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白内障手术后首次术后护理的时机:患者视角

Timing of the Initial Postoperative Care After Cataract Surgery: A Patient's Perspective.

作者信息

Rush Sloan W, Huseman Samuel, Rush Ryan B

机构信息

Panhandle Eye Group, Amarillo, TX, USA.

Department of Surgery, Texas Tech University Health Science Center, Amarillo, TX, USA.

出版信息

Clin Ophthalmol. 2023 May 25;17:1475-1479. doi: 10.2147/OPTH.S413602. eCollection 2023.

Abstract

PURPOSE

To evaluate patient preferences in regards to the timing of the initial postoperative examination after undergoing cataract surgery.

METHODS

A retrospective, consecutive case series analysis from a single private practice institution was performed using a standardized phone survey on patients who underwent cataract surgery. Subjects were classified into one of two possible study groups according to the timing of their initial postoperative cataract surgery examination: Group A received the initial postoperative cataract surgery examination on the same day as the surgery, whereas Group B received the initial postoperative cataract surgery examination on the day following the operation.

RESULTS

There were 80 subjects contacted for the phone survey of which 70 (35 in each study group) completed the survey and therefore were included in the analysis. Group A subjects responded favorably in regards to preference and realizing reduced time and cost savings compared to Group B (p < 0.0001 for both). There were no subjects in Group A who would have preferred next-day initial postoperative care, whereas 31.4% of subjects in Group B would have preferred same-day care if given the opportunity.

CONCLUSION

Patients undergoing cataract surgery both prefer and report time and cost savings with same-day initial postoperative care compared to next-day initial postoperative care. Patient preferences regarding their postoperative care should be one of the many factors that a surgeon ought to take into consideration when providing follow-up care after cataract surgery.

摘要

目的

评估白内障手术后患者对首次术后检查时间的偏好。

方法

对一家私人执业机构的患者进行回顾性连续病例系列分析,采用标准化电话调查对接受白内障手术的患者进行调查。根据首次白内障手术后检查的时间,将受试者分为两个可能的研究组之一:A组在手术当天接受首次白内障手术后检查,而B组在手术后第二天接受首次白内障手术后检查。

结果

共有80名受试者接受电话调查,其中70名(每个研究组35名)完成了调查,因此被纳入分析。与B组相比,A组受试者在偏好方面反应良好,且实现了时间缩短和成本节约(两者p均<0.0001)。A组中没有受试者希望术后次日进行首次护理,而如果有机会,B组中有31.4%的受试者希望在手术当天进行护理。

结论

与术后次日进行首次护理相比,接受白内障手术的患者更喜欢且报告称手术当天进行首次术后护理可节省时间和成本。患者对术后护理的偏好应是外科医生在白内障手术后提供随访护理时应考虑的众多因素之一。

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