患者对白内障手术和白内障手术镇静的看法和担忧:一项定性研究
Liam Molina1, Nora Lyang2, Rachel Schwartz1,3
1School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Clinical ophthalmology (Auckland, N.Z.)
|July 2, 2025
概括
接受白内障手术的患者更喜欢麻醉式镇静,但愿意接受其他选择. 通过教育和证据确保患者的安全是考虑这种常见程序的新镇静选择的关键.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
- 患者体验 患者体验
背景情况:
- 现代白内障手术具有较低的固有风险,引发了关于麻醉人员必要性的辩论.
- 有限的研究存在于患者对白内障手术镇静的看法.
- 了解患者的观点对于评估镇静替代品至关重要.
研究的目的:
- 在白内障手术期间描述患者对监控麻醉护理 (MAC) 的看法.
- 评估患者是否愿意考虑MAC的镇静替代品.
主要方法:
- 与9名近期白内障手术患者进行半结构面试.
- 对转录的采访进行诱导性主题分析.
- 探索患者的经验和对镇静替代品的看法.
主要成果:
- 患者优先考虑最佳的手术结果和维护视力.
- 人们担心手术期间会有干扰,并且在手术前对镇静剂的沟通有限.
- 患者更喜欢麻醉式镇静,但如果有证据和医生的建议支持,则可以接受其他选择.
结论:
- 患者的偏好倾向于在白内障手术中进行麻醉式镇静.
- 随着强有力的证据,教育和眼科医生认可,考虑替代方案的意愿增加.
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