The effect of nursing intervention on preoperative cataract

DanHui, Gong; Liu, Jiafeng; Zhao, Xin; Zhang, Li

doi:10.1097/md.0000000000012749

Cited by 8 publications

(22 citation statements)

References 17 publications

(17 reference statements)

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“…This brings very good results in terms of reducing anxiety and improving patient cooperation during surgery. 40 , 41 Many of the operated patients seemed happy with an explanation rather than sedation. It must be remembered that sedation, although it reduces anxiety, reduces the patient’s ability to cooperate during the operation.…”

Section: Discussionmentioning

confidence: 99%

“…It has been shown that informative, educational, and planned nursing care has a very beneficial effect on reducing the level of anxiety in patients undergoing cataract surgery. 54 Gong et al 40 showed that nursing intervention, in the form of several meetings in the week immediately preceding admission to the hospital, significantly reduced preoperative anxiety, improved cooperation between the patient and medical staff during surgery, and increased satisfaction with postoperative outcomes. These meetings included psychological support for the patient, helped in preparing for the procedure, and provided the necessary information on the structure of the eye, cataracts and its treatment, as well as on pain management and postoperative rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

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Fear and Anxiety Associated with Cataract Surgery Under Local Anesthesia in Adults: A Systematic Review

Obuchowska¹,

Konopińska²

2021

PRBM

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Cataract surgery is one of the most frequently performed surgical procedures worldwide. Patients usually experience strong negative emotions, such as fear and anxiety. A systematic review of the recent literature regarding the emotional states experienced during cataract surgery under local anaesthesia was performed based on the PubMed and Scopus databases. The objective of this review was to determine the causes and frequency of fear and anxiety, as well as methods for improving intraoperative experience and supporting the patient prior to surgery. Anxiety is mainly caused by fear of the surgery itself, fright of pain, and loss of vision. Abstaining and visual sensations experienced during cataract surgery also increased the preoperative anxiety. Women and hypochondriacs showed higher levels of anxiety. The greatest intensity of negative emotions occurred on the day of the cataract surgery. Patients operated on both eyes experienced greater fear and anxiety before the operation of the first eye surgery. In order to reduce patients’ negative experiences, pharmacological sedation, preoperative education and counselling, manual massage immediately before surgery, and listening to music during surgery are used. Taking this information into consideration allows the introduction of effective methods of eliminating the patient’s negative feelings in connection with cataract surgery, which leads to an improvement in the results of the operation and an increase in the patients’ sense of satisfaction and quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fear and Anxiety Associated with Cataract Surgery Under Local Anesthesia in Adults: A Systematic Review

Obuchowska¹,

Konopińska²

2021

PRBM

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“…As previous research has shown, nursing interventions (eg, instructing and explaining the procedure to patients) can be helpful for reducing anxiety and increasing patient satisfaction. 15 Accordingly, including nurses as an integral part of the preoperative process should be considered.…”

Section: Discussionmentioning

confidence: 99%

<p>Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries</p>

Ługowska¹,

Konopińska²,

Mariak³

et al. 2020

OPTH

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To compare the subjective preoperative experiences of patients undergoing their first-or second-cataract surgeries. Patients and Methods: Consecutive patients undergoing phacoemulsification were asked to complete postoperative questionnaires evaluating their subjective preoperative experiences, including their emotional state, decision-making process, and opinions on the admission and examination processes, medical interviews, and quality of service. The obtained data were compared between patients undergoing their first (group I)-or second (group II)cataract surgeries. Results: Two hundred patients (group I, 124; group II, 76) were included in the evaluation. Presurgical anxiety was more prevalent in group I than in group II (55.7% vs 34.2%, P = 0.005). Fear was the major trigger for reconsidering the decision to undergo surgery, with 29% and 13.2% of patients in groups I and II, respectively, considering abandoning the operation (P = 0.016). The preoperative medical examination was reported to be sufficiently accurate by 66.1% and 80.3% of patients in groups I and II, respectively (P = 0.047), while 28.2% and 21% of patients in groups I and II, respectively, did not understand the information presented about possible complications of surgery (P = 0.039). Administration of eyedrops before surgery was uncomfortable for 71.4% and 68.4% of patients in groups I and II, respectively (P = 0.553), while 22.6% and 9.2% of patients in groups I and II, respectively, found repeated administration of drops to be highly uncomfortable (P = 0.026). Conclusion: Patients experienced greater anxiety before their first-cataract surgery than before their second-cataract surgery. Moreover, many patients from both groups did not understand the medical information provided by doctors regarding the surgery and its possible complications. The most unpleasant stage of preparation for cataract surgery was repeated administration of eyedrops. Trial Registration: The study was registered on clinicaltrial.gov under the number NCT04327856.

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“…A previous study showed that a few conversations with a nurse during the week preceding hospital admission might improve both patients’ cooperation with medical personnel during the surgery and their satisfaction with the postoperative outcomes. 37 The authors of that study emphasized that such conversations, during which, the nurse discusses eye anatomy, pathomechanism of cataract, the protocol of cataract surgery, preparation for the procedure, postoperative pain management and eye rehabilitation, might soothe negative emotions of patients during subsequent stages of phacoemulsification. 37 The role of nurses in the education of patients with cataract was also highlighted by other authors.…”

Section: Discussionmentioning

confidence: 99%

“… 37 The authors of that study emphasized that such conversations, during which, the nurse discusses eye anatomy, pathomechanism of cataract, the protocol of cataract surgery, preparation for the procedure, postoperative pain management and eye rehabilitation, might soothe negative emotions of patients during subsequent stages of phacoemulsification. 37 The role of nurses in the education of patients with cataract was also highlighted by other authors. 38–40 …”

Section: Discussionmentioning

confidence: 99%

Subjective Opinions of Patients About Step-by-Step Cataract Surgery Preparation

Obuchowska¹,

Ługowska²,

Mariak³

et al. 2021

OPTH

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Purpose We analyzed the subjective feelings and opinions of patients regarding modified cataract phacoemulsification procedures. Patients and Methods A consecutive case series of patients undergoing phacoemulsification of cataracts, who completed questionnaires designed by the authors to evaluate their subjective opinions about hospital admission, medical examination, and intraoperative procedures carried out at the operating theater. Results Two hundred patients (82 men and 118 women) were included in the study. Subjects aged ≥65 years more often than younger respondents presented negative opinions about hospital admission procedures (15% vs. 2.5%, p=0.032) and were less satisfied with physicians’ explanations about the matter of phacoemulsification (71.3% vs. 92.5%, p=0.004), type of artificial lens to be implanted (43.8% vs. 85%, p<0.001), and potential complications (69.4% vs. 95%, p<0.001). The most unpleasant intraoperative experiences included venipuncture (35.5%), artificial lens implantation (30.5%), and peeling off of a sterile surgical drape (24%). Conclusion Persons aged ≥65 years presented with negative opinions about routine procedures related to phacoemulsification. Older age seems to be associated with less tolerance to time-consuming bureaucratic procedures and a lesser understanding of the specific stages of the surgery. Older patients should be notified in advance about all routine procedures to be carried out and provided with a rationale for these activities. Trial Registration The study was registered on clinicaltrials. gov (NCT04327856).

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The effect of nursing intervention on preoperative cataract

Cited by 8 publications

References 17 publications

Fear and Anxiety Associated with Cataract Surgery Under Local Anesthesia in Adults: A Systematic Review

Fear and Anxiety Associated with Cataract Surgery Under Local Anesthesia in Adults: A Systematic Review

<p>Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries</p>

Subjective Opinions of Patients About Step-by-Step Cataract Surgery Preparation

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