国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
12期
2023-2028
,共6页
白内障手术%视力结果%患者满意度%藏区
白內障手術%視力結果%患者滿意度%藏區
백내장수술%시력결과%환자만의도%장구
c ataract su rgery%vi sual outcome%patient satisfaction%Tibeta n region
目的:通过电话回访评估在四川甘孜藏族自治州人民医院进行白内障手术患者对术后视力及舒适满意度的调查分析。<br> 方法:对2012年于我院行白内障手术的患者建立档案,根据术前是否伴有其它眼科疾病和(或)在出院时是否伴有手术并发症进行分类,并对他们在术后3 mo进行电话回访,回访评估术后视力恢复情况及是否伴有其它不适。<br> 结果:我院在2012年总共行888例白内障手术6,78位患者,其中女性364例(54%),大多数患者(93%)术前双眼视力视力严重下降或盲(<6/60)。在记录的881例手术中,主要的术前伴随眼疾:视网膜疾病30例,慢性虹膜疾病11例;主要术中并发症:角膜水肿44例,玻璃体溢出19例。电话回访结果显示:3 mo后508位患者(75%)被电话回访至少一次,在其中参加回访评估的588例手术中,485(82%)叙述相比较与出院时“变好”的视力和(或)伴有不舒适,85(15%)“一样”的视力和(或)伴有不舒适,18(3%)“变差”的视力和(或)伴有不舒适。回访结果显示:术后3 mo后,伴有术前眼疾和(或)手术并发症患者中叙述视力差和(或)术后不适的比例相比较不伴有术前眼疾和(或)手术并发症患者显著升高( Chi-square=6.575, P=0.037).<br> 结论:在出院时那些白内障患者特别需要术后3 mo回访是可预料的,而电话回访增加了回访的可能性。而且需要提高处理患者手术并发症或治疗术前伴随眼疾的能力必须通过提高当地的眼科服务能力来实现。
目的:通過電話迴訪評估在四川甘孜藏族自治州人民醫院進行白內障手術患者對術後視力及舒適滿意度的調查分析。<br> 方法:對2012年于我院行白內障手術的患者建立檔案,根據術前是否伴有其它眼科疾病和(或)在齣院時是否伴有手術併髮癥進行分類,併對他們在術後3 mo進行電話迴訪,迴訪評估術後視力恢複情況及是否伴有其它不適。<br> 結果:我院在2012年總共行888例白內障手術6,78位患者,其中女性364例(54%),大多數患者(93%)術前雙眼視力視力嚴重下降或盲(<6/60)。在記錄的881例手術中,主要的術前伴隨眼疾:視網膜疾病30例,慢性虹膜疾病11例;主要術中併髮癥:角膜水腫44例,玻璃體溢齣19例。電話迴訪結果顯示:3 mo後508位患者(75%)被電話迴訪至少一次,在其中參加迴訪評估的588例手術中,485(82%)敘述相比較與齣院時“變好”的視力和(或)伴有不舒適,85(15%)“一樣”的視力和(或)伴有不舒適,18(3%)“變差”的視力和(或)伴有不舒適。迴訪結果顯示:術後3 mo後,伴有術前眼疾和(或)手術併髮癥患者中敘述視力差和(或)術後不適的比例相比較不伴有術前眼疾和(或)手術併髮癥患者顯著升高( Chi-square=6.575, P=0.037).<br> 結論:在齣院時那些白內障患者特彆需要術後3 mo迴訪是可預料的,而電話迴訪增加瞭迴訪的可能性。而且需要提高處理患者手術併髮癥或治療術前伴隨眼疾的能力必鬚通過提高噹地的眼科服務能力來實現。
목적:통과전화회방평고재사천감자장족자치주인민의원진행백내장수술환자대술후시력급서괄만의도적조사분석。<br> 방법:대2012년우아원행백내장수술적환자건립당안,근거술전시부반유기타안과질병화(혹)재출원시시부반유수술병발증진행분류,병대타문재술후3 mo진행전화회방,회방평고술후시력회복정황급시부반유기타불괄。<br> 결과:아원재2012년총공행888례백내장수술6,78위환자,기중녀성364례(54%),대다수환자(93%)술전쌍안시력시력엄중하강혹맹(<6/60)。재기록적881례수술중,주요적술전반수안질:시망막질병30례,만성홍막질병11례;주요술중병발증:각막수종44례,파리체일출19례。전화회방결과현시:3 mo후508위환자(75%)피전화회방지소일차,재기중삼가회방평고적588례수술중,485(82%)서술상비교여출원시“변호”적시력화(혹)반유불서괄,85(15%)“일양”적시력화(혹)반유불서괄,18(3%)“변차”적시력화(혹)반유불서괄。회방결과현시:술후3 mo후,반유술전안질화(혹)수술병발증환자중서술시력차화(혹)술후불괄적비례상비교불반유술전안질화(혹)수술병발증환자현저승고( Chi-square=6.575, P=0.037).<br> 결론:재출원시나사백내장환자특별수요술후3 mo회방시가예료적,이전화회방증가료회방적가능성。이차수요제고처리환자수술병발증혹치료술전반수안질적능력필수통과제고당지적안과복무능력래실현。
?AIM:To evaluate predictors of patient satisfaction with vision and comfort following cataract surgery in Kandze Prefecture People's Hospital, in Dartsedo, the capital of a Tibetan region of China. <br> ? METHODS: Prospective observational study of all patienst undergoing cataract surgery in Kandze Hospital in 2012.Patients categorized in terms of ocular pathology and/or surgic al complications at discharge, were contacted at 3mo postoperatively by cell -phone to d et ermine satisfaction with vision and presence of d iscomfort. <br> ? RESULTS: In 2012, Kandze Hos pital conducted 888 cataract operations on 678pa tients, 364 ( 54%) women. Most patients ( 93%) presented with severe visual impairment or blindness (<6/60 ) in the better eye. Among the 881 eyes, the main surgical complic ations were corneal edema ( 44 cases ) and vitreous loss ( 19 cases) while the main pathologies we rer et inal disorders (30c ases) and“old ” iritis (11 cases).At 3mo, 508( 75%of 678c ataract patients) were contacted at least once by cell-phone.Of the 588 eyes self-assessed, 485 ( 82%) were reported“better”, 85 (15%) “same”, and 18 (3%)“worse” than the time of discharge for discomfort, visual acuity, or both.Significantly more eyes“with pathology”compared with “neither pathology nor complications” at discharge were reported to have discomfort or poor vision at 3mo (Chi-square=6.575, P=0.037). <br> ?CONCLUSION: The need forcataract surgical patient follow-up advice at 3mo is predictable at discharge and increasingly possible with cell -phone technology. However, the ability to assist patients with complications or ocular pathology depends on improving eye care service s in the region.