电话回访应用于边远藏区白内障术后患者的满意度调查分析(英文)

Predictors of long-term cataract surgical patient satisfaction found in cell-phone follow-up in a primarily Tibetan region of China

目的:通过电话回访评估在四川甘孜藏族自治州人民医院进行白内障手术患者对术后视力及舒适满意度的调查分析。方法:对2012年于我院行白内障手术的患者建立档案,根据术前是否伴有其它眼科疾病和(或)在出院时是否伴有手术并发症进行分类,并对他们在术后3mo进行电话回访,回访评估术后视力恢复情况及是否伴有其它不适。结果:我院在2012年总共行888例白内障手术,678位患者,其中女性364例(54%),大多数患者(93%)术前双眼视力视力严重下降或盲(<6/60)。在记录的881例手术中,主要的术前伴随眼疾:视网膜疾病30例,慢性虹膜疾病11例;主要术中并发症:角膜水肿44例,玻璃体溢出19例。电话回访结果显示:3mo后508位患者(75%)被电话回访至少一次,在其中参加回访评估的588例手术中,485(82%)叙述相比较与出院时"变好"的视力和(或)伴有不舒适,85(15%)"一样"的视力和(或)伴有不舒适,18(3%)"变差"的视力和(或)伴有不舒适。回访结果显示:术后3mo后,伴有术前眼疾和(或)手术并发症患者中叙述视力差和(或)术后不适的比例相比较不伴有术前眼疾和(或)手术并发症患者显著升高(Chi-square=6.575,P=0.037).结论:在出院时那些白内障患者特别需要术后3mo回访是可预料的,而电话回访增加了回访的可能性。而且需要提高处理患者手术并发症或治疗术前伴随眼疾的能力必须通过提高当地的眼科服务能力来实现。

AIM ： To evaluate predictors of patient satisfaction with vision and com fort follow ing cataract surgery in Kandze Prefecture People＇s Hospital,in Dartsedo,the capital of a Tibetan region of China.METHODS： Prospective observational study of all patients undergoing cataract surgery in Kandze Hospital in2012. Patients categorized in term s of ocular pathology and / or surgical com plications at discharge, w ere contacted at 3m o postoperatively by cell-phone to determ ine satisfaction w ith vision and presence of discom fort. RESULTS： In 2012, Kandze Hospital conducted 888 cataract operations on 678 patients,364（ 54%） w om en.M ost patients（ 93%） presented w ith severe visual im pairm ent or blindness（ 6 /60） in the better eye.Am ong the 881 eyes, the m ain surgical com plications w ere corneal edem a（ 44 cases） and vitreous loss（ 19cases） w hile the m ain pathologies w ere retinal disorders（ 30 cases） and＂old＂iritis（ 11 cases）. At 3mo,508（ 75%of 678 cataract patients） w ere contacted at least once by cell-phone. Of the 588 eyes self-assessed,485（ 82%）w ere reported ＂better＂,85（ 15%） ＂sam e＂,and 18（ 3%）＂worse＂than the time of discharge for discomfort,visual acuity,or both. Significantly m ore eyes＂w ith pathology＂com pared w ith ＂neither pathology nor com plications＂at discharge w ere reported to have discom fort or poor vision at 3m o（ Chi-square = 6. 575,P = 0. 037）. CONCLUSION： The need forcataract surgical patient follow-up advice at 3m o is predictable at discharge and increasingly possible w ith cell-phone technology.How ever,the ability to assist patients w ith com plications or ocular pathology depends on im proving eye care services in the region.