Effect of Mindfulness Training on Skill Performance in Simulator-Based Knee Arthroscopy Training for Novice Residents—A Randomized Controlled Study

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-10-29 DOI:10.1016/j.jsurg.2024.103306

Wei Li , Shangxing Wu , Xiaobo Xie , Weihao Yang , Lei Feng , Zhouwen Yang , Oudong Xia , Jing Tian

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引用次数: 0

Abstract

OBJECTIVES

Negative emotions affect not only the physical health of residents but also the performance of surgical skills. Mindfulness training has been shown to be effective in improving mood. However, few studies have explored its effect on surgical skill performance. We aimed to investigate the effect of mindfulness training on knee arthroscopy skill performance.

DESIGN

We recruited 30 participants for knee arthroscopy skills training (Tasks 1-7) on a simulator, after which a pretest (Tasks 8 and 9) was conducted to test their skill performance and psychological states (including mindfulness state, anxiety, stress, and depression). Then, they were randomly assigned into 2 groups: the intervention group underwent 2 weeks of mindfulness training while the control group received no intervention. All participants were asked to retrain their skills 1 week after completing the initial arthroscopy skill training. After the 2-week mindfulness training intervention, a post-test was performed to detect the difference in skill performance and psychological states between 2 groups. We used the fNIRS device to record prefrontal cortex activation during the post-test.

SETTING

The study was carried out at the Zhujiang Hospital of Southern Medical University.

PARTICIPANTS

30 novice orthopedic residents.

RESULTS

A total of 30 residents completed all the study programs. We did not observe differences in arthroscopy skill performance at pretest. Compared with the control group, the intervention group showed significant improvement in total score of Task 8 (p = 0.034) and 9 (p = 0.002), as well as significant relief in anxiety (p = 0.037) and stress (p = 0.027) symptoms but no improvement in depression (p = 0.828). No statistical difference in 2 groups was observed on the activation of the left prefrontal cortex (p = 0.68).

CONCLUSIONS

Two weeks of mindfulness training can improve arthroscopy skill performance while alleviating anxiety and reducing stress in novice residents. Mindfulness training may be an effective adjunct to surgical skill training.

Trial Registration: Chinese Clinical Trial Registry, Number: ChiCTR2200058144.

查看原文本刊更多论文

正念训练对新手住院医师膝关节镜模拟训练技能表现的影响--随机对照研究

目的负面情绪不仅会影响住院医师的身体健康，还会影响其手术技能的发挥。正念训练已被证明能有效改善情绪。然而，很少有研究探讨其对外科技能表现的影响。设计我们招募了 30 名参与者在模拟器上进行膝关节镜技能训练（任务 1-7），然后进行前测（任务 8 和 9），测试他们的技能表现和心理状态（包括正念状态、焦虑、压力和抑郁）。然后，他们被随机分为两组：干预组接受为期两周的正念训练，而对照组则不接受任何干预。所有参与者都被要求在完成最初的关节镜技能训练 1 周后重新进行技能训练。在为期两周的正念训练干预后，我们进行了一次后测，以检测两组在技能表现和心理状态方面的差异。我们使用 fNIRS 设备记录了后测期间前额叶皮层的激活情况。参与者30名骨科新手住院医师。我们在预试验中未观察到关节镜技能表现的差异。与对照组相比，干预组在任务 8（p = 0.034）和任务 9（p = 0.002）的总分上有显著改善，焦虑（p = 0.037）和压力（p = 0.027）症状也有显著缓解，但抑郁（p = 0.828）症状没有改善。结论：为期两周的正念训练可以提高关节镜操作技能，同时缓解新手住院医师的焦虑和压力。正念训练可能是外科技能训练的有效辅助手段：试验注册：中国临床试验注册中心，编号：ChiCTR2200058144：ChiCTR2200058144。

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

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.