[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-446248-105":59,"doc-detail-446248-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","addressing-mental-and-physical-fatigue-in-major-abdominal-surgery-by-incorporating-muscle-stretches-and-hydration-mini-breaks","Addressing mental and physical fatigue in major abdominal surgery by incorporating muscle stretches and hydration mini breaks","","Quality improvement focused on identifying causes of mental and physical fatigue during major abdominal surgery and testing targeted mitigation. A prospective project in a peritoneal malignancy unit compared periods without breaks against four weeks of intervention using regular mini hydration breaks plus targeted muscle stretches. Validated questionnaires measured perceived pain, occupational fatigue, and surgical task load. Results showed reduced end-of-day pain in the break group and broad gains in situational stress, distractibility, temporal and mental demands, supporting improved theatre team wellbeing.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/addressing-mental-and-physical-fatigue-in-major-abdominal-surgery-by-incorporating-muscle-stretches-and-hydration-mini-breaks/446248/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/addressing-mental-and-physical-fatigue-in-major-abdominal-surgery-by-incorporating-muscle-stretches-and-hydration-mini-breaks/446248.png","ImageObject",300,407,{"name":92,"@type":93},"Melati","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the goal of the quality improvement project?","Question",{"text":112,"@type":113},"To identify factors contributing to mental and physical fatigue in major abdominal surgery and mitigate fatigue using regular mini hydration breaks combined with targeted muscle stretches.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study designed and measured?",{"text":117,"@type":113},"A prospective cross-over design compared four weeks without breaks to four weeks with hydration breaks and muscle stretches. Validated questionnaires assessed perceived physical/mental fatigue, pain, occupational fatigue, and surgical task load.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key findings after introducing breaks and stretches?",{"text":121,"@type":113},"The intervention group showed reduced mean end-of-day pain and global improvements in situational stress, distractibility, and temporal and mental demands, indicating lower self-perceived fatigue.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},446248,1791179677,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962085570644,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","GENERAL SURGERY  \nDOI: 10. 1308/rcsann.2024.0120  \nAddressing mental and physical fatigue in major abdominal surgery by incorporating muscle stretches and hydration mini breaks  \nIntroduction  \nThe purpose of this quality improvement project (QIP) was to identify factors contributing to mental and physical fatigue in major abdominal surgery and to attempt to mitigate the same by incorporating mini hydration breaks with targeted muscle stretches at regular intervals.  \nMethods  \nThis prospective QIP was conducted in the Peritoneal Malignancy Unit of a national referral centre for peritoneal malignancy-related diseases between February and April 2022 . Only procedures lasting longer than four hours were included and all theatre personnel were invited to participate. A baseline survey was conducted to ascertain the impact of mental and physical fatigue. Subsequently, a crossover study design was utilised; for the first four weeks the procedure was performed with no breaks. This was followed with four weeks of intervention (hydration breaks and muscle stretches). Validated questionnaires (pain scores, occupational fatigue inventory and surgical task load measurement) were used to measure perceived physical and mental fatigue.  \nResults  \nOver half (58%) of the 34 participants felt that surgical discomfort affected their stamina, posture and ability to concentrate. Work–life balance was affected in 44%, and 17% felt that it affected their sleep pattern with a minority considering shortening their careers. A reduction in the mean pain score at the end of the day in the group who had breaks (2.61 vs 2.16) was noted. There was global improvement in situational stress, distractibility, temporal and mental demands in the group who had regular breaks, amounting to improvements in self-perceived fatigue levels.  \nConclusions  \nTheatre personnel involved in major surgery experience mental and physical stress that adversely affects work–life balance. Regular, short hydration breaks with muscle stretches can help improve mental and physical wellbeing of theatre personnel involved in major abdominal surgery.  \nKeywords: Human factors; Minibreaks; Major surgery  \nIntroduction  \nTheatre personnel working long hours without regular breaks are likely to be tired, inattentive, dehydrated and ultimately less vigilant.1 In addition, performing long operations without mitigation measures can lead tomusculoskeletal injury, adversely affect work–  \nlife balance and potentially shorten careers.2  \nRecognition of the importance of workplace fatigue, regular hydration and rest breaks has been enshrined in the work culture of workers in the airline industry and professional lorry drivers with reported beneficial results.3–5 There is a growing body of evidence encouraging the adoption of rest breaks in the operating theatre; however, for a plethora of reasons ranging from surgical culture to lack of awareness, rest breaks have not been established in standard operating procedure  \nprotocols. A recent multi-centred cohort study has also suggested that performing targeted muscle stretches at periodic intervals intraoperatively can decrease musculoskeletal pain.6  \nWhereas most studies have looked at mandatory operative breaks from either the surgical or anaesthetic perspective, this paper explores the impact of incorporating hydration breaks on a global level for the entire theatre team performing complex abdominal surgery.  \nThe purpose of this quality improvement project (QIP) was to identify the factors contributing to mental and physical fatigue in major abdominal surgery and to attempt to mitigate mental and physical fatigue by incorporating mini hydration breaks with targeted muscle stretches at regular intervals during major surgery.  \nJ Franklyn V Sharma SS Reddy H Kaur D Wildash J Bell  \nSP Dayal A Tzivanakis F Mohamed BJ Moran T Cecil  \nBasingstoke and North Hampshire Hospital, UK  \nCorrespondence to: Joshua Franklyn [joshua.franklyn@nhs.net](joshua.","cbCaisG5H3uMbnOt","https://ap.wps.com/l/cbCaisG5H3uMbnOt","pdf",349642,"English","# Introduction\n# Methods\n## Design and setting\n## Initial questionnaire and baseline phase\n# Results\n# Conclusions","[{\"question\":\"What was the goal of the quality improvement project?\",\"answer\":\"To identify factors contributing to mental and physical fatigue in major abdominal surgery and mitigate fatigue using regular mini hydration breaks combined with targeted muscle stretches.\"},{\"question\":\"How was the study designed and measured?\",\"answer\":\"A prospective cross-over design compared four weeks without breaks to four weeks with hydration breaks and muscle stretches. Validated questionnaires assessed perceived physical/mental fatigue, pain, occupational fatigue, and surgical task load.\"},{\"question\":\"What were the key findings after introducing breaks and stretches?\",\"answer\":\"The intervention group showed reduced mean end-of-day pain and global improvements in situational stress, distractibility, and temporal and mental demands, indicating lower self-perceived fatigue.\"}]","Addressing mental and physical fatigue in major abdominal surgery by incorporating muscle stretches and hydration mini breaks | PDF",1790714569,18]