背景:众所周知,许多外科医生会遇到术中不良事件,可导致第二受害者综合征(SVS),严重损害他们的情绪和身体健康。有,然而,在这个领域缺乏亚洲研究。因此,本研究旨在探讨新加坡外科医生中不良事件的常见程度,以及它的影响,以及影响他们反应和感知支持系统的因素。
方法:向四家大型三级医院的外科医生发送了一项自我管理的调查。42项问卷采用了系统的封闭和开放的方法,评估:术中不良事件的个人经验,情感,这些事件和感知支持系统的心理和生理影响。
结果:有效率为57.5%(n=196)。大多数受访者是男性(54.8%),35到44岁之间,并担任高级顾问职位。仅在过去的12个月里,68.9%的人回忆不良事件。情绪影响很大,包括悲伤(63.1%),内疚(53.1%)和焦虑(45.4%)。与同事交谈是最有帮助的支持来源(66.7%),几乎所有外科医生都没有接受咨询(93.3%),大多数人认为这是不必要的(72.2%)。值得注意的是,68.1%的外科医生有积极的收获,获得新的洞察力,提高对错误的警惕。性别和外科医生的经验都不会影响错误和情绪影响的可能性,但更有经验的外科医生不太可能有积极的收获(p=0.035).个人可能会成为患者安全的倡导者,同时支持对他人的心理支持。
结论:术中不良事件普遍存在,其情绪影响显著,无论外科医生的经验或性别。虽然同事和同行讨论是支持的支柱,医疗机构应该采取更多措施来解决影响和随之而来的后果。
BACKGROUND: It is known that many surgeons encounter intraoperative adverse events which can result in Second Victim Syndrome (SVS), with significant detriment to their emotional and physical health. There is, however, a paucity of Asian studies in this space. The present study thus aimed to explore the degree to which the experience of an adverse event is common among surgeons in Singapore, as well as its impact, and factors affecting their responses and perceived support systems.
METHODS: A self-administered survey was sent to surgeons at four large tertiary hospitals. The 42-item questionnaire used a systematic closed and open approach, to assess: Personal experience with intraoperative adverse events, emotional, psychological and physical impact of these events and perceived support systems.
RESULTS: The response rate was 57.5% (n = 196). Most respondents were male (54.8%), between 35 and 44 years old, and holding the senior consultant position. In the past 12 months alone, 68.9% recalled an adverse event. The emotional impact was significant, including sadness (63.1%), guilt (53.1%) and anxiety (45.4%). Speaking to colleagues was the most helpful support source (66.7%) and almost all surgeons did not receive counselling (93.3%), with the majority deeming it unnecessary (72.2%). Notably, 68.1% of the surgeons had positive takeaways, gaining new insight and improving vigilance towards errors. Both gender and surgeon experience did not affect the likelihood of errors and emotional impact, but more experienced surgeons were less likely to have positive takeaways (p = 0.035). Individuals may become advocates for patient safety, while simultaneously championing the cause of psychological support for others.
CONCLUSIONS: Intraoperative adverse events are prevalent and its emotional impact is significant, regardless of the surgeon\'s experience or gender. While colleagues and peer discussions are a pillar of support, healthcare institutions should do more to address the impact and ensuing consequences.