Faculty of Medicine, McGill University, Montreal, QC, Canada.
Department of Ophthalmology, University of Montreal, Montreal, QC, Canada; University Centre of Ophthalmology, Maisonneuve-Rosemont Hospital, Montreal, QC, Canada.
Can J Ophthalmol. 2023 Aug;58(4):302-312. doi: 10.1016/j.jcjo.2022.03.006. Epub 2022 Apr 6.
To evaluate perceptions of blade- versus laser-based blepharoplasty before and after being provided educational information.
This interventional pre-post study included 145 randomly selected participants (Maisonneuve-Rosemont Hospital, Montreal, Canada, August 2020) who were asked about their perceptions surrounding blepharoplasty. Participants then received information about the techniques before answering final questions.
Participants perceived no difference in outcomes for blade (37%) versus laser (40%) blepharoplasty precounselling. This increased to laser blepharoplasty postintervention (56%, p < 0.001) despite being told that there was no difference in outcomes. The higher the level of education among participants, the more likely they were to correctly believe that both techniques had similar outcomes (p = 0.049). Most participants would choose laser blepharoplasty initially (64%), and this percentage increased postintervention (81%, p < 0.001). The preintervention perception of blade blepharoplasty recovery time (20.1 ± 32.6 days) was longer than that for laser blepharoplasty (13.5 ± 32.0 days, p = 0.01) and increased for both techniques postintervention (p < 0.001). Perceived pain was lower for laser blepharoplasty. Postintervention, participants responded that additional costs of ($975 ± $1,091) would justify laser over blade blepharoplasty.
Elucidating patient perceptions and preferences for blade- versus laser-based blepharoplasty provides surgeons with perspective on how to tailor preoperative counselling. Before and after the intervention, participants had a bias toward choosing laser blepharoplasty. The intervention seems to falsely convince people that laser blepharoplasty leads to better outcomes. Because the doctor's advice can greatly impact patients' decisions, physicians have to be careful not to give false expectations when counselling patients. Inaccurate recall of key educational takeaways suggests that information should be vulgarized and delivered actively to patients.
评估在提供教育信息前后，对基于刀片和激光的眼睑成形术的看法。
本项干预性前后研究纳入了 145 名随机选择的参与者（加拿大蒙特利尔 Maisonneuve-Rosemont 医院，2020 年 8 月），他们被问到与眼睑成形术相关的看法。参与者在回答最终问题之前，先获得关于这些技术的信息。
在术前咨询时，参与者认为刀片（37%）和激光（40%）眼睑成形术的结果没有差异。干预后，这种看法增加到激光眼睑成形术（56%，p<0.001），尽管被告知结果没有差异。参与者的受教育程度越高，他们就越有可能正确地认为这两种技术的结果相似（p=0.049）。大多数参与者最初会选择激光眼睑成形术（64%），干预后这一比例增加到（81%，p<0.001）。术前对刀片眼睑成形术恢复期的看法（20.1±32.6 天）长于激光眼睑成形术（13.5±32.0 天，p=0.01），干预后两种技术的恢复期都延长（p<0.001）。激光眼睑成形术的疼痛感知较低。术后，参与者表示，激光比刀片眼睑成形术高出（975±1091）美元的额外费用是合理的。
阐明患者对基于刀片和激光的眼睑成形术的看法和偏好，为外科医生提供了如何调整术前咨询的视角。在干预前后，参与者更倾向于选择激光眼睑成形术。干预似乎错误地使人们相信激光眼睑成形术会带来更好的结果。由于医生的建议可以极大地影响患者的决策，医生在为患者提供咨询时必须小心，不要给予错误的期望。对关键教育要点的记忆不准确表明，应该将信息通俗化并主动传递给患者。
