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

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

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 vis...

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Bibliographic Details
Published in:Meandros medical and dental journal Vol. 22; no. 3; pp. 252 - 262
Main Authors: Akoğlu, Caner Ali, Küçükakça Çelik, Gülden, İnci, Figen
Format: Journal Article
Language:English
Published: Aydın Galenos Publishing House 01-12-2021
Subjects:
Anxiety
Blood pressure
Cataracts
Collaboration
Eye
Eye surgery
Glaucoma
Nurses
Ophthalmology
Outpatient care facilities
Pain
Pain perception
Patients
Physiology
Respiration
Sensation
Surgeons
Surgery
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Summary: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.
ISSN:2149-9063
2149-9063
DOI:10.4274/meandros.galenos.2021.28199