Holme Nicola, Harrison Catherine, Newland Paul, Shaw Ben N J
Leeds Neonatal Service, Leeds Teaching Hospitals Trust, Leeds, UK.
Biochemistry Department, Alder Hey Children's Hospital, Liverpool, UK.
BMJ Simul Technol Enhanc Learn. 2016 Sep 27;2(4):108-111. doi: 10.1136/bmjstel-2015-000063. eCollection 2016.
To determine whether there is a significant stress response to the Newborn Life Support airway test (NLSAT) among healthcare professionals in the UK.
Quantitative study measuring both stress and anxiety of candidates on Newborn Life Support (NLS) courses measuring salivary cortisol levels along with validated anxiety questionnaires (State Trait Anxiety Inventory).
UK NLS course centres.
80 healthcare professionals (nurses, doctors and midwives) on NLS courses.
Stress levels measured (cortisol swabs and State-Trait Anxiety Inventory (STAI)) at baseline, immediately before and 20 min after starting the NLSAT.
Cortisol measurements failed to detect any significant rise in stress levels as a result of the NLSAT. Significant anxiety was induced by the NLSAT based on STAI scores. STAI scores rose significantly in all professionals from baseline to post-NLSAT, with the greatest change detected for midwives (+11.82 (SD 7.64, p<0.001)) compared with nurses (+8.86 (SD 12.1, p<0.001)) and doctors (+7.96 (SD 2.9.69, p<0.001)). Experience had no impact on stress levels.
Anxiety levels induced by the NLSAT are significant and should be considered when instructing and developing the NLS course.
确定英国医疗保健专业人员对新生儿生命支持气道测试（NLSAT）是否存在显著的应激反应。
定量研究，通过测量参加新生儿生命支持（NLS）课程的学员的应激和焦虑水平，同时测量唾液皮质醇水平以及经过验证的焦虑问卷（状态-特质焦虑量表）。
英国NLS课程中心。
80名参加NLS课程的医疗保健专业人员（护士、医生和助产士）。
在基线、开始NLSAT前即刻和开始后20分钟测量应激水平（皮质醇拭子和状态-特质焦虑量表（STAI））。
皮质醇测量未能检测到由于NLSAT导致的应激水平有任何显著升高。基于STAI评分，NLSAT诱发了显著的焦虑。从基线到NLSAT后，所有专业人员的STAI评分均显著上升，其中助产士的变化最大（+11.82（标准差7.64，p<0.001）），相比之下护士为（+8.86（标准差12.1，p<0.001）），医生为（+7.96（标准差2.969，p<0.001））。经验对应激水平没有影响。
NLSAT诱发的焦虑水平显著，在指导和开发NLS课程时应予以考虑。
