Pain and Anxiety in Cataract Surgery: Comparison Between the First and Second Eye Surgeries

Abstract

Objective: This study aimed to determine and compare the pain and anxiety levels in the perioperative period of patients undergoing cataract surgery on both eyes. Materials and Methods: The study used a descriptive design to assess 60 patients who had undergone cataract surgery on both eyes. The visual analog scale (VAS) and the State-Trait Anxiety Inventory were used to evaluate the subjective parameters of patients in the surgical process. Objective measurements in the perioperative process were recorded in the physiological parameters form. Results: The state anxiety levels of patients in the preoperative period of the first eye surgery were found to be higher compared with that of the second eye surgery (p=0.003). In addition, patients were determined to have more severe anxiety in the preoperative period of the first eye surgery (VAS: 4.510) and before (VAS: 4.483) and during the perioperative period (VAS: 4.150) of the second eye surgery. Patients had a higher pain score and a higher state of anxiety after clinic admission in the postoperative period of the second eye surgery compared with that of the first eye surgery (p<0.05). The diastolic blood pressure value before the operation and the pulse and respiratory rate during the operation were higher in the first eye surgery than in the second eye surgery (p=0.038; p=0.000; p=0.000, respectively). Conclusion:The results of the subjective and objective measurements revealed that the anxiety experienced in the first cataract surgery made the perceived anxiety and sensation of pain more sensitive in the second eye surgery. Amaç: Bu çalışma her iki gözde katarakt ameliyatı geçiren hastaların perioperatif dönemdeki ağrı ve anksiyete düzeylerini belirlemek ve karşılaştırmak amacıyla yapıldı. Gereç ve Yöntemler: Tanımlayıcı nitelikte olan çalışmanın örneklemini, her iki göze katarakt cerrahisi uygulanan 60 hasta oluşturdu. Vizuel analog skala (VAS) ve Durumluk Sürekli Kaygı Envanteri, hastaların cerrahi süreçteki subjektif parametrelerini değerlendirmek için kullanıldı. Perioperatif süreçte değerlendirilen objektif ölçümler ise fizyolojik parametre formuna kaydedildi. Bulgular: Ameliyat öncesi dönemde hastaların durumluk kaygı düzeyleri ikinci göz cerrahisine göre daha yüksek bulundu (p=0,003). Ayrıca hastaların ilk göz cerrahisi