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Queirolo L, Roccon A, Piovan S, Ludovichetti FS, Bacci C, Zanette G. Psychophysiological wellbeing in a class of dental students attending dental school: anxiety, burnout, post work executive performance and a 24 hours physiological investigation during a working day. Front Psychol 2024; 15:1344970. [PMID: 38845771 PMCID: PMC11154343 DOI: 10.3389/fpsyg.2024.1344970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 03/29/2024] [Indexed: 06/09/2024] Open
Abstract
Aim To the best of our knowledge, dental school students have never been evaluated for stress, anxiety, burnout, physiological indexes during a 24-h working day, and executive function performance post-work and post-work after returning from vacation; therefore, this research has been conducted. Methods Data were acquired at the Dental School of the University of Padua on 16 students in their 4th year, far from the exam session. While performing clinical activity on the dental chair and during a working day, electrodermal activity (EDA), heart rate variability (HRV), and heart rate (HR) were recorded. Participants' stress was measured with the Perceived Stress Scale (PSS-10 scale) and anxiety with the General Anxiety Disorder Questionnaire (GAD-7) and State-Trait Anxiety Inventory (STAI-Y-2), while burnout with the Maslach Burnout Inventory (MBI-HSS). Executive functions were evaluated using the Tower of London test (TOL-R). Results Three students (2F/1M) had a GAD-7 score ≥ 10. Five students (4F/1M) showed trait anxiety. Moderate levels of perceived stress were reported in 85% of participants. MBI-HSS showed that 7 participants scored high on emotional exhaustion and 7 on depersonalization. TOL-R performance (M = 15.85, SD = 4.01) was below the normative value p < 0.00001. A second test, after the holidays, showed normal values. EDA was higher during children's treatment (p < 0.05), ANOVA showed high HR during working time (p < 0.001), and HRV was higher in males (p < 0.001). Conclusion Based on the sample size evaluated, it is reported that being a dental student has a moderate impact on stress, anxiety, and burnout while a strong impact on executive functions buffered by rest.
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Affiliation(s)
- Luca Queirolo
- Section of Clinical Dentistry, Department of Neurosciences, University of Padua, Padua, Italy
- Department of Philosophy, Sociology, Education and Applied Psychology, University of Padua, Padua, Italy
| | - Andrea Roccon
- Section of Clinical Dentistry, Department of Neurosciences, University of Padua, Padua, Italy
| | - Silvia Piovan
- Section of Clinical Dentistry, Department of Neurosciences, University of Padua, Padua, Italy
| | | | - Christian Bacci
- Section of Clinical Dentistry, Department of Neurosciences, University of Padua, Padua, Italy
| | - Gastone Zanette
- Section of Clinical Dentistry, Department of Neurosciences, University of Padua, Padua, Italy
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Chia PF, Lee YH, Li YC, Lee DC, Chang YP. Evaluating the role of heart rate variability in monitoring stress and sleep quality among nurses in the aftermath of the COVID-19 pandemic. Int J Nurs Pract 2024:e13265. [PMID: 38769905 DOI: 10.1111/ijn.13265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 02/07/2024] [Accepted: 04/25/2024] [Indexed: 05/22/2024]
Abstract
AIM To assess heart rate variability (HRV) as a measure to assess job stress and sleep quality among nurses in the post-COVID-19 period. BACKGROUND The COVID-19 pandemic significantly affected nurses, with heightened job stress and impaired sleep quality impacting their well-being and effectiveness in patient care. HRV could offer insights for supporting strategies in the pandemic aftermath. DESIGN A quantitative cross-sectional study. METHODS This study involved 403 clinical nurses recruited from a teaching hospital in Taiwan. Data on job stress, work frustration, sleep quality and HRV were collected and analysed. RESULTS Among the nurses surveyed during the COVID-19 pandemic, 72.7% reported poor sleep quality (PSQI = 9.369). Job stress emerged as a strong predictor of work frustration. High stress levels and poor sleep quality were correlated with significantly decreased HRV, indicating a potential physiological impact of stress on the nurses' health and well-being. CONCLUSIONS HRV is a valuable and cost-effective measure for monitoring and managing nurses' well-being in the post-COVID-19 era. Targeted interventions can be implemented to support nurses' overall performance and promote their well-being by identifying those at high risk of job stress and poor sleep quality.
