Henderson Bonnie An, Solomon Kerry, Masket Samuel, Potvin Richard, Holland Edward J, Cionni Robert, Sandoval Helga
Ophthalmic Consultants of Boston, Boston, MA, USA.
Carolina Eyecare Research Institute, Carolina Eyecare Physicians, Mount Pleasant, SC, USA.
Clin Ophthalmol. 2014 Aug 25;8:1595-602. doi: 10.2147/OPTH.S69133. eCollection 2014.
This study utilized a phone survey to characterize patient perceptions of cataract surgery and the manner in which the ophthalmologist contributes to the patient's understanding in electing cataract surgery.
Calls were made from a randomized membership list of the American Association of Retired Persons until 1,000 respondents 50 years of age or older had been recruited. Three groups were recruited: persons with no prior diagnosis of cataracts, persons diagnosed with cataracts but who had not had surgery, and persons who had had cataract surgery on both eyes within the past 5 years. A series of fixed-choice and open-ended questions was then presented to qualified participants. Questions related to vision, quality of life, and the understanding and perceptions of cataract surgery.
Two-thirds of respondents reported having frequent eye examinations. More than half indicated that they had discussed cataract surgery with an eye doctor, most often with an ophthalmologist. They reported that the benefits of surgery were most often mentioned (68%), but lens options were infrequently mentioned (39%). Of those who had had surgery, 81% elected to do so on the advice of their health care professional. About 85% of respondents who had had surgery felt well educated about the procedure, though only 75% felt they understood their lens and vision options. Three-quarters of those who had had cataract surgery wished they had had the surgery sooner, and reported that they were enjoying life more after surgery.
The ophthalmologist plays an important role in preparing patients for cataract surgery. Discussing both the timing of the surgery and the patient's lens options are critical for appropriate care; the survey results suggest room for improvement in this regard. Respondents reported they wished they had had surgery sooner, based primarily on their improved quality of life postoperatively.
本研究采用电话调查来描述患者对白内障手术的看法，以及眼科医生在帮助患者理解并选择白内障手术方面所起的作用。
从美国退休人员协会的随机会员名单中打电话，直至招募到1000名50岁及以上的受访者。招募了三组人群：既往未被诊断患有白内障的人、被诊断患有白内障但尚未接受手术的人，以及在过去5年内双眼均接受过白内障手术的人。然后向符合条件的参与者提出一系列固定选择和开放式问题。问题涉及视力、生活质量以及对白内障手术的理解和看法。
三分之二的受访者报告经常进行眼部检查。超过一半的人表示他们曾与眼科医生讨论过白内障手术，其中大多数是与眼科专科医生讨论。他们报告说，手术的益处被提及得最多（68%），但晶状体选择很少被提及（39%）。在接受过手术的人中，81%是在其医疗保健专业人员的建议下选择手术的。约85%接受过手术的受访者觉得自己对手术过程了解充分，不过只有75%的人觉得自己了解晶状体和视力选择。四分之三接受过白内障手术的人希望自己能更早进行手术，并表示手术后他们更享受生活。
眼科医生在让患者为白内障手术做好准备方面发挥着重要作用。讨论手术时机和患者的晶状体选择对于适当的治疗至关重要；调查结果表明在这方面仍有改进空间。受访者表示他们希望自己能更早进行手术，主要是基于术后生活质量的改善。
