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白内障超声乳化吸除联合人工晶状体植入术后的心理反应

Psychological reactions to cataract surgery with intraocular lens implantation.

机构信息

Suprakash Chaudhury, MD, PhD, Psychiatrist, Military Hospital, Meerut (UP) 250 002.

出版信息

Indian J Psychiatry. 1995 Oct;37(4):165-8.

PMID:21743743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2972430/
Abstract

A prospective study of fifty patients who underwent cataract surgery with intraocular lens (IOL) implantation was undertaken. Factors aggravating and allaying pre-operative, intra-operative and post-operative anxiety were studied A good doctor-patient relations/lip, confidence in the ophthalmologist, and knowledge of successful surgery with IOL implantation in an acquaintance were the major anxiety relieving factors. The main anxiety provoking factors were concerns about the success of surgery and the requirement of laying immobile during surgery covered with surgical drapes. Detailed technical knowledge about the surgery was anxiety provoking and the majority of the patients did not desire it.

摘要

一项对 50 例接受白内障手术并植入人工晶状体(IOL)的患者进行的前瞻性研究。研究了加重和缓解术前、术中和术后焦虑的因素。良好的医患关系/沟通、对眼科医生的信任以及对熟人成功进行 IOL 植入手术的了解是缓解焦虑的主要因素。主要的焦虑诱发因素是对手术成功的担忧以及在手术过程中需要保持不动并用手术巾覆盖。对手术的详细技术知识会引起焦虑,而且大多数患者并不希望了解这些。

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本文引用的文献

1
Psychosis after eye surgery; establishment of a specific doctor-patient relation in the prevention and treatment of black-patch delirium.眼部手术后的精神病;在预防和治疗黑蒙性谵妄中建立特定的医患关系。
N Engl J Med. 1958 Jun 26;258(26):1284-9. doi: 10.1056/NEJM195806262582602.
2
Sensory information, behavioral instructions and coping with sensory alteration surgery.感觉信息、行为指令与应对感觉改变手术
Nurs Res. 1982 Jan-Feb;31(1):17-21.
3
Predicting activity and satisfaction following cataract surgery.预测白内障手术后的活动情况和满意度。
J Behav Med. 1983 Sep;6(3):313-28. doi: 10.1007/BF01315116.
4
Reactions to blindness. An exploratory study of adults with recent loss of sight.失明反应。对近期失明成年人的一项探索性研究。
Arch Gen Psychiatry. 1970 Apr;22(4):370-9. doi: 10.1001/archpsyc.1970.01740280082015.
5
Impact of cataract surgery with lens implantation on vision and physical function in elderly patients.晶状体植入白内障手术对老年患者视力和身体功能的影响。
JAMA. 1987 Feb 27;257(8):1064-6.
6
Seeing better surely makes you feel better: a testimonial.看得更清楚肯定会让你感觉更好:一份见证。
Ophthalmic Surg. 1987 Jun;18(6):470.
7
Emotional aspects of cataract surgery.白内障手术的情感因素
Int J Psychiatry Med. 1989;19(1):85-9. doi: 10.2190/xwd0-tq3g-d14v-5tfa.