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Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia

PURPOSE: To evaluate the impact of video and verbal counselling on patients' undergoing phacoemulsification under topical anaesthesia. METHODS: This is a prospective randomized controlled trial conducted at Aravind Eye Care System, Pondicherry, India. All patients had a 15 ​min one-on-one verba...

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Autores principales: Benzy, Merlin, Venkatesh, Rengaraj, Vellam Ramakrishnan, Vivekanandan, Odayar, Varshini Santhanarajan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577861/
https://www.ncbi.nlm.nih.gov/pubmed/37846388
http://dx.doi.org/10.1016/j.aopr.2022.100050
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author Benzy, Merlin
Venkatesh, Rengaraj
Vellam Ramakrishnan, Vivekanandan
Odayar, Varshini Santhanarajan
author_facet Benzy, Merlin
Venkatesh, Rengaraj
Vellam Ramakrishnan, Vivekanandan
Odayar, Varshini Santhanarajan
author_sort Benzy, Merlin
collection PubMed
description PURPOSE: To evaluate the impact of video and verbal counselling on patients' undergoing phacoemulsification under topical anaesthesia. METHODS: This is a prospective randomized controlled trial conducted at Aravind Eye Care System, Pondicherry, India. All patients had a 15 ​min one-on-one verbal counselling covering surgical technique, implant options, anaesthesia and payment options one day prior to surgery. On the day of surgery, patients were randomized into two groups; in the first group, patients were provided with video counselling and in the second group, patients were given verbal counselling prior to undergoing phacoemulsification under topical anaesthesia. Measurements of blood pressure, heart rate, respiration rate, and the Likert-scale anxiety rating were collected at preoperative, perioperative, and postoperative time points. RESULTS: A group of 186 patients (aged 45–70 years) were provided video counselling via portable iPad before first-time phacoemulsification, and a second group of 186 patients underwent surgery with verbal counselling. Systolic and diastolic blood pressure measurements were lower in both the video and verbally counselled groups during the intraoperative time point. Furthermore, during the intraoperative period, 123 (66.1%) video counselled patients felt relaxed compared to 119 (64%) patients who were provided verbal counselling (P ​= ​0.6636). Patient cooperation during surgery was excellent in 76(40.9%) video counselled patients and 67(36%) verbally counselled patients (P ​= ​0.3374). 25.8% and 21% (P ​= ​0.2703) of patients experienced no pain during surgery in the video and verbal counselled groups respectively. CONCLUSIONS: Although measures such as pulse rate, respiratory rate and feelings of relaxation did not show significant differences among the two groups of video and verbal counselling, patients marked cooperation during surgery and furthermore, the level of anxiety is most reassuring.
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spelling pubmed-105778612023-10-16 Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia Benzy, Merlin Venkatesh, Rengaraj Vellam Ramakrishnan, Vivekanandan Odayar, Varshini Santhanarajan Adv Ophthalmol Pract Res Full Length Article PURPOSE: To evaluate the impact of video and verbal counselling on patients' undergoing phacoemulsification under topical anaesthesia. METHODS: This is a prospective randomized controlled trial conducted at Aravind Eye Care System, Pondicherry, India. All patients had a 15 ​min one-on-one verbal counselling covering surgical technique, implant options, anaesthesia and payment options one day prior to surgery. On the day of surgery, patients were randomized into two groups; in the first group, patients were provided with video counselling and in the second group, patients were given verbal counselling prior to undergoing phacoemulsification under topical anaesthesia. Measurements of blood pressure, heart rate, respiration rate, and the Likert-scale anxiety rating were collected at preoperative, perioperative, and postoperative time points. RESULTS: A group of 186 patients (aged 45–70 years) were provided video counselling via portable iPad before first-time phacoemulsification, and a second group of 186 patients underwent surgery with verbal counselling. Systolic and diastolic blood pressure measurements were lower in both the video and verbally counselled groups during the intraoperative time point. Furthermore, during the intraoperative period, 123 (66.1%) video counselled patients felt relaxed compared to 119 (64%) patients who were provided verbal counselling (P ​= ​0.6636). Patient cooperation during surgery was excellent in 76(40.9%) video counselled patients and 67(36%) verbally counselled patients (P ​= ​0.3374). 25.8% and 21% (P ​= ​0.2703) of patients experienced no pain during surgery in the video and verbal counselled groups respectively. CONCLUSIONS: Although measures such as pulse rate, respiratory rate and feelings of relaxation did not show significant differences among the two groups of video and verbal counselling, patients marked cooperation during surgery and furthermore, the level of anxiety is most reassuring. Elsevier 2022-05-10 /pmc/articles/PMC10577861/ /pubmed/37846388 http://dx.doi.org/10.1016/j.aopr.2022.100050 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Full Length Article
Benzy, Merlin
Venkatesh, Rengaraj
Vellam Ramakrishnan, Vivekanandan
Odayar, Varshini Santhanarajan
Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia
title Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia
title_full Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia
title_fullStr Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia
title_full_unstemmed Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia
title_short Effect of Video Counselling Versus Verbal Counselling on Patient's experience during phacoemulsification under topical anaesthesia
title_sort effect of video counselling versus verbal counselling on patient's experience during phacoemulsification under topical anaesthesia
topic Full Length Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577861/
https://www.ncbi.nlm.nih.gov/pubmed/37846388
http://dx.doi.org/10.1016/j.aopr.2022.100050
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