METHODS: Patients attending routine pre-cataract surgery counselling were randomized to receive either a standard verbal consultation (control) or a verbal consultation with a digitalized pictorial aid illustrating key surgical steps (intervention). Patients were assessed after the consultation on their knowledge, satisfaction, anxiety and preparedness using an anonymous questionnaire.
RESULTS: Seventy-six patients were recruited and randomized into the control and intervention groups. The intervention group attained better Knowledge Scores (control: 5 [2-6] vs. intervention: 6 [6]), and more patients \"strongly agreed\" that they were more prepared (control: 78.9% vs. intervention: 97.4%, P=0.028). A higher proportion of patients in the control group either \"disagreed\" or \"neither disagree nor agreed (neutral)\" that they were less worried (control: 15.8% vs. intervention: 0.0%, Fisher\'s Exact Test P=0.025). Although the consultation duration was shorter in the intervention group (21±4mins vs. 27±6mins, P<0.001), the use of digital pictorial aids during consultation resulted in more effective counselling with increased patient knowledge, easier decision-making process and reduced patient anxiety.
CONCLUSIONS: Pictorial aids add to the repository of tools available to eye-care practitioners and are low-cost, easy to implement, and can effectively augment existing preoperative counselling processes to ensure accurate and effective preoperative counselling of patients.
方法:接受常规白内障手术前咨询的患者被随机分配接受标准的口头咨询(对照)或带有说明关键手术步骤(干预)的数字化图片辅助工具的口头咨询。患者在咨询他们的知识后进行评估,满意,焦虑和准备使用匿名问卷。
结果:纳入76例患者,随机分为对照组和干预组。干预组获得了更好的知识分数(对照:5[2-6]vs.干预:6[6]),更多的患者“强烈同意”他们更有准备(对照:78.9%vs.干预:97.4%,P=0.028)。对照组中“不同意”或“既不同意也不同意(中立)”的患者比例较高,他们不太担心(对照组:15.8%vs.干预:0.0%,Fisher精确检验P=0.025)。尽管干预组的咨询持续时间较短(21±4分钟vs.27±6分钟,P<0.001),在咨询过程中使用数字绘画辅助工具可提高患者知识的更有效咨询,更容易的决策过程和减少患者的焦虑。
结论:图片辅助工具增加了眼睛保健从业人员可用的工具库,并且成本低,易于实现,并能有效加强现有的术前咨询流程,确保对患者进行准确有效的术前咨询。