Johns Hopkins University School of Nursing, 525 N Wolfe St, Baltimore, MD 21205, USA.
Johns Hopkins University School of Nursing, 525 N Wolfe St, Baltimore, MD 21205, USA.
Geriatr Nurs. 2024 Sep-Oct;59:677-686. doi: 10.1016/j.gerinurse.2024.08.012. Epub 2024 Aug 30.
Preoperative anxiety in elderly cataract surgery patients presents challenges, demanding effective non-pharmacological interventions to ensure patient safety.
A comprehensive review was conducted on PubMed, CINAHL, and Embase from 2013 to 2023. Twelve experimental studies were analyzed. Interventions such as music therapy, education videos, hand massages, and non-fasting protocols were evaluated, with anxiety measured using various scales and physiological indicators.
Overall, the findings highlight the efficacy of these interventions in managing preoperative anxiety among elderly cataract surgery patients. Seven studies measured physiological indicators such as blood pressure or heart rate alongside anxiety scales, with four studies showing significant reductions of those indicators alongside anxiety reduction.
These non-pharmacological interventions offer an effective alternative to pharmacological approaches, enhancing patient safety and potentially reducing healthcare costs related to polypharmacy. The international scope of the studies suggests broad applicability across diverse cultural contexts, advocating for their inclusion in hospital protocols.
老年白内障手术患者术前焦虑是一个挑战，需要有效的非药物干预措施来确保患者安全。
对 2013 年至 2023 年期间的 PubMed、CINAHL 和 Embase 进行了全面综述。分析了 12 项实验研究。评估了音乐疗法、教育视频、手部按摩和非禁食方案等干预措施，使用各种量表和生理指标测量焦虑程度。
总体而言，这些研究结果强调了这些干预措施在管理老年白内障手术患者术前焦虑方面的有效性。有 7 项研究在测量焦虑量表的同时测量了生理指标，如血压或心率，其中 4 项研究显示这些指标和焦虑程度的显著降低。
这些非药物干预措施为药物治疗方法提供了有效的替代方案，提高了患者安全性，并可能降低与多药治疗相关的医疗保健费用。研究的国际范围表明，这些干预措施在不同文化背景下具有广泛的适用性，因此应将其纳入医院方案。
