A scoping review of participant reported outcome measures assessed during live and simulated surgical procedures.

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2025-02-01 Epub Date: 2024-12-03 DOI:10.1016/j.amjsurg.2024.116131

Aaron K Budden, Sophia Song, Amanda Henry, Claire E Wakefield, Jason A Abbott

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Abstract

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.

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对参与者报告的在现场和模拟手术过程中进行评估的结果指标进行范围审查。

背景：本研究旨在描述当前使用参与者报告的结果测量（PROM）来评估外科医生的压力，这可能会影响患者和外科医生的健康。方法：检索Medline、Embase、Cochrane图书馆和临床试验注册库。包括了报道现场或模拟手术中压力致早破的文章。结果：在10,160篇被筛选的文章中，67篇被纳入本综述。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）和单题量表。在单题量表和DSSQ中，PROM得分从基线到程序均有所增加。STAI升高≥1点的占37 ~ 75%。腹腔镜手术TLX评分高于机器人手术，单切口腹腔镜手术TLX评分高于常规腹腔镜TLX评分。住院医师的心理需求高于主治医师。音乐降低了TLX分数。结论：外科医生的焦虑、压力和工作量已被测量，但最适合监测外科医生的健康状况尚不清楚。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.