目的:调查患者的第一手经验,对立即序贯双侧白内障手术(ISBCS)的满意度和态度。
方法:伯恩茅斯皇家医院,大学医院多塞特郡NHS基金会信托基金,CastleLaneEast,伯恩茅斯,英国。
方法:使用半结构化电话访谈和定性内容分析进行回顾性研究。
方法:半结构化电话面试由独立面试官进行,探索患者对ISBCS的体验,术后至少四周。使用定性内容分析对开放式答复进行了分析。分类和含义单位被列出,提供每个类别的患者数量和百分比。
结果:纳入25例患者。所有患者对ISBCS的总体满意度均为“非常满意”,并将再次选择在同一天进行双眼手术。22名患者(88%)报告了“非常好/舒适”的手术经验。手术后,24名患者(96%)感觉完全安全回家,大多数人组织家人或朋友开车送他们回家。所有患者在术后均未出现任何并发症。24名患者(96%)在完成手术后的日常生活活动方面仅略有减少,24名患者(96%)表示他们会向家人和朋友推荐ISBCS。
结论:从患者的角度和经验来看,结果支持更广泛地实施ISBCS。建议提供解决共同主题和问题的书面信息,以增加患者术前接受和吸收ISBCS。
OBJECTIVE: To investigate patients\' first-hand experience, satisfaction and attitudes towards immediate sequential bilateral cataract surgery (ISBCS).
METHODS: Royal Bournemouth Hospital, University Hospitals Dorset NHS Foundation Trust, Castle Lane East, Bournemouth, UK.
METHODS: Retrospective study using semi-structured phone interviews and qualitative content analysis.
METHODS: Semi-structured telephone interviews were conducted by an independent interviewer, to explore patients\' experiences of ISBCS, at least four weeks postoperatively. The open-ended responses were analysed using qualitative content analysis. Categories and meaning units were tabulated, with the number and percentage of patients contributing to each category provided.
RESULTS: 25 patients were included. All patients rated their overall satisfaction of ISBCS as \'very satisfied\' and would opt again to have both eyes operated on the same day. 22 patients (88%) reported a \'very good/comfortable\' surgery experience. After surgery, 24 patients (96%) felt completely safe going home, with most organizing for family or friends to drive them home. None of the patients experienced any complications in the postoperative period. 24 patients (96%) experienced only minimal reduction in accomplishing daily living activities after surgery and 24 patients (96%) said they would recommend ISBCS to family and friends.
CONCLUSIONS: The results support wider implementation of ISBCS from the patient\'s perspective and experience. Providing written information addressing common themes and concerns is recommended to increase patient acceptance and uptake of ISBCS preoperatively.