Total care system for maintaining a comfortable prone position after vitreoretinal surgery

Area of Science:

• Ophthalmology
• Medical Engineering

Background:

• Maintaining a specific prone position is crucial after vitreoretinal surgery to ensure proper healing and gas bubble tamponade.
• Existing methods for maintaining prone position can be uncomfortable and limit patient mobility, potentially affecting psychological well-being.

Purpose of the Study:

• To develop and evaluate a patient-centered care system designed to enhance comfort and compliance with prone positioning post-vitreoretinal surgery.
• To assess the impact of a TV-watching table integrated into the prone positioning system on patient satisfaction.

Main Methods:

• A system offering four distinct prone positions and face-down support equipment, including a TV-watching table, was implemented in patient rooms.
• Thirty-nine patients undergoing vitreoretinal surgery with intravitreal gas injection utilized the system for four days post-operatively.
• Patient satisfaction and perceived comfort were evaluated using a questionnaire.

Main Results:

• Patients using the TV-watching table reported significantly higher satisfaction compared to those who did not.
• The ability for patients to actively and independently change between various prone postures was highly valued for both physical and mental comfort.
• Overall patient feedback indicated the system facilitated adherence to prescribed post-operative positioning.

Conclusions:

• The developed care system effectively supports comfortable and adaptable prone positioning after vitreoretinal surgery.
• Integrating amenities like a TV-watching table enhances patient satisfaction and adherence to post-operative care protocols.
• Empowering patients with active control over their positioning is vital for their recovery and overall well-being.