Department of Psychology and Psychotherapy, University Witten/Herdecke, Witten, Germany.
Medical Psychology and Medical Sociology, Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy, University Medicine Mainz, Mainz, Germany.
Occup Med (Lond). 2022 Jul 11;72(5):332-338. doi: 10.1093/occmed/kqac052.
Work-related stress may lead to mental and physical illnesses. Emergency physicians may be particularly vulnerable to developing such diseases due to their extreme emotional working environment.
The purpose of the study was to analyse the hormonal stress burden of emergency physicians in the airborne rescue service to create an empirical basis for developing appropriate measures against chronic stress in the rescue service.
Three salivary cortisol samples were collected after awakening in 15 min intervals-each on a flight rescue day, a clinic day and a free day-to calculate the extent of the hormonal stress load of the emergency physicians. A nested linear mixed-model analysis was used in 40 cases to investigate hormonal stress. Furthermore, professional years and gender were included in the calculations.
The mixed model showed neither a main effect for measurement time nor for day but a significant interaction effect (P = 0.002). The cortisol level rises strongly on the flight rescue and the clinic day, while on the free day it shows a moderate increase. Professional years and gender also proved to be statistically significant for the cortisol level of emergency physicians (P < 0.001).
The results show a significantly higher cortisol increase on working days compared with a free day, which indicates a stronger stress burden on working days of emergency physicians in the airborne rescue service. Future studies should examine the stress level of emergency physicians in more detail to prove whether the working conditions of emergency physicians need to be modified.
工作相关的压力可能会导致身心疾病。由于急诊医生所处的工作环境充满了极端的情绪，他们可能特别容易患上此类疾病。
本研究旨在分析航空救援服务中急诊医生的荷尔蒙应激负担，为救援服务中应对慢性应激制定适当措施提供实证依据。
在飞行救援日、诊所日和休息日，每隔 15 分钟采集 3 份唾液皮质醇样本，以计算急诊医生的荷尔蒙应激负荷程度。在 40 例病例中使用嵌套线性混合模型分析来研究荷尔蒙应激。此外，还将专业年限和性别纳入计算。
混合模型既没有显示出测量时间的主要影响，也没有显示出天的主要影响，但显示出显著的交互效应（P = 0.002）。皮质醇水平在飞行救援日和诊所日急剧上升，而在休息日则适度增加。专业年限和性别也被证明对急诊医生的皮质醇水平具有统计学意义（P < 0.001）。
结果表明，与休息日相比，工作日的皮质醇增加明显更高，这表明航空救援服务中急诊医生在工作日的应激负担更大。未来的研究应更详细地检查急诊医生的压力水平，以证明是否需要修改急诊医生的工作条件。
