Effects of Comprehensive Care to the Psychological Status and the Eyesight Recovery of the Patients with Vitrectomy

Abstract

Aims and Objectives: To determine the effects of the comprehensive care to the psychological status and the eyesight recovery of the patients with vitrectomy. Background: Vitrectomy is a routine clinical practice which was widely used to treat multiple eye diseases. However, due to the anatomic location of the vitreous body and the operational risk, patients tend to develop psychological disorders, which would negatively affect the therapeutic effects. Design: 84 cases of the patients who had the vitrectomy operation in our hospital during the period of February 2015 to February 2017 were randomly divided into control group (n=42) and experimental group (n=42). The control group accepted the routine care during and after the operation, and the experimental group accepted the comprehensive care in addition to routine care. Methods: The effects of comprehensive care were evaluated by comparing the psychological status of the patients and the extent of the eyesight recovery between the two groups. Results: Both the self-rating anxiety scale (SAS) and the self-rating depressive scale (SDS) of the experimental group are significantly (p<0.01) lower than the control group. The eyesight recovery efficiency in experimental group (92.86%) is significantly higher (p<0.05) than control group (76.19%). The incidence of postoperative complications in experimental group is significantly lower (p<0.05) than control group, and the average length of stay in hospitals in experimental group is significantly shorter (p<0.01) than control group. Conclusions: There were significant beneficial effects of the comprehensive care in patients with vitrectomy. Comprehensive care could effectively improve the psychological statues of the patients and enhance their eyesight recovery. Relevance to clinical practice: Comprehensive care in patients underwent surgery improve patient's recovery and make a difference in disease outcomes. This could potentially be applicable to most of the clinical practices.

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“…SAS was developed by W. K. Zung and consisted of 20 items to evaluate the degree of anxiety. The scale was scored by Likert 4 Grade [ 14 ]; the SAS standard score was 50; higher scores denoted greater anxiety; the Cronbach's alpha coefficient for the scale was 0.872, and the validity was 0.840. The severity of anxiety and depressive symptoms increases with greater SAS and SDS scores.…”