Benzy Merlin, Venkatesh Rengaraj, Vellam Ramakrishnan Vivekanandan, Odayar Varshini Santhanarajan
Department of Cataract and IOL Services, Aravind Eye Hospital, Pondicherry, India.
Department of Glaucoma, Aravind Eye Hospital, Pondicherry, India.
Adv Ophthalmol Pract Res. 2022 May 10;2(2):100050. doi: 10.1016/j.aopr.2022.100050. eCollection 2022 Aug-Sep.
To evaluate the impact of video and verbal counselling on patients' undergoing phacoemulsification under topical anaesthesia.
This is a prospective randomized controlled trial conducted at Aravind Eye Care System, Pondicherry, India. All patients had a 15 min one-on-one verbal counselling covering surgical technique, implant options, anaesthesia and payment options one day prior to surgery. On the day of surgery, patients were randomized into two groups; in the first group, patients were provided with video counselling and in the second group, patients were given verbal counselling prior to undergoing phacoemulsification under topical anaesthesia. Measurements of blood pressure, heart rate, respiration rate, and the Likert-scale anxiety rating were collected at preoperative, perioperative, and postoperative time points.
A group of 186 patients (aged 45-70 years) were provided video counselling via portable iPad before first-time phacoemulsification, and a second group of 186 patients underwent surgery with verbal counselling. Systolic and diastolic blood pressure measurements were lower in both the video and verbally counselled groups during the intraoperative time point. Furthermore, during the intraoperative period, 123 (66.1%) video counselled patients felt relaxed compared to 119 (64%) patients who were provided verbal counselling ( = 0.6636). Patient cooperation during surgery was excellent in 76(40.9%) video counselled patients and 67(36%) verbally counselled patients ( = 0.3374). 25.8% and 21% ( = 0.2703) of patients experienced no pain during surgery in the video and verbal counselled groups respectively.
Although measures such as pulse rate, respiratory rate and feelings of relaxation did not show significant differences among the two groups of video and verbal counselling, patients marked cooperation during surgery and furthermore, the level of anxiety is most reassuring.
评估视频和口头咨询对局部麻醉下接受白内障超声乳化手术患者的影响。
这是一项在印度本地治里市阿拉文德眼科护理系统进行的前瞻性随机对照试验。所有患者在手术前一天接受了15分钟的一对一的口头咨询，内容包括手术技术、植入物选择、麻醉和支付方式。手术当天，患者被随机分为两组；第一组患者接受视频咨询，第二组患者在局部麻醉下接受白内障超声乳化手术前接受口头咨询。在术前、术中及术后时间点收集血压、心率、呼吸频率和李克特量表焦虑评分。
一组186例患者（年龄45 - 70岁）在首次白内障超声乳化手术前通过便携式iPad接受视频咨询，另一组186例患者接受口头咨询后进行手术。在术中时间点，视频咨询组和口头咨询组的收缩压和舒张压测量值均较低。此外，在术中期间，123例（66.1%）接受视频咨询的患者感到放松，而接受口头咨询的患者为119例（64%）（P = 0.6636）。76例（40.9%）接受视频咨询的患者和67例（36%）接受口头咨询的患者在手术期间配合良好（P = 0.3374）。视频咨询组和口头咨询组分别有25.8%和21%（P = 0.2703）的患者在手术期间无疼痛。
尽管两组视频和口头咨询在脉搏率、呼吸率和放松感等指标上没有显著差异，但患者在手术期间配合良好，此外，焦虑程度也最令人放心。
