The effect of immersive scenario simulation combined with automated fixation training on preoperative anxiety and intraoperative cooperation effect in patients undergoing femtosecond laser small incision lens removal surgery
Objective To explore the effects of immersive scenario simulation combined with automated fixation training on preoperative anxiety and intraoperative cooperation effects in patients undergoing femtosecond laser small incision lens extraction(SMILE).Methods Four hundred patients who underwent SMILE at ophthalmology department in our hospital from June to August 2023 were selected by using convenience sampling method.The patients were divided into a control group(n=200,400 eyes)and an experimental group(n=200,400 yeas)according to the date of surgery.The control group was intervened with conventional fixation training.The experimental group was intervened with immersive scenario simulation combined with automated fixation training.The general information and the intraoperative cooperation including the number of patients'eye position adjustment,the number of disposable negative pressure ring placement,the occurrence of complications,the degree of surgical cooperation,the number of surgical cooperation times and the total length of the operation were compared between the two groups.The preoperative anxiety score,the confidence of surgical cooperation,the visual acuity and intraocular pressure after 7 days of operation,and the patient's satisfaction with the nursing care in the operating room were also compared between the two groups.Results After the intervention,the preoperative anxiety score of the control group was higher than that of the experimental group,and the confidence score in surgical co-operation of the control group was lower than that of the experimental group(P＜0.05).The intraoperative cooperation such as the number of patients'eye position adjustment,the number of disposable negative pressure ring placement,the occurrence of complications,the degree of surgical cooperation,the number of times of surgical cooperation and the total length of the operation in the experimental group was better than that of the control group(P＜0.05).There was no statistical difference in visual acuity and intraocular pressure of SMLIE patients after 7 days of surgery between the two groups(P＞0.05).The control group's satisfaction with the nursing work in the operating room was lower than that of the experimental group(P＜0.05).Conclusions Immersive situational simulation combined with automated fixation training can reduce the patients'anxiety,improve the intraoperative cooperation in SMILE and reduce the occurrence of intraoperative adverse reactions.It can also improve patients'satisfaction with operating room care.It is worthy of being promoted in the health education of patients undergoing SMILE.
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