Narayanan Anantha, Naidoo Maheshwar, Kong Victor, Pearson Lydia, Mani Kevin, Fisher James P, Khashram Manar
Faculty of Medicine and Health Sciences, University of Auckland, New Zealand.
Department of Surgery, University of Auckland, New Zealand.
Surg Open Sci. 2024 Jan 2;17:30-34. doi: 10.1016/j.sopen.2023.12.009. eCollection 2024 Jan.
Surgery is a stressful exercise, and the experience of occupational stress may have impacts on surgical performance, and surgeon well-being. Music is played in operating theatres (OTs) throughout the world, and while it may improve surgical performance, and reduce clinician stress within the OT, concerns exist over its distracting and noise-creating properties.
In this prospective observational study, between May to August 2022, Vascular, General and Paediatric surgeons and registrars in Australia and Aotearoa New Zealand (AoNZ) responded to a survey investigating the way they use music, and their perceptions and attitudes towards its effect on the OT environment. Binomial logistic regression and Chi squared tests of association were performed, accepting < 0.05 as significant.
In this cohort of 120 surgeons, 45 % were vascular specialists, 30 % were female and 59 % were consultant surgeons. The most commonly preferred music genres were easy listening and pop. Over 75 % of surgeons enjoyed having music in their OTs with the majority reporting it improved their temperament, how mentally fatiguing a procedure felt and how anxious or stressed they felt. Vascular surgeons were more likely to believe music had a positive influence on communication than their general and paediatric surgery colleagues ( < 0.01). Registrars had significantly higher odds of believing music had a positive effect on their temperament, and how stressed and anxious they felt when operating, when compared to consultants ( < 0.05).
This study provides a window into the surgeons' use of and attitudes towards intra-operative background music and its effect on stress and cognitive load in Australia and AoNZ. While overall, music is viewed positively by this cohort, there was some difference seen across specialties and level of experience. Further subjective and objective data in this field may provide useful information to guide hospital policy and inform pathways for clinician wellbeing.
手术是一项压力较大的活动，职业压力体验可能会对外科手术表现及外科医生的幸福感产生影响。世界各地的手术室都会播放音乐，虽然音乐可能会提高手术表现并减轻手术室内临床医生的压力，但人们也担心其具有分散注意力和产生噪音的特性。
在这项前瞻性观察研究中，2022年5月至8月期间，澳大利亚以及新西兰的血管外科、普通外科和儿科外科医生及住院医生参与了一项调查，该调查旨在探究他们使用音乐的方式，以及他们对音乐对手术室环境影响的看法和态度。进行了二项逻辑回归和卡方关联检验，以P<0.05为有统计学意义。
在这120名外科医生队列中，45%为血管外科专家，30%为女性，59%为顾问外科医生。最常偏好的音乐类型是轻音乐和流行音乐。超过75%的外科医生喜欢在手术室里播放音乐，大多数人表示音乐改善了他们的性情、减轻了手术过程中的精神疲劳感以及焦虑或压力感。与普通外科和儿科外科同事相比，血管外科医生更有可能认为音乐对沟通有积极影响（P<0.01）。与顾问医生相比，住院医生更有可能认为音乐对他们的性情以及手术时的压力和焦虑感有积极影响（P<0.05）。
本研究为澳大利亚和新西兰外科医生对术中背景音乐的使用、态度及其对压力和认知负荷的影响提供了一个窗口。总体而言，该队列对音乐持积极看法，但不同专业和经验水平存在一些差异。该领域进一步的主观和客观数据可能会为指导医院政策及为临床医生的幸福提供信息路径提供有用信息。
