腹部移植手术研究员的生物生理压力和睡眠剥夺：使用可穿戴设备的前瞻性多机构研究。
Biophysiological stress and sleep deprivation among abdominal transplant surgery fellows: A prospective multi-institutional study using a wearable device.
机构信息
Cincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Cincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
出版信息
Am J Surg. 2023 Jun;225(6):962-966. doi: 10.1016/j.amjsurg.2022.11.004. Epub 2022 Nov 8.
BACKGROUND
Transplant surgery fellowship is physically and emotionally demanding. The objective of this study was to characterize biophysiological stress and sleep patterns among transplant surgery fellows.
METHODS
Participating fellows wore a biophysical monitor over a 28-day period and completed biweekly surveys. Sleep patterns were dichotomized as normal or sleep deprived, and heart rate variability (HRV) was used to assess stress.
RESULTS
Seventeen fellows participated. Fellows were frequently sleep deprived (43.9% of nights) and stress was near universal (87.2% of days). Burnout was reported by 2 fellows (11.8%). Only 4 fellows (23.5%) reported compliance with the Transplant Accreditation and Certification Council managed time policy; these fellows experienced fewer days of stress than non-compliant fellows (79.8% vs 89.2% p = 0.02).
CONCLUSIONS
This is the first study to quantify sleep deprivation and stress among transplant fellows. Future work is needed to evaluate the effects of sleep deprivation, and stress on burnout and patient outcomes.
背景
移植外科住院医师培训工作对体力和精力要求都很高。本研究的目的是描述移植外科住院医师的生物生理应激和睡眠模式。
方法
参与研究的住院医师佩戴生物物理监测仪 28 天，并每两周完成一次调查。睡眠模式分为正常或睡眠剥夺，使用心率变异性（HRV）评估应激。
结果
17 名住院医师参与了研究。住院医师经常睡眠不足（43.9%的夜晚），且压力普遍存在（87.2%的天数）。有 2 名住院医师（11.8%）报告出现职业倦怠。只有 4 名住院医师（23.5%）报告符合移植认证和认证委员会管理时间政策；与不遵守规定的住院医师相比，这些遵守规定的住院医师经历的应激天数更少（79.8%比 89.2%，p=0.02）。
结论
这是第一项量化移植住院医师睡眠不足和应激的研究。未来需要进一步研究睡眠不足和应激对职业倦怠和患者预后的影响。
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