J Korean Surg Soc.  2012 May;82(5):312-316.

Measuring the stress of the surgeons in training and use of a novel interventional program to combat it

Affiliations
  • 1Division of Investigative Science, Department of Medicine, Imperial College London Faculty of Medicine, London, UK. i.christakis@imperial.ac.uk
  • 2Postgraduate Course Stress Management and Health Promotion, University of Athens School of Medicine, Athens, Greece.
  • 3First Department of Paediatrics, Children's Hospital Aghia Sofia, University of Athens School of Medicine, Athens, Greece.

Abstract

PURPOSE
Stress poses a serious risk for training surgeons since their performance and well-being in reflected in patients' health. This study focuses on measuring the stress of training surgeons and at the same time evaluates prospectively the results of an innovative program that uses alternative techniques to combat the effects of stress.
METHODS
The study was a pilot randomized controlled trial, with a duration of 6 months. Participants were allocated to a control and an intervention group. Trainees then completed three questionnaires, quality of life, perceived stress scale (PSS) and job content questionnaire serving as a baseline measurement. Only the intervention group used diaphragmatic breathing and progressive muscular relaxation techniques, twice a day, for 20 minutes each, and for a total period of eight weeks. At the end of the study, the same questionnaires were completed again by both groups.
RESULTS
The sample of the study included 28 and 32 trainees in the control and the intervention group, respectively. The Cronbach's alpha value for the PSS stress-measuring questionnaire was 0.772. The intervention group presented statistically significant lower values of stress (30.50, P < 0.05) in comparison to the control group (27.54).
CONCLUSION
The medical community, and especially surgeons, have been reluctant up to now to embrace interventional programs that go beyond the traditional use of medication in order to address stress related issues. The positive results and feedback from small studies, such as ours, can provide the driving force for further research that will give us solid, evidence-based, answers.

Keyword

Surgeons; Relaxation therapy; Psychological stress; Intervention studies

MeSH Terms

Clinical Trial
Prospective Studies
Quality of Life
Surveys and Questionnaires
Relaxation Therapy
Respiration
Stress, Psychological

Figure

  • Fig. 1 Flow diagram of participants' allocation in the two groups.


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