Surgeons' Mental Distress and Risks After Severe Complications Following Emergency Surgery

NCT05864443 | Not Yet Recruiting

• 1 other identifier: Zhongshan-HHY-02
• Study Type: observational
• Target: 2,500
• Locations: 0 countries
• Sites: N/A

Brief Summary

Surgeons experience higher levels of work stress, even under normal circumstances. Many can suffer from substantial levels of mental health issues, especially when faced with severe complications. However, due to a variety of reasons, many surgeons are reluctant to disclose mental health issues or seek psychological help. Patients in need of emergency surgery are usually characterized by critical conditions and high surgical risks. Emergency surgeons always do not have enough time to clearly explain the ins and outs of the disease to the family members of the patients, only tell the key issues and risks that need to be paid attention to during the operation. The tone of the explanation maybe direct and blunt, which also could cause the incomprehension and dissatisfaction of the patients and their families. Due to the lack of communication, although the patient is in critical condition, the family members always think that the disease should be cured after arriving at the hospital. Therefore, once severe complications occur after the operation, the family members often find it difficult to accept the reality. This is also one of the important reasons for medical disputes in emergency surgery. In addition to delaying patients' recovery courses, severe complications also place enormous pressure on chief surgeons who performed the operations. Such pressures may bring great risks of psychological distress. Surgeons are also the victims when they encounter severe complications following emergency surgery. Their mental distress should not be minimized. Until now, little has been known about the effects of surgical complications on surgeons. In the current study, based on a large-scale questionnaire survey in China, the investigators aimed to investigate incidences of surgeons' mental distress following severe complications after emergency surgery. The investigators also aimed to identify independent risk factors which could help develop strategies to improve the mental well-being of these surgeons after such incidences.

Conditions

Mental Health

Outcome Measures

Primary Outcomes (1)

• Surgeons' mental health

  The clinical features collected in the questionnaire relating to the surgeons' mental distress included: i) feeling burnout, anxiety, or depression; ii) avoiding radical gastrectomy or feeling stress, slowing down the process during radical gastrectomy operations; iii) having physical reactions, including heart pounding, trouble breathing, or sweating while recalling; iv) having urges to quit being a surgeon; v) taking psychiatric medications; and vi) seeking psychological counseling. Meeting any one of the above six clinical features was regarded as having mental distress; Meeting ore or two was defined as mild mental distress, and meeting three or more was defined as severe mental distress.

  July 01, 2023 to June 30, 2026

Interventions

Severe complications following emergency surgery PROCEDURE

The respondents are limited to surgeons who had previously experienced severe complications following emergency surgery as chief surgeons.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The study population are limited to surgeons who had previously experienced severe complications following radical gastrectomy as chief surgeons.

You may qualify if:

• Emergency surgeons who experienced severe complications after Emergency Surgery.

Sponsors & Collaborators

• Shanghai Zhongshan Hospital: lead

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 9, 2023
• First Posted: May 18, 2023
• Study Start: March 1, 2024
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: February 15, 2024

Record last verified: 2023-05