Transient Autonomic-like Symptoms During Clinical Exposure: A Cross-Sectional Study Among Nigerian Health Workers and Trainees
DOI:
https://doi.org/10.71637/tnhj.v25i3.1154Keywords:
Autonomic symptoms , Vasovagal response, Clinical trainee, Coping strategy, medical educationAbstract
Background: Transient autonomic symptoms such as dizziness, yawning, sweating, and syncope may occur during clinical procedures, potentially affecting learning and performance. Data from Nigeria are limited. This study assessed their prevalence, patterns, correlates, coping strategies and career effects.
Methods: A descriptive cross-sectional online survey was conducted among medical doctors, nurses, and clinical students in Nigeria. Questionnaire items were adapted from validated scales and contextualised to surgery and blood exposure. Data were analysed using Jamovi with descriptive and inferential statistics.
Results: Of 170 respondents, 55.3% reported at least one symptom. Dizziness (64.9%), sweating (47.9%), and muscle weakness (41.5%) were most frequent, with initial onset usually between 18–34 years. Triggers included surgical theatres and blood exposure. Auras preceded symptoms in 44.7%. Only the 55–64-year age group showed a significant inverse association with symptom occurrence (OR = 0.065; p = 0.035). Coping strategies were reported by 36.2%, mainly avoidance and postural adjustment.
Conclusion: Autonomic-like symptoms are common among Nigerian clinical trainees and health workers, particularly younger individuals. The findings underscore the need for awareness and preparatory interventions during clinical training. Further studies with wider representation and objective assessments are recommended.
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