Assessing the Stress of Surgeons and Surgical Residents Using a Wearable Smart Device
Abstract Although surgeon is one of the most stressful professions, only few studies have attempted to evaluate surgeons’ stress using impractical methods. Meanwhile, many wearable devices have been introduced in the health-care market. This study aimed to assess surgeons’ stress using a wearable device. Data were collected from 13 participants from June to September 2019. We checked level of stress, heart rate (HR) using Vivosmart4 (Garmin, Schaffhausenm, Switzerland) at rest and perioperatively, and also checked their perioperative self-perceived stress using the short-form State-Trait Anxiety Inventory (STAI). The perioperative stress level and HR significantly increased compared with resting state (stress level: 28.6 ± 18.2 at rest vs. 49.6 ± 25.5 before surgery vs. 55.1 ± 25.5 after surgery, p < 0.001; HR: 81.1 ± 6.2 at rest vs. 85.0 ± 11.5 before surgery vs. 85.0 ± 12.2 after surgery, p = 0.001). Scores on the short-form STAI significantly decreased after surgery (12.6 ± 4.9 before surgery vs. 11.7 ± 3.6 after surgery, p = 0.001). Stress level at rest was significantly higher among fellows and residents compared with professors (fellows: 40.7 ± 15.3 vs. residents: 29.9 ± 12.0 vs. professors: 13.2 ± 7.3, p < 0.001). We assessed surgeons’ stress using a smart device and demonstrated that surgery significantly increased stress. The level of stress was higher among fellows and residents compared with professors.