Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries

Dorota Ługowska, Joanna Konopinska, Zofia Mariak, Iwona Obuchowska Department of Ophthalmology, Medical University of Bialystok, Bialystok 15-276, PolandCorrespondence: Joanna Konopinska Department of OphthalmologyMedical University of Białystok, M. Sklodowska-Curie 24A STR, Białystok 15-276, Poland...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ługowska D, Konopinska J, Mariak Z, Obuchowska I
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	aract surgery anxiety patients experience presurgical fear Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7a3b34a1ad72460e909a25518e250410
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7a3b34a1ad72460e909a25518e250410
record_format	dspace
spelling	oai:doaj.org-article:7a3b34a1ad72460e909a25518e2504102021-12-02T13:04:02ZComparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries1177-5483https://doaj.org/article/7a3b34a1ad72460e909a25518e2504102020-09-01T00:00:00Zhttps://www.dovepress.com/comparison-of-subjective-preoperative-experiences-of-patients-before-f-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Dorota Ługowska, Joanna Konopinska, Zofia Mariak, Iwona Obuchowska Department of Ophthalmology, Medical University of Bialystok, Bialystok 15-276, PolandCorrespondence: Joanna Konopinska Department of OphthalmologyMedical University of Białystok, M. Sklodowska-Curie 24A STR, Białystok 15-276, PolandTel +48-857468372Fax +48-857468604Email joannakonopinska@o2.plPurpose: 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.Keywords: cataract surgery, anxiety, patients experience, presurgical fearŁugowska DKonopinska JMariak ZObuchowska IDove Medical Pressarticlearact surgeryanxietypatients experiencepresurgical fearOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2883-2889 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	aract surgery anxiety patients experience presurgical fear Ophthalmology RE1-994
spellingShingle	aract surgery anxiety patients experience presurgical fear Ophthalmology RE1-994 Ługowska D Konopinska J Mariak Z Obuchowska I Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries
description	Dorota Ługowska, Joanna Konopinska, Zofia Mariak, Iwona Obuchowska Department of Ophthalmology, Medical University of Bialystok, Bialystok 15-276, PolandCorrespondence: Joanna Konopinska Department of OphthalmologyMedical University of Białystok, M. Sklodowska-Curie 24A STR, Białystok 15-276, PolandTel +48-857468372Fax +48-857468604Email joannakonopinska@o2.plPurpose: 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.Keywords: cataract surgery, anxiety, patients experience, presurgical fear
format	article
author	Ługowska D Konopinska J Mariak Z Obuchowska I
author_facet	Ługowska D Konopinska J Mariak Z Obuchowska I
author_sort	Ługowska D
title	Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries
title_short	Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries
title_full	Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries
title_fullStr	Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries
title_full_unstemmed	Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries
title_sort	comparison of subjective preoperative experiences of patients before first- or second-eye cataract surgeries
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/7a3b34a1ad72460e909a25518e250410
work_keys_str_mv	AT ługowskad comparisonofsubjectivepreoperativeexperiencesofpatientsbeforefirstorsecondeyecataractsurgeries AT konopinskaj comparisonofsubjectivepreoperativeexperiencesofpatientsbeforefirstorsecondeyecataractsurgeries AT mariakz comparisonofsubjectivepreoperativeexperiencesofpatientsbeforefirstorsecondeyecataractsurgeries AT obuchowskai comparisonofsubjectivepreoperativeexperiencesofpatientsbeforefirstorsecondeyecataractsurgeries
_version_	1718393512031944704

Comparison of Subjective Preoperative Experiences of Patients Before First- or Second-Eye Cataract Surgeries

Ejemplares similares