一项关于在真实和模拟手术过程中评估的患者报告结局指标的范围综述。
A scoping review of participant reported outcome measures assessed during live and simulated surgical procedures.
作者信息
Budden Aaron K, Song Sophia, Henry Amanda, Wakefield Claire E, Abbott Jason A
机构信息
Gynaecological Research and Clinical Evaluation (GRACE) Group, Royal Hospital for Women, Sydney, Australia; School of Clinical Medicine, UNSW, Sydney, Australia.
Gynaecological Research and Clinical Evaluation (GRACE) Group, Royal Hospital for Women, Sydney, Australia; School of Clinical Medicine, UNSW, Sydney, Australia.
出版信息
Am J Surg. 2025 Feb;240:116131. doi: 10.1016/j.amjsurg.2024.116131. Epub 2024 Dec 3.
BACKGROUND
The study aims to describe current use of participant-reported outcome measures (PROM) to assess stress in surgeons that may impact patient and surgeon wellbeing.
METHODS
Medline, Embase, Cochrane library, and clinical trial registries were searched. Articles reporting PROM of stress in live or simulated surgery were included.
RESULTS
Of 10,160 articles screened, 67 were included in the review. PROM tools identified include task load index (TLX), State-Trait Anxiety Inventory (STAI), Dundee Stress State Questionnaire (DSSQ), and single question scales. PROM scores increased from baseline to procedure in single question scales and DSSQ. STAI increased by ≥ 1 point in 37-75 %. TLX scores were greater at laparoscopy vs robot, single incision laparoscopy and open surgery vs conventional laparoscopy. Residents showed higher mental demand than attendings. Music lowered TLX scores.
CONCLUSIONS
Anxiety, stress, and workload have been measured in surgeons although the most appropriate to monitor surgeon wellbeing is not clear.
背景
本研究旨在描述目前使用的患者报告结局量表（PROM）来评估可能影响患者和外科医生福祉的外科医生压力。
方法
检索了Medline、Embase、Cochrane图书馆和临床试验注册库。纳入报告在真实或模拟手术中压力的PROM的文章。
结果
在筛选的10160篇文章中，67篇被纳入综述。确定的PROM工具包括任务负荷指数（TLX）、状态-特质焦虑量表（STAI）、邓迪压力状态问卷（DSSQ）和单问题量表。在单问题量表和DSSQ中，PROM评分从基线到手术过程中有所增加。STAI在37%-75%的情况下增加了≥1分。与机器人手术、单切口腹腔镜手术以及开放手术与传统腹腔镜手术相比，腹腔镜手术时TLX评分更高。住院医师的心理需求高于主治医生。音乐降低了TLX评分。
结论
虽然尚不清楚最适合监测外科医生福祉的方法，但已经对外科医生的焦虑、压力和工作量进行了测量。
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