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Affiliation(s)
- Pei-Fang Chia
- Pingtung Christian Hospital, Pingtung City, Taiwan, R.O.C
- Department of Business Management, National Sun Yat-Sen University, Kaohsiung City, Taiwan, R.O.C
| | - Yi-Hua Lee
- Department of Administration, National Health Research Institutes, Taiwan, R.O.C
| | - Ying-Chun Li
- Department of Business Management, National Sun Yat-Sen University, Kaohsiung City, Taiwan, R.O.C
| | - De-Chih Lee
- Department of Information Management, Da-Yeh University, Taiwan, R.O.C
| | - Yuan-Ping Chang
- Department of Nursing, Fooyin University, Kaohsiung City, Taiwan, R.O.C
- School Affairs Consultant, National Chi Nan Universit, Puli, Natou County, Taiwan
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Zeng M, Ye S, Huang W, Deng W, Zou S, Huang C, Qiu H. Relationship between dust allergen sensitization and cardiac autonomic function in patients with chronic obstructive pulmonary disease. Chron Respir Dis 2024; 21:14799731241231814. [PMID: 38307127 PMCID: PMC10838027 DOI: 10.1177/14799731241231814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 01/22/2024] [Indexed: 02/04/2024] Open
Abstract
OBJECTIVE Cardiac autonomic function predicts cardiovascular disease risk. The aim of this study was to investigate the relationship between sensitization to dust allergens and cardiac autonomic dysfunction in patients with chronic obstructive pulmonary disease (COPD), and to provide new ideas for the prevention of cardiovascular complications in these patients. METHODS Immunoassays for sensitization to cats/dogs, cockroaches and dust mites were performed in 840 patients with COPD. Indicators of heart rate variability in these patients were used to assess cardiac autonomic function, including standard deviation of normal-to-normal intervals (SDNN), root-mean square of successive differences between normal-to-normal intervals (RMSSD), low-frequency power (LF), high-frequency power (HF), and LF/HF ratios, which were obtained based on ambulatory electrocardiographic monitoring data. The relationship between sensitization to these dust allergens and heart rate variability was explored using multivariate logistic regression. FINDINGS The multivariate analyses showed that sensitization to total allergens was associated with reduced levels of SDNN, RMSSD, LF and HF and with increased levels of the LF/HF ratio in the patients with COPD (p < .05). CONCLUSION Dust allergen sensitization may be associated with cardiac autonomic dysfunction in patients with COPD. Whether desensitization can prevent cardiovascular complications in these patients should be further explored.
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Affiliation(s)
- Meie Zeng
- Department of General Practice, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China
| | - Shuifen Ye
- Department of General Practice, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China
| | - Wanling Huang
- Department of General Practice, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China
| | - Weiwei Deng
- Department of General Practice, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China
| | - Simin Zou
- Department of General Practice, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China
| | - Chunmei Huang
- Department of General Practice, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China
| | - Hanzhong Qiu
- Department of General Practice, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China
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Dias RD, Kennedy-Metz LR, Srey R, Rance G, Ebnali M, Arney D, Gombolay M, Zenati MA. Using Digital Biomarkers for Objective Assessment of Perfusionists' Workload and Acute Stress During Cardiac Surgery. BIOINFORMATICS AND BIOMEDICAL ENGINEERING : 10TH INTERNATIONAL WORK-CONFERENCE, IWBBIO 2023, MELONERAS, GRAN CANARIA, SPAIN, JULY 12-14, 2023, PROCEEDINGS. PART I. IWBBIO (CONFERENCE) (10TH : 2023 : GRAN CANARIA, CANARY ISLANDS) 2023; 13919:443-454. [PMID: 37497240 PMCID: PMC10371197 DOI: 10.1007/978-3-031-34953-9_35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
Abstract
The cardiac operating room (OR) is a high-risk, high-stakes environment inserted into a complex socio-technical healthcare system. During cardiopulmonary bypass (CPB), the most critical phase of cardiac surgery, the perfusionist has a crucial role within the interprofessional OR team, being responsible for optimizing patient perfusion while coordinating other tasks with the surgeon, anesthesiologist, and nurses. The aim of this study was to investigate objective digital biomarkers of perfusionists' workload and stress derived from heart rate variability (HRV) metrics captured via a wearable physiological sensor in a real cardiac OR. We explored the relationships between several HRV parameters and validated self-report measures of surgical task workload (SURG-TLX) and acute stress (STAI-SF), as well as surgical processes and outcome measures. We found that the frequency-domain HRV parameter HF relative power - FFT (%) presented the strongest association with task workload (correlation coefficient: -0.491, p-value: 0.003). We also found that the time-domain HRV parameter RMSSD (ms) presented the strongest correlation with perfusionists' acute stress (correlation coefficient: -0.489, p-value: 0.005). A few workload and stress biomarkers were also associated with bypass time and patient length of stay in the hospital. The findings from this study will inform future research regarding which HRV-based biomarkers are best suited for the development of cognitive support systems capable of monitoring surgical workload and stress in real time.
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Affiliation(s)
- Roger D Dias
- Harvard Medical School, Boston, MA, USA
- Department of Emergency Medicine, Mass General Brigham, Boston, MA, USA
| | | | - Rithy Srey
- Division of Cardiac Surgery, Veterans Affairs Boston Healthcare System, Boston, MA, USA
| | - Geoffrey Rance
- Department of Cardiac Surgery, Cape Cod Healthcare, Hyannis, MA, USA
| | - Mahdi Ebnali
- Harvard Medical School, Boston, MA, USA
- Department of Emergency Medicine, Mass General Brigham, Boston, MA, USA
| | - David Arney
- Harvard Medical School, Boston, MA, USA
- Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA
| | | | - Marco A Zenati
- Harvard Medical School, Boston, MA, USA
- Division of Cardiac Surgery, Veterans Affairs Boston Healthcare System and Medical Robotics and Computer Assisted Surgery Lab, Boston, MA, USA
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