睡眠剥夺,倦怠和急症护理外科。

IF 1.5 Q3 CRITICAL CARE MEDICINE
Hermona Abera, Maya Hunt, Jeremy H Levin
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引用次数: 0

摘要

综述目的:定义睡眠剥夺是什么,它与外科医生日益严重的职业倦怠问题有何关系,以及如何减轻其影响。最近的研究发现:越来越多的人意识到,无论是急性还是慢性的睡眠剥夺,都会在职业倦怠中扮演重要角色。睡眠剥夺的生理和心理表现是多方面的,几乎影响到每一个生理系统。评估减轻睡眠剥夺影响的策略的研究是有希望的,包括关于午睡、兴奋剂使用和服务重组的工作,但从根本上受到普遍性、规模和范围的限制。总结:绝大多数发表的关于睡眠剥夺的数据受到规模、范围和概括性的限制。在急症护理外科中,缺乏充分定义和描述与高性能专业相关的睡眠剥夺的研究。鉴于外科医生的职业倦怠问题日益严重,加上患者年龄越来越大、情况越来越复杂,对抗睡眠不足的策略对外科医生的留任和健康至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sleep Deprivation, Burnout, and Acute Care Surgery.

Sleep Deprivation, Burnout, and Acute Care Surgery.

Purpose of review: To define what sleep deprivation is, how it relates to the growing problem of burnout within surgeons, and what can be done to mitigate its effects.

Recent findings: There is a growing awareness that sleep deprivation, in both its acute and chronic manifestations, plays an immense role in burnout. The physical and mental manifestations of sleep deprivation are manifold, effecting nearly every physiologic system. Studies evaluating strategies at mitigating the effects of sleep deprivation are promising, including work done with napping, stimulant use, and service restructuring, but are fundamentally limited by generalizability, scale, and scope.

Summary: The overwhelming majority of data published on sleep deprivation is limited by size, scope, and generalizability. Within acute care surgery, there is a dearth of studies that adequately define and describe sleep deprivation as it pertains to high-performance professions. Given the growing issue of burnout amongst surgeons paired with a growing patient population that is older and more complex, strategies to combat sleep deprivation are paramount for surgeon retention and wellbeing.

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来源期刊
Current Trauma Reports
Current Trauma Reports CRITICAL CARE MEDICINE-
CiteScore
1.80
自引率
0.00%
发文量
25
期刊介绍: Aims: The goal of this journal is to provide concentrated, evidence-based information in the field of trauma through authoritative reviews. It has become almost impossible for the average physician to keep up with the flood of information that is published in numerous medical journals or the internet. Original articles, although often important or even ground-breaking, have typically a narrow focus and on occasions lack scientific rigor. Whereas physicians are encouraged to spend the necessary time reviewing critically the methodology and results of an original article, their fast-paced professional lives allow limited opportunities to do so. Therefore, the need for thoughtful, well-constructed, and comprehensive reviews has increased in our times more than ever before. Our new journal intends to do what the average reader cannot afford doing. It intends to summarize the pertinent information, exclude the irrelevant details, and offer thorough, clinically-focused reviews. We have summoned true experts from around the world to contribute these reviews, based on their detailed analysis of the literature and rich personal experience. We hope that this information will be readily useable and help shape the practice of those who read it. Scope: Our journal is about trauma. It will include every possible blunt or penetrating traumatic injury in any part of the body. It will describe diagnostic and therapeutic strategies, operative and non-operative alike. It will present treatment algorithms and caution about pitfalls and complications. It will compare outcomes, as shown in the literature, and make evidence-based recommendations about preferred pathways. Besides the strict focus on traumatic diseases and their treatment, it will also expand on broader issues related to injury prevention and rehabilitation. All in all, we expect that the scope of the journal will cover everything that has to do with trauma.
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