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外科医生主导的手术方式:对身心健康、倦怠和神经肌肉骨骼疾病干预的影响。

Surgeons' dominant surgical modality: Impacts on wellbeing, burnout, and interventions for neuromusculoskeletal disorders.

机构信息

Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA; Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA.

Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA; Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN, USA; Department of Surgery, Mayo Clinic, Rochester, MN, USA.

出版信息

Am J Surg. 2024 Nov;237:115769. doi: 10.1016/j.amjsurg.2024.05.010. Epub 2024 May 18.

Abstract

BACKGROUND

This study investigated the impact of surgical modalities on surgeon wellbeing with a focus on burnout, job satisfaction, and interventions used to address neuromusculoskeletal disorders (NMSDs).

METHODS

An electronic survey was sent to surgeons across an academic integrated multihospital system. The survey consisted of 47 questions investigating different aspects of surgeons' wellbeing.

RESULTS

Out of 245 thoracic and abdominopelvic surgeons, 79 surgeons (32.2 ​%) responded, and 65 surgeons (82 ​%) were able to be categorized as having a dominant surgical modality. Compared to robotic surgeons, laparoscopic (p ​= ​0.042) and open (p ​= ​0.012) surgeons reported more frequent feelings of burnout. The number of surgeons who used any treatment/intervention to minimize the operative discomfort/pain was lower for robotic surgeons than the other three modalities (all p ​< ​0.05).

CONCLUSIONS

NMSDs affect different aspects of surgeons' lives and occupations. Robotic surgery was associated with decreased feelings of burnout than the other modalities.

摘要

背景

本研究关注的是手术方式对外科医生健康的影响,重点是职业倦怠、工作满意度以及用于治疗神经肌肉骨骼疾病 (NMSD) 的干预措施。

方法

向一个学术型综合多医院系统中的外科医生发送了电子调查问卷。该调查包含 47 个问题,调查了外科医生健康的不同方面。

结果

在 245 名胸腹部外科医生中,有 79 名(32.2%)医生做出了回应,其中 65 名(82%)医生能够被归类为主要手术方式。与机器人外科医生相比,腹腔镜(p = 0.042)和开放(p = 0.012)外科医生报告职业倦怠感更为频繁。使用任何治疗/干预措施来减轻手术不适/疼痛的外科医生数量,机器人外科医生少于其他三种手术方式(均 p < 0.05)。

结论

NMSD 影响外科医生生活和职业的不同方面。与其他手术方式相比,机器人手术与较低的倦怠感相关。

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