Weingessel Birgit, Wahl Michael, Vécsei-Marlovits Pia Veronika
Department of Ophthalmology, Hietzing Hospital, Wolkersbergenstraße 1, 1130, Vienna, Austria.
Karl Landsteiner Institute for Process Optimization and Quality Management in Cataract Surgery, Vienna, Austria.
Wien Med Wochenschr. 2017 Oct;167(13-14):314-319. doi: 10.1007/s10354-017-0554-6. Epub 2017 Mar 29.
Cataract surgery is the most commonly performed elective surgical procedure worldwide. While the operation has been mainly conducted as day-case (outpatient) surgery throughout the world since the beginning of this millennium, this development has been much slower in Austria. The number of patients requesting day-case surgery has markedly increased in the last few years.
Prior to the introduction of a day clinic at our department in 2007, we evaluated the patients' acceptance of day-case surgery using a questionnaire. At the time, less than half of the patients wished to undergo day-case surgery. Another survey was performed 7 years later to determine if there were any changes.
The desire for day-case surgery increased significantly from 38.8 to 87.1%. The mean age of the patients and their visual impairment had decreased. Home care improved, but not to the same extent. The number of patients who had to travel more than an hour to reach the hospital had significantly increased.
Improvements in perioperative limitations and most of all patients becoming accustomed to the idea have led to an impressive mind switch, culminating in a clear desire for day-case cataract surgery.
白内障手术是全球最常开展的择期外科手术。自本世纪初以来,白内障手术在全球主要作为日间(门诊)手术进行,但在奥地利,这一发展进程较为缓慢。在过去几年中,要求进行日间手术的患者数量显著增加。
在2007年我们科室引入日间诊所之前,我们通过问卷调查评估了患者对日间手术的接受度。当时,不到一半的患者希望接受日间手术。7年后又进行了一次调查,以确定是否有任何变化。
希望接受日间手术的比例从38.8%显著增至87.1%。患者的平均年龄和视力损害程度有所下降。家庭护理有所改善,但程度不同。需要花费一个多小时才能到达医院的患者数量显著增加。
围手术期限制的改善,尤其是患者逐渐习惯这种手术方式,导致了令人印象深刻的观念转变,最终明显表现出对白内障日间手术的渴望。