomía y Radiología, Facultad de Ciencias de la Salud, GIR de "Ejercicio Físico y Envejecimiento", Campus Universitario "Los Pajaritos", Universidad Valladolid, 42004 Soria, Spain.

出版信息

Int J Environ Res Public Health. 2021 Sep 2;18(17):9277. doi: 10.3390/ijerph18179277.

DOI:10.3390/ijerph18179277
PMID:34501877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8431039/
Abstract

Hospital healthcare workers of emergency departments (EDs) face a variety of occupational stressors on a daily basis. We have recently published that emergency professionals display increased salivary levels of α-amylase and dehydroepiandrosterone during the working day. The pattern of these markers may suggest a counteracting mechanism of dehydroepiandrosterone against the stress reflected by amylase increases. In order to verify this hypothesis, we have analysed different psychological aspects in the same group of healthcare professionals through different tests related to behaviours resulting from stress. These include the state-trait anxiety inventory, the self-efficacy test and the sleeping quality questionnaire. The tests were provided at the beginning of the working day and collected at the end. STAI scores (trait and state) were indicative of no anxiety. Self-efficacy scores were considered optimal, as well as those from the sleeping quality questionnaire. This is supported by the modest correlation between STAI scores and salivary levels of α-amylase and dehydroepiandrosterone. In conclusion, the emergency professionals of the studied hospitals seem to have adequate work management. Altogether it means that the stress generated during work performance is controlled, allowing a correct adaptation to the demanding situations undergone in emergency departments.

摘要

医院急诊部门的医护人员每天都会面临各种职业压力源。我们最近发表的研究显示,急诊专业人员在工作日期间唾液中的α-淀粉酶和脱氢表雄酮水平升高。这些标志物的模式可能表明,脱氢表雄酮对淀粉酶升高所反映的应激具有拮抗作用。为了验证这一假设,我们通过与应激导致的行为相关的不同测试,在同一组医护人员中分析了不同的心理方面。这些测试包括状态特质焦虑量表、自我效能测试和睡眠质量问卷。这些测试在工作日开始时提供,并在结束时收集。STAI 评分(特质和状态)表明没有焦虑。自我效能评分被认为是最佳的,睡眠质量问卷的评分也是如此。这得到了 STAI 评分与唾液中α-淀粉酶和脱氢表雄酮水平之间适度相关性的支持。总之,研究中医院的急诊专业人员似乎有良好的工作管理。这意味着在工作表现中产生的压力得到了控制,允许他们正确适应急诊部门中所经历的高要求情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2f/8431039/94f8f0aadf7d/ijerph-18-09277-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2f/8431039/e1a636ec1579/ijerph-18-09277-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2f/8431039/29287a09211b/ijerph-18-09277-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2f/8431039/94f8f0aadf7d/ijerph-18-09277-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2f/8431039/e1a636ec1579/ijerph-18-09277-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2f/8431039/29287a09211b/ijerph-18-09277-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a2f/8431039/94f8f0aadf7d/ijerph-18-09277-g003.jpg

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J Clin Nurs. 2021 Feb;30(3-4):397-405. doi: 10.1111/jocn.15549. Epub 2020 Nov 22.
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Increased dehydroepiandrosterone (DHEA) is associated with anxiety in adolescent girls.
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Front Neurosci. 2022 Sep 7;16:991528. doi: 10.3389/fnins.2022.991528. eCollection 2022.
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