手术中的健康干预：一项范围综述。
Wellness interventions in surgery: a scoping review.
作者信息
Yuen Kimberley, Ginty Olivia, Rourke Kaitlyn, Hendry Michael, Cohen Natasha, Martou Glykeria
机构信息
From the Division of Plastic Surgery, McMaster University, Hamilton, Ont. (Yuen); the Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ont. (Ginty); the Section of Plastic Surgery, Department of Surgery, University of Manitoba, Winnipeg, Man. (Rourke); the Division of Plastic Surgery, Queen's University, Kingston, Ont. (Hendry, Martou); the Division of Otolaryngology-Head and Neck Surgery, Queen's University, Kingston, Ont. (Cohen)
From the Division of Plastic Surgery, McMaster University, Hamilton, Ont. (Yuen); the Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London, Ont. (Ginty); the Section of Plastic Surgery, Department of Surgery, University of Manitoba, Winnipeg, Man. (Rourke); the Division of Plastic Surgery, Queen's University, Kingston, Ont. (Hendry, Martou); the Division of Otolaryngology-Head and Neck Surgery, Queen's University, Kingston, Ont. (Cohen).
出版信息
Can J Surg. 2025 Sep 26;68(5):E376-E392. doi: 10.1503/cjs.009124. Print 2025 Sep-Oct.
BACKGROUND
Wellness research has expanded in surgery owing to the high prevalence of burnout. In this scoping review, we aim to identify trends of wellness interventions for surgeons and surgical trainees.
METHODS
We identified studies on wellness interventions across surgical specialties. We categorized interventions based on the targeted wellness domain, including physical, social, emotional, intellectual, and occupational domains.
RESULTS
We included 49 studies in the final analysis. Most focused on resident wellness ( = 40) and were categorized as an individual-level intervention ( = 21). General surgery was represented in most studies ( = 24). Interventions focused on ergonomics, mindfulness, stress reduction, work hours, and wellness programs. Since 2015, there has been a shift in the wellness domains addressed from physical and occupational, to mostly emotional.
CONCLUSION
The prevalence of individual-level interventions targeting emotional wellness reflects a belief that surgeons are responsible for their own wellness. Studies to date have largely focused on surgical trainees, with a dearth of research on measures to improve staff surgeon wellness. Methodologically sound intervention studies with objective outcome measures are lacking and needed to facilitate a culture of shared organizational responsibility for surgeon well-being.
背景
由于职业倦怠的高发生率，外科领域的健康研究有所扩展。在这项范围综述中，我们旨在确定针对外科医生和外科实习生的健康干预趋势。
方法
我们确定了跨外科专业的健康干预研究。我们根据目标健康领域对干预措施进行分类，包括身体、社交、情感、智力和职业领域。
结果
我们在最终分析中纳入了49项研究。大多数研究聚焦于住院医生的健康（n = 40），并被归类为个体层面的干预（n = 21）。大多数研究（n = 24）涉及普通外科。干预措施集中在人体工程学、正念、减压、工作时长和健康计划。自2015年以来，所涉及的健康领域已从身体和职业领域转向主要是情感领域。
结论
针对情感健康的个体层面干预的普遍存在反映了一种观念，即外科医生应对自身健康负责。迄今为止的研究主要集中在外科实习生，缺乏关于改善在职外科医生健康措施的研究。缺乏且需要采用客观结果指标的方法学合理的干预研究，以促进形成一种对外科医生健康共同承担组织责任的文化。
Zotero 插件