Evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?

Rajen Tailor, Rebecca Beasley, Yit Yang, Niro NarendranWolverhampton and Midland Counties Eye Infirmary, New Cross Hospital, Wolverhampton, UKIntroduction: Intravitreal injection of ranibizumab has become one of the most commonly performed ophthalmic procedures. It is timely to conduct an evaluation...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Tailor R, Beasley R, Yang Y, Narendran N
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2011
Materias:
Acceso en línea:https://doaj.org/article/3faa66e6012a4c00ac0a2f7dd4e044cd
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:3faa66e6012a4c00ac0a2f7dd4e044cd
record_format dspace
spelling oai:doaj.org-article:3faa66e6012a4c00ac0a2f7dd4e044cd2021-12-02T09:42:35ZEvaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?1177-54671177-5483https://doaj.org/article/3faa66e6012a4c00ac0a2f7dd4e044cd2011-10-01T00:00:00Zhttp://www.dovepress.com/evaluation-of-patientsrsquo-experiences-at-different-stages-of-the-int-a8474https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rajen Tailor, Rebecca Beasley, Yit Yang, Niro NarendranWolverhampton and Midland Counties Eye Infirmary, New Cross Hospital, Wolverhampton, UKIntroduction: Intravitreal injection of ranibizumab has become one of the most commonly performed ophthalmic procedures. It is timely to conduct an evaluation of the injection procedure from the patient’s perspective so as to determine ways to improve patient experience. The purpose of this study was to quantitatively describe patients’ experiences of the different stages of the intravitreal injection procedure and provide suggestions for improvement.Method: Following intravitreal injection, patients were administered a questionnaire to score the distress felt for each of ten parts of the whole injection process from the initial waiting to the final instillation of topical antibiotic at the end. A score of higher than 4 was regarded as significantly unpleasant. The proportion of scores above 4 for each step was used to evaluate the relative distress experienced by patients for the different parts of the procedure.Results: A total of 42 patients were surveyed. The step with the highest percentage of patients scoring more than 4 was the injection step (19%). However, cumulatively, the steps relating to the application of the drape, the speculum, and the removal of drape accounted for 53% of scores greater than 4.Conclusion: There is considerable variation in how patients tolerate different stages of the injection procedure. The needle entry was the most unpleasant step followed by the draping steps cumulatively. Use of subconjunctival anesthesia, a perforated drape, and alternative lid exclusion devices may help to improve the patient’s tolerability of the procedure and experience.Keywords: ranibizumab, patient experience, age-related macular degenerationTailor RBeasley RYang YNarendran NDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1499-1502 (2011)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Tailor R
Beasley R
Yang Y
Narendran N
Evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?
description Rajen Tailor, Rebecca Beasley, Yit Yang, Niro NarendranWolverhampton and Midland Counties Eye Infirmary, New Cross Hospital, Wolverhampton, UKIntroduction: Intravitreal injection of ranibizumab has become one of the most commonly performed ophthalmic procedures. It is timely to conduct an evaluation of the injection procedure from the patient’s perspective so as to determine ways to improve patient experience. The purpose of this study was to quantitatively describe patients’ experiences of the different stages of the intravitreal injection procedure and provide suggestions for improvement.Method: Following intravitreal injection, patients were administered a questionnaire to score the distress felt for each of ten parts of the whole injection process from the initial waiting to the final instillation of topical antibiotic at the end. A score of higher than 4 was regarded as significantly unpleasant. The proportion of scores above 4 for each step was used to evaluate the relative distress experienced by patients for the different parts of the procedure.Results: A total of 42 patients were surveyed. The step with the highest percentage of patients scoring more than 4 was the injection step (19%). However, cumulatively, the steps relating to the application of the drape, the speculum, and the removal of drape accounted for 53% of scores greater than 4.Conclusion: There is considerable variation in how patients tolerate different stages of the injection procedure. The needle entry was the most unpleasant step followed by the draping steps cumulatively. Use of subconjunctival anesthesia, a perforated drape, and alternative lid exclusion devices may help to improve the patient’s tolerability of the procedure and experience.Keywords: ranibizumab, patient experience, age-related macular degeneration
format article
author Tailor R
Beasley R
Yang Y
Narendran N
author_facet Tailor R
Beasley R
Yang Y
Narendran N
author_sort Tailor R
title Evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?
title_short Evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?
title_full Evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?
title_fullStr Evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?
title_full_unstemmed Evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?
title_sort evaluation of patients’ experiences at different stages of the intravitreal injection procedure – what can be improved?
publisher Dove Medical Press
publishDate 2011
url https://doaj.org/article/3faa66e6012a4c00ac0a2f7dd4e044cd
work_keys_str_mv AT tailorr evaluationofpatientsamprsquoexperiencesatdifferentstagesoftheintravitrealinjectionprocedureampndashwhatcanbeimproved
AT beasleyr evaluationofpatientsamprsquoexperiencesatdifferentstagesoftheintravitrealinjectionprocedureampndashwhatcanbeimproved
AT yangy evaluationofpatientsamprsquoexperiencesatdifferentstagesoftheintravitrealinjectionprocedureampndashwhatcanbeimproved
AT narendrann evaluationofpatientsamprsquoexperiencesatdifferentstagesoftheintravitrealinjectionprocedureampndashwhatcanbeimproved
_version_ 1718397998207074304