Department of Urology, Columbia University Irving Medical Center, New York City, New York.
Department of Urology, Houston Methodist, Houston, Texas.
Urol Pract. 2024 Jul;11(4):606-612. doi: 10.1097/UPJ.0000000000000616. Epub 2024 May 10.
Most urologic surgeons will experience surgical complications during their career. These complications can traumatize the surgeon. A national survey of AUA members was conducted to better understand the impact of surgical complications on mental, emotional, and physical health.
An anonymous survey was distributed to a random sample of 4528 AUA members (US urologists and trainees). Survey items were designed to identify the prevalence of surgical complications, and consequential mental, emotional, and physical impact on the surgeon. Also assessed was the support infrastructure available to urologists who experienced complications.
The survey was completed by 467 urologists (10.3% response rate), 432 (95%) of whom reported having experienced a serious complication. The most common mental/emotional experiences were anxiety (85%), guilt/shame (81%), and grief/sadness/depression (71%). The most common physical symptoms reported were insomnia (62%), loss of appetite (23%), and headache (13%). Approximately 94% of respondents reported that they did not receive any counseling, and 69% reported not receiving any emotional support following the incident. Urologists reported that shame, lack of administrative time, fear, stigma, and guilt were barriers to seeking support.
The overwhelming majority of urologists experience significant complications. These complications are associated with a high incidence of physical and emotional distress, and there is poor access to support. There is an opportunity for the AUA and other agencies to address barriers to seeking and accessing care for urologists who experience mental, emotional, and physical distress after experiencing surgical complications.
大多数泌尿科医师在职业生涯中都会经历手术并发症。这些并发症会给外科医生带来创伤。对 AUA 会员进行了一项全国性调查，以更好地了解手术并发症对精神、情感和身体健康的影响。
向随机抽取的 4528 名 AUA 会员（美国泌尿科医师和学员）分发了匿名调查。调查项目旨在确定手术并发症的发生率，以及对外科医生精神、情感和身体健康的影响。还评估了为经历并发症的泌尿科医师提供的支持基础设施。
共有 467 名泌尿科医师完成了调查（应答率为 10.3%），其中 432 名（95%）报告曾经历过严重并发症。最常见的精神/情绪体验是焦虑（85%）、内疚/羞愧（81%）和悲伤/难过/沮丧（71%）。报告的最常见身体症状是失眠（62%）、食欲不振（23%）和头痛（13%）。约 94%的受访者表示他们没有接受过任何咨询，69%的受访者报告在事件发生后没有获得任何情感支持。泌尿科医师报告说，羞耻感、缺乏行政时间、恐惧、耻辱感和内疚感是寻求支持的障碍。
绝大多数泌尿科医师都经历过重大并发症。这些并发症与较高的身体和情绪困扰发生率相关，而且获得支持的机会很少。AUA 和其他机构有机会解决泌尿科医师在经历手术并发症后出现精神、情感和身体困扰时寻求和获得护理的障碍。
