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超越手术室:解决外科实践中的“第二受害者”现象。

Beyond the operating room: addressing the "second-victim" phenomenon in surgical practice.

机构信息

Faculty of Medicine, Sumy State University, Sumy, 40000, Ukraine.

Internal Medicine Department, LAUTECH Teaching Hospital, Ogbomoso, Nigeria.

出版信息

Eur J Med Res. 2024 Oct 5;29(1):486. doi: 10.1186/s40001-024-02084-z.

Abstract

Complications are plausible events during surgical operations. Surgical complications profoundly impact surgeons, often called "second victims" of adverse events. These complications trigger a range of emotional and psychological responses, including guilt, anxiety, heightened empathy, and the looming threat of burnout. Moreover, the toll extends to physical health, with chronic stress and sleep disturbances taking their toll. Surgeons' social lives are not immune to the fallout, and their career satisfaction may wane, pushing some towards defensive medicine practices. While mentorship, counselling, and peer support are crucial support mechanisms, they encounter barriers such as time constraints and the fear of negative perceptions. This paper suggests practical recommendations, including comprehensive wellness programmes, a streamlined badge card system for easy access to resources, and mindfulness training to mitigate stress and burnout. Recognising and proactively addressing these multifaceted impacts is imperative for cultivating a resilient medical community capable of providing optimal patient care.

摘要

并发症是手术过程中可能出现的情况。手术并发症会对外科医生产生深远的影响,他们通常被称为不良事件的“第二受害者”。这些并发症会引发一系列情绪和心理反应,包括内疚、焦虑、同理心增强和潜在的倦怠威胁。此外,它还会对身体健康造成影响,慢性压力和睡眠障碍会造成影响。外科医生的社交生活也无法幸免于难,他们的职业满意度可能会下降,导致一些人采取防御性医疗措施。虽然指导、咨询和同行支持是至关重要的支持机制,但它们会遇到时间限制和担心负面看法等障碍。本文提出了一些实用建议,包括全面的健康计划、简化的徽章卡系统以便轻松获取资源,以及正念训练以减轻压力和倦怠。认识到并积极应对这些多方面的影响对于培养一个有弹性的医疗社区,使其能够为患者提供最佳护理至关重要。

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