Real-Time Stress Analysis Affecting Nurse during Elective Spinal Surgery Using a Wearable Device

Sayhyun Sung, Ji Won Kwon, Jung Eun Kim, Yu Jin Lee, Soo Bin Lee, Seung Kyu Lee, Seong Hwan Moon, Byung Ho Lee

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Successful spinal surgery demands high levels of concentration and cooperation from participating health care workers. The intraoperative stress levels and concentration levels of surgeons have been studied previously; however, those of nurses are rarely studied. Therefore, the purpose of this study is to understand the stresses affecting surgical nurses by their participating role during spinal surgery. A total of 160 surgical stress records were obtained during 40 surgeries, including electroencephalography (EEG) signals and heart rate variability (HRV) from three orthopedic spinal surgeons and six nurses; concentration, tension level and physical stress were analyzed. Levels of both concentration and tension were significantly higher in circulating nurses during all surgical stages (p < 0.05). Both beats per minute and low frequency/high frequency ratios, which reflect physical stress, were higher in scrub nurses (p < 0.05). As the surgical experience of scrub nurses increased, the key parameters related to stress tended to decrease (p < 0.01). These results will contribute to understanding the pattern of intraoperative stress of surgical nurses, and therefore help in enhancing the teamwork of the surgical team for optimal outcomes.

Original languageEnglish
Article number909
JournalBrain Sciences
Issue number7
Publication statusPublished - 2022 Jul

Bibliographical note

Publisher Copyright:
© 2022 by the authors.

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)


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