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Randomised controlled trial of preoperative information to improve satisfaction with cataract surgery.

机译:术前资料的随机对照试验,以提高对白内障手术的满意度。

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AIM: To investigate the effects of an informational video on patient expectations and satisfaction with day-stay cataract surgery. METHODS: 141 patients undergoing day-stay cataract surgery were randomised into one of two video groups, explaining either what to expect from the cataract surgery or the anatomy of cataract. Patients were surveyed as to their expectations for visual outcome, anxiety, risk, and discomfort resulting from the surgery. After the operation, patients were again asked to rate their experience of anxiety, discomfort, risk, comprehension, overall satisfaction, and comparison with expectations. RESULTS: 84% of patients already thought they received enough or too much information. The expectations video group expected more risk and discomfort than the anatomy video group. Yet, after the surgery, the expectations video group was significantly more satisfied, understood better what was happening to them, and felt less anxious. There was no difference in the discomfort or risk actually experienced, or the expected visual outcomes. Patients with previous cataract surgery experience expected less anxiety and discomfort, and found the surgery closer to their expectations. None the less, previous cataract surgery experience did not negate the effects of the video. CONCLUSIONS: This study demonstrates that a simple, inexpensive videotape showing patients what to expect from cataract surgery results in significant increases in patient understanding of and satisfaction with the cataract surgery, as well as a decrease in anxiety. These effects were independent of patients' expected outcomes or previous experience with cataract surgery, and despite the fact that patients generally thought they had already received enough information.
机译:目的:调查信息视频对全日白内障手术患者的期望和满意度的影响。方法:将141名接受全天候白内障手术的患者随机分为两个视频组之一,解释对白内障手术或白内障的解剖学会有什么期望。对患者进行了手术检查,以评估其对视觉结果,焦虑,风险和不适的期望。手术后,再次要求患者对他们的焦虑,不适,风险,理解,总体满意度以及与期望的比较进行评分。结果:84%的患者已经认为他们收到了足够或太多的信息。期望视频小组比解剖视频小组期望更多的风险和不适。但是,在手术后,期望视频小组更加满意,更了解他们所发生的事情,并减少了焦虑。实际经历的不适或风险或预期的视觉效果没有差异。曾有白内障手术经验的患者预计焦虑和不适感会减少,并发现手术更接近他们的预期。但是,以前的白内障手术经验并没有抵消视频的影响。结论:这项研究表明,简单,廉价的录像带可以向患者显示白内障手术的期望值,从而使患者对白内障手术的了解和满意度显着提高,并且焦虑程度降低。这些效果与患者的预期结果或白内障手​​术以前的经验无关,尽管患者通常认为他们已经获得了足够的信息。

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