University of Pennsylvania, Perelman School of Medicine, USA.
University of Pennsylvania, Department of Surgery, USA.
Am J Surg. 2022 Nov;224(5):1199-1206. doi: 10.1016/j.amjsurg.2022.04.015. Epub 2022 Apr 25.
An updated examination of the surgeon experience during the Covid-19 pandemic is lacking. This study sought to describe how surgeon stress levels and sources of stress evolved over the pandemic.
An electronic survey was administered to surgeons at four academic hospitals at 6-months and 12-months following an initial telephone survey. The primary outcome was stress level and secondary outcomes were the individual stressors. Thematic analysis was applied to free text responses.
A total of 103 and 53 responses were received at 6-months and 12-months, respectively. The mean overall stress level was 5.35 (SD 1.89) at 6-months and 4.83 (SD 2.19) at 12-months. Mean number of stressors declined from 3.77 (SD 2.39) to 2.06 (SD 1.60, P < 0.001), though the "finances" stressor increased frequency (27.2% to 34.0%). Similar qualitative themes were identified, however codes for financial and capacity challenges were more prominent at 12-months.
The surgical workforce continues to report elevated levels of stress, though the sources of this stress have changed. Targeted interventions are imperative to protect surgeons from long-term psychological and financial harm.
缺乏对新冠疫情期间外科医生经历的最新检查。本研究旨在描述外科医生的压力水平和压力源在疫情期间是如何演变的。
在最初的电话调查后，向四家学术医院的外科医生发送了一份电子调查，分别在 6 个月和 12 个月时进行。主要结果是压力水平，次要结果是个体压力源。对自由文本回复进行了主题分析。
分别在 6 个月和 12 个月时收到了 103 和 53 份回复。6 个月时的总体平均压力水平为 5.35（SD 1.89），12 个月时为 4.83（SD 2.19）。压力源的平均数量从 3.77（SD 2.39）减少到 2.06（SD 1.60，P<0.001），尽管“财务”压力源的频率增加（27.2%至 34.0%）。虽然财务和能力挑战的代码在 12 个月时更为突出，但确定了类似的定性主题。
外科医生的工作队伍继续报告压力水平升高，尽管压力源已经发生了变化。必须采取有针对性的干预措施，以保护外科医生免受长期的心理和财务伤害。
