Service d'Ophtalmologie, Centre Hospitalier Universitaire Pellegrin, Bordeaux, France.
J Cataract Refract Surg. 2010 Aug;36(8):1373-9. doi: 10.1016/j.jcrs.2010.02.015.
To assess patient satisfaction with cataract surgery care.
Private and public health ophthalmic centers, France.
This prospective longitudinal multicenter observational study enrolled patients attending consultation for a preoperative visit from September 2007 to February 2008. Patients were eligible if they had uncomplicated cataract and agreed to participate. At the preoperative visits, medical data and disease history were collected. At the first postoperative visit (at 1 to 7 days), the following data were collected: patient status, surgical procedure, and follow-up (patient management, complications, medications). Patients completed a questionnaire after each visit to assess satisfaction with their management and follow-up before, during, and after surgery (up to 30 days postoperatively).
Of the 781 patients enrolled by 91 ophthalmologists, 41 were excluded for not meeting eligibility criteria, leaving 740 patients in the statistical analysis. Cataract extraction was by phacoemulsification. The incision was 2.2 to 3.2 mm in 94.7% of cases, and the intraocular lens was acrylic in 96.3% of cases. Anesthesia was mainly topical (56.8%) or local (42.1%). The most frequent postoperative treatments were nonsteroidal antiinflammatory eyedrops and combined steroidal and antibacterial eyedrops (95.9% and 94.7%, respectively). Most patients (96.4%) said the surgery results met their expectations, and 67.2% reported being able to perform activities they could not do preoperatively. Overall, 98.2% of patients said they were satisfied with their management.
Assessment of the management and follow-up of patients having cataract surgery showed that the care provided was in accordance with the expectations of French patients.
No author has a financial or proprietary interest in any material or method mentioned.
评估白内障手术护理的患者满意度。
法国私人和公共眼科医疗机构。
本前瞻性纵向多中心观察性研究纳入 2007 年 9 月至 2008 年 2 月间参加术前咨询的患者。如果患者患有单纯性白内障并同意参与，则符合入选条件。在术前就诊时，收集医疗数据和病史。在首次术后就诊（1-7 天）时，收集以下数据：患者状况、手术程序和随访（患者管理、并发症、药物治疗）。在每次就诊后，患者完成一份问卷，评估他们在手术前、手术中和手术后（术后 30 天内）的管理和随访的满意度。
在 91 名眼科医生纳入的 781 名患者中，有 41 名因不符合入选标准而被排除，最终有 740 名患者纳入统计分析。白内障摘除采用超声乳化术。切口大小为 2.2-3.2mm，占 94.7%；96.3%的患者使用丙烯酸人工晶状体。麻醉主要为局部麻醉（56.8%）或表面麻醉（42.1%）。最常见的术后治疗为非甾体抗炎眼药水和甾体与抗生素联合眼药水（分别为 95.9%和 94.7%）。大多数患者（96.4%）表示手术结果符合他们的预期，67.2%的患者表示能够进行术前无法进行的活动。总体而言，98.2%的患者对他们的治疗表示满意。
对接受白内障手术患者的管理和随访评估表明，所提供的护理符合法国患者的期望。
