Подготовка и сопровождение тревожного пациента офтальмологической клиники при амбулаторной хирургии

Abstract

The question of preoperative anxiety in an ophthalmological patient and its relief in an outpatient setting is becoming increasingly relevant due to the improvement of the technique and equipment of ophthalmic surgery, when the practice of "one-day surgery" is becoming increasingly common. Purpose. To analyze the relationship between the level of anxiety during preoperative preparation and the choice of the optimal approach for the relief of preoperative anxiety in an ophthalmological patient in a "one day" clinic. Material and methods. 89 adult patients of both sexes referred for outpatient surgery were included into trials. Clinical psychotherapeutic interviewing, a scale of situational and personal anxiety C.D. Spielberger (adapted by Y.L. Khanin), a questionnaire for analyzing satisfaction with the quality of medical services provided in outpatient settings were used. Statistical: Microsoft Excel spreadsheet editor for Windows; the STATISTICA application software package version 6.1. were taken. The condition for determining statistically significant differences is the value р ≥ 0.05. Results. The study revealed an average and high level of situational anxiety in 66 % of patients referred for refractive surgery, in 81 % of patients referred for cataract surgery. Against the background of the performed anxiolytic therapy in the preoperative period, the proportion of people with a high level of reactive anxiety decreased significantly (p ≥ 0.05) (from 24 % to 8 %), while personal anxiety did not significantly change. Conclusions. The study showed the possibility of providing better quality medical services in "one-day" eye surgery, which expands the availability of outpatient ophthalmic surgical care to patients with anxiety disorders. Keywords: outpatient surgery, refractive surgery, situational anxiety, preoperative preparation