Effects of patient education and therapeutic suggestions on cataract surgery patients: a randomized controlled clinical trial
Author(s)
Kekecs, Z
Jakubovits, E
Varga, K
Gombos, K
Type
Journal Article
Abstract
OBJECTIVE: This paper describes a randomized controlled single blind study testing the effects of a patient education intervention combined with positive therapeutic suggestions on anxiety for cataract surgery patients. METHODS: 84 patients participated in the study. Physiological and behavioral indicators of anxiety were compared between a regularly treated control and an intervention group receiving an audio CD containing information, relaxation, and positive imagery. RESULTS: We found that the intervention group was calmer throughout the four measurement points of the study (p=.004; d=0.71) and they were more cooperative (p=.01; d=0.60) during the operation. The groups did not differ in sleep quality before the day of the operation, heart rate during the procedure, and subjective Well-being. CONCLUSION: Findings indicate that preoperative information combined with positive suggestions and anxiety management techniques might reduce patient anxiety in the perioperative period of cataract surgery, but further research is needed to investigate the benefits of such interventions and to uncover the underlying mechanisms. PRACTICE IMPLICATIONS: Patient education interventions providing additional anxiety management techniques are recommended for use prior to cataract surgery.
Date Issued
2013-10-11
Date Acceptance
2013-09-27
Citation
Patient Education and Counseling, 2013, 94 (1), pp.116-122
ISSN
1873-5134
Publisher
Elsevier
Start Page
116
End Page
122
Journal / Book Title
Patient Education and Counseling
Volume
94
Issue
1
Copyright Statement
© 2013 Elsevier Ireland Ltd. All rights reserved. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/24183068
PII: S0738-3991(13)00394-7
Subjects
Anxiety
Guided imagery
Ophthalmic surgery
Patient education
Relaxation
Therapeutic suggestions
Adult
Aged
Cataract
Cataract Extraction
Female
Humans
Imagery (Psychotherapy)
Middle Aged
Pain, Postoperative
Patient Education as Topic
Preoperative Care
Single-Blind Method
Tape Recording
Intervention Studies
Hungary
Male
Public Health
11 Medical And Health Sciences
17 Psychology And Cognitive Sciences
Publication Status
Published
Coverage Spatial
Ireland