Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa.
Department of Ophthalmology, University of California San Diego, La Jolla, California.
Ophthalmic Plast Reconstr Surg. 2021;37(3S):S70-S75. doi: 10.1097/IOP.0000000000001817.
To investigate the effect of visual supplementation and its mode of delivery in preoperative counseling of patients undergoing oculoplastic surgery.
A prospective randomized controlled trial of consecutive patients undergoing oculoplastic eyebrow and eyelid surgery was conducted. Patients were randomized to an "oral only" group receiving routine preoperative oral counseling or an "oral and visual" group receiving identical counseling visually supplemented with photographs demonstrating common postoperative physical findings. Patients in the "oral and visual" group were further randomized to receive education from the medical team in person versus prerecorded video. Patient emotions and expectations regarding postoperative healing were assessed preoperatively and at 1 week and 2 months postoperatively.
103 patients were included: 32 received in-person oral education, 33 received in-person oral education with photographs, and 38 received education with photographs via video. There were no significant differences in demographics or preoperative patient fear, anxiety, or preparedness. The "oral and visual" group expected more severe postsurgical discomfort and physical findings at postoperative day 1 and week 1. There were no significant differences between groups in surgery signup, cancellation, or triage call rates; patient expectations of postoperative months 2 and 4; or in anxiety, preparedness, or satisfaction.
Visual supplementation in preoperative counseling increases patient expectations of postoperative physical findings without escalating fear or anxiety, and has no significant impact on patient emotions, triage call rates, and satisfaction throughout their surgical experience. Preoperative education via video is perceived by patients to be equivalent to counseling in person by the surgeon.
研究视觉补充及其传递方式对行眼整形手术患者术前咨询的影响。
对行眼整形眉和眼睑手术的连续患者进行前瞻性随机对照试验。患者随机分为“仅口头”组，接受常规术前口头咨询；或“口头和视觉”组，接受相同的口头咨询，并辅以展示常见术后身体发现的照片。“口头和视觉”组的患者进一步随机分为由医疗团队亲自接受教育或通过预先录制的视频接受教育。在术前、术后 1 周和 2 个月评估患者对术后愈合的情绪和期望。
共纳入 103 例患者：32 例接受口头教育，33 例接受口头教育加照片，38 例接受视频照片教育。人口统计学和术前患者恐惧、焦虑或准备情况无显著差异。“口头和视觉”组在术后第 1 天和第 1 周对术后不适和身体发现的预期更严重。手术签约、取消或分诊呼叫率、术后 2 个月和 4 个月的患者预期、焦虑、准备情况或满意度在各组之间无显著差异。
术前咨询中的视觉补充增加了患者对术后身体发现的预期，但不会增加恐惧或焦虑，并且对患者情绪、分诊呼叫率和整个手术过程中的满意度没有显著影响。通过视频进行术前教育，患者认为与由外科医生亲自进行咨询等效。
