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加纳白内障术后患者滴眼剂滴注的熟练程度。

Proficiency of eye drop instillation in postoperative cataract patients in Ghana.

作者信息

Liu Yang, Murdoch Amanda, Bassett Ken, Dharamsi Shafik

机构信息

Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC, Canada.

出版信息

Clin Ophthalmol. 2013;7:2099-105. doi: 10.2147/OPTH.S50322. Epub 2013 Oct 29.

Abstract

OBJECTIVE

The purpose of the study was to evaluate the efficacy of postoperative instruction on proficiency of eye drop instillation following cataract surgery, and to determine whether such proficiency correlates with the prevalence and/or duration of irritation and pain experienced in operated eyes.

DESIGN

This was a prospective, nonrandomized control trial with an educational intervention conducted via a single eye clinic in Accra, Ghana.

PARTICIPANTS

The 218 subjects who completed the study were postoperative cataract surgery patients whose surgery had been funded by the nongovernmental organization Unite for Sight.

METHODS

Patients were evaluated on their ability to administer eye drops correctly on their first attempt on postoperative day one. If unsuccessful, patients were given an educational session that consisted of verbal instructions and an educational video. Both groups (successful and unsuccessful) on the first postoperative day were tested again for proficiency on postoperative day 30. The baseline group was evaluated only on postoperative day 30 and consisted of 36 patients.

RESULTS

Of the 133 patients who received the educational session on eye drop instillation, 112 (84%) exhibited proficiency on postoperative day 30 as compared with 29 of 49 patients (59%) who did not receive the intervention. Additionally, there were fewer reports of pain and irritation following cataract extraction in the patients who received the educational session.

CONCLUSION

This study supports the efficacy of patient education in improving proficiency in eye drop instillation and in reducing pain and irritation following cataract extraction surgeries.

摘要

目的

本研究旨在评估白内障手术后进行术后指导对滴眼剂滴注熟练程度的效果,并确定这种熟练程度是否与术眼出现刺激和疼痛的发生率及/或持续时间相关。

设计

这是一项前瞻性、非随机对照试验,通过加纳阿克拉的一家眼科诊所进行教育干预。

参与者

完成研究的218名受试者是接受白内障手术的患者,其手术由非政府组织“联合视力”资助。

方法

在术后第一天对患者首次正确滴注滴眼剂的能力进行评估。如果不成功,患者将接受由口头指导和教育视频组成的教育课程。术后第一天的两组患者(成功组和不成功组)在术后第30天再次进行滴注熟练程度测试。基线组仅在术后第30天进行评估,由36名患者组成。

结果

在接受滴眼剂滴注教育课程的133名患者中,112名(84%)在术后第30天表现出熟练程度,而未接受干预的49名患者中有29名(59%)表现出熟练程度。此外,接受教育课程的患者白内障摘除术后疼痛和刺激的报告较少。

结论

本研究支持患者教育在提高滴眼剂滴注熟练程度以及减少白内障摘除手术后疼痛和刺激方面的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e54/3814969/ca6ca8687d86/opth-7-2099Fig1.jpg

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