{"title":"实时急性压力管理的应对指导演示时机:改善手术表现的潜在影响。","authors":"Lauren Kennedy, Sarah Henrickson Parker","doi":"10.1007/s41666-018-0016-y","DOIUrl":null,"url":null,"abstract":"<p><p>Individual performance on complex healthcare tasks can be influenced by acutely stressful situations. Real-time biofeedback using passive physiological monitoring may help to better understand an individual's progression towards acute stress-induced performance decrement. Providing biofeedback at an appropriate time may provide learners within an indicator that their current performance is susceptible to a decrement, and offer the opportunity to intervene. We explored the presentation timing of coping instructions during an acutely stressful task. In this pilot study, we recorded and analyzed electrocardiography data surrounding coping instruction presentation on various time schedules while participants played a first-person shooter computer game. Around times of significantly elevated heart rate, an indicator of acute stress, presenting a coping instruction tended to result in an increase in heart rate variability (HRV) following its presentation, with a more marked effect in high-stress conditions; not presenting a coping instruction at this time tended to result in a decrease in HRV in high-stress conditions, and no change in low-stress conditions. HRV following instruction presentation tended to increase in both high- and low-stress conditions when the instruction was presented at times of elevated heart rate; there was very little change in HRV when instruction presentation was not bound to physiology. Performance data showed that better performance was associated with greater adherence to coping instructions, compared to when zero instructions were followed. Implications for healthcare are significant, as acute stress is constant and it is necessary for providers to maintain a high level of performance.</p>","PeriodicalId":36444,"journal":{"name":"Journal of Healthcare Informatics Research","volume":null,"pages":null},"PeriodicalIF":5.9000,"publicationDate":"2018-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8982808/pdf/","citationCount":"0","resultStr":"{\"title\":\"Timing of Coping Instruction Presentation for Real-time Acute Stress Management: Potential Implications for Improved Surgical Performance.\",\"authors\":\"Lauren Kennedy, Sarah Henrickson Parker\",\"doi\":\"10.1007/s41666-018-0016-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Individual performance on complex healthcare tasks can be influenced by acutely stressful situations. Real-time biofeedback using passive physiological monitoring may help to better understand an individual's progression towards acute stress-induced performance decrement. Providing biofeedback at an appropriate time may provide learners within an indicator that their current performance is susceptible to a decrement, and offer the opportunity to intervene. We explored the presentation timing of coping instructions during an acutely stressful task. In this pilot study, we recorded and analyzed electrocardiography data surrounding coping instruction presentation on various time schedules while participants played a first-person shooter computer game. Around times of significantly elevated heart rate, an indicator of acute stress, presenting a coping instruction tended to result in an increase in heart rate variability (HRV) following its presentation, with a more marked effect in high-stress conditions; not presenting a coping instruction at this time tended to result in a decrease in HRV in high-stress conditions, and no change in low-stress conditions. HRV following instruction presentation tended to increase in both high- and low-stress conditions when the instruction was presented at times of elevated heart rate; there was very little change in HRV when instruction presentation was not bound to physiology. Performance data showed that better performance was associated with greater adherence to coping instructions, compared to when zero instructions were followed. Implications for healthcare are significant, as acute stress is constant and it is necessary for providers to maintain a high level of performance.</p>\",\"PeriodicalId\":36444,\"journal\":{\"name\":\"Journal of Healthcare Informatics Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":5.9000,\"publicationDate\":\"2018-05-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8982808/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Healthcare Informatics Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s41666-018-0016-y\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2018/6/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"Computer Science\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Healthcare Informatics Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s41666-018-0016-y","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/6/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"Computer Science","Score":null,"Total":0}
Timing of Coping Instruction Presentation for Real-time Acute Stress Management: Potential Implications for Improved Surgical Performance.
Individual performance on complex healthcare tasks can be influenced by acutely stressful situations. Real-time biofeedback using passive physiological monitoring may help to better understand an individual's progression towards acute stress-induced performance decrement. Providing biofeedback at an appropriate time may provide learners within an indicator that their current performance is susceptible to a decrement, and offer the opportunity to intervene. We explored the presentation timing of coping instructions during an acutely stressful task. In this pilot study, we recorded and analyzed electrocardiography data surrounding coping instruction presentation on various time schedules while participants played a first-person shooter computer game. Around times of significantly elevated heart rate, an indicator of acute stress, presenting a coping instruction tended to result in an increase in heart rate variability (HRV) following its presentation, with a more marked effect in high-stress conditions; not presenting a coping instruction at this time tended to result in a decrease in HRV in high-stress conditions, and no change in low-stress conditions. HRV following instruction presentation tended to increase in both high- and low-stress conditions when the instruction was presented at times of elevated heart rate; there was very little change in HRV when instruction presentation was not bound to physiology. Performance data showed that better performance was associated with greater adherence to coping instructions, compared to when zero instructions were followed. Implications for healthcare are significant, as acute stress is constant and it is necessary for providers to maintain a high level of performance.
期刊介绍:
Journal of Healthcare Informatics Research serves as a publication venue for the innovative technical contributions highlighting analytics, systems, and human factors research in healthcare informatics.Journal of Healthcare Informatics Research is concerned with the application of computer science principles, information science principles, information technology, and communication technology to address problems in healthcare, and everyday wellness. Journal of Healthcare Informatics Research highlights the most cutting-edge technical contributions in computing-oriented healthcare informatics. The journal covers three major tracks: (1) analytics—focuses on data analytics, knowledge discovery, predictive modeling; (2) systems—focuses on building healthcare informatics systems (e.g., architecture, framework, design, engineering, and application); (3) human factors—focuses on understanding users or context, interface design, health behavior, and user studies of healthcare informatics applications. Topics include but are not limited to: · healthcare software architecture, framework, design, and engineering;· electronic health records· medical data mining· predictive modeling· medical information retrieval· medical natural language processing· healthcare information systems· smart health and connected health· social media analytics· mobile healthcare· medical signal processing· human factors in healthcare· usability studies in healthcare· user-interface design for medical devices and healthcare software· health service delivery· health games· security and privacy in healthcare· medical recommender system· healthcare workflow management· disease profiling and personalized treatment· visualization of medical data· intelligent medical devices and sensors· RFID solutions for healthcare· healthcare decision analytics and support systems· epidemiological surveillance systems and intervention modeling· consumer and clinician health information needs, seeking, sharing, and use· semantic Web, linked data, and ontology· collaboration technologies for healthcare· assistive and adaptive ubiquitous computing technologies· statistics and quality of medical data· healthcare delivery in developing countries· health systems modeling and simulation· computer-aided diagnosis