沉浸式情景模拟联合自动化固视训练对飞秒激光小切口透镜取出术患者术前焦虑及术中配合效果的影响
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
何珏蓉 1李鑫 1付敏 1蒋世春 1胡盼1
作者信息
- 1. 陆军军医大学大坪医院眼科,重庆 400042
- 折叠
摘要
目的 探索沉浸式情景模拟联合自动化固视训练对飞秒激光小切口透镜取出术(SMILE)患者术前焦虑及术中配合效果的影响.方法 采用便利抽样法选取2023年6～8月在我院眼科行SMILE术的屈光不正患者400 例,按照手术日期分为对照组200 例(400 眼)与试验组200 例(400 眼).对照组采用常规固视训练进行干预,试验组采用沉浸式情景模拟联合自动化固视训练进行干预.比较两组一般资料、术中配合情况(患者眼位调整次数、一次性负压环放置的次数、并发症发生情况、手术配合度、手术配合次数和手术总时长)、术前焦虑评分、手术配合信心、术后7 天视力、眼压情况、患者对手术室护理工作满意度.结果 干预后,对照组术前焦虑评分高于试验组,手术配合信心得分低于试验组(P＜0.05);试验组术中配合情况(患者眼位调整次数、一次性负压环放置的次数、并发症发生情况、手术配合度、手术配合次数和手术总时长)均优于对照组(P＜0.05);两组术后7 天视力和眼压情况比较,差异均无统计学意义(P＞0.05);对照组对手术室护理工作满意度低于试验组(P＜0.05).结论 沉浸式情景模拟联合自动化固视训练可降低患者焦虑情绪,提高SMILE术中配合度,减少术中不良反应的发生,提高患者对手术室护理工作的满意度,值得在SMILE术患者的健康教育中推广.
Abstract
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.
关键词
情景模拟/固视训练/飞秒激光小切口透镜取出术/术前焦虑/术中配合Key words
Scenario simulation/Fixation training/Femtosecond laser small-incision lens removal/Preoperative anxiety/In-traoperative cooperation引用本文复制引用
基金项目
重庆市科卫联合医学项目(2022QNXM019)
出版年
2024
NETL
NSTL
万方数据