Purpose: The day surgery mode has significantly reduced preoperative waiting time for patients. However, this mode also led to brief and sometimes abrupt interactions between patients with vision loss and nursing staff during the preoperative visits. Additionally, patients may experience negative emotions. The aim of this study was to describe the preoperative experiences and identify related stressful factors among patients waiting vitreo-retinal day surgery. Methods: This study was guided by an interpretive approach. Semi-structured, face-to-face, in-depth interviews were conducted with patients from August 2021 to October 2024. Inductive content analysis and research software were used to analyze the data. Results: Twenty-seven patients agreed to participate the interviews. Their ages ranged from 19 to 70 years old. The waiting time before hospitalization varied from 7 to 90 days. Three main categories emerged from patients’ complaints: day surgery procedures, concerns about eye conditions and supports. Conclusions: The findings underscore the importance of preoperative care services. It is suggested that providing accurate preoperative information and effective support can significantly enhance the quality of preoperative care service.
目的:了解重度视力损伤和盲患者居家的主要护理问题及护理需求的内容,为医护人员制订居家照护支持计划提供依据。方法:采用描述性质性研究方法,于2020年4至9月对在广州市某三甲眼科专科医院的20例重度视力损伤和盲的住院患者进行面对面的半结构式访谈,采用归纳式内容分析法对访谈资料进行分析。结果:重度视力损伤和盲患者居家的主要护理问题有日常生活自理的能力缺失、外出社交活动受限和难以适应家庭角色的改变;护理需求包括希望医院提供多维度的疾病相关知识和提供多渠道的医疗咨询服务。结论:重度视力损伤和盲患者居家照护存在诸多的护理问题及需求,患者希望得到多维度相关知识和多渠道医疗咨询,医院、社区应该高度重视此类患者,同时给予相应的指导和帮助,从而提高患者的居家生活质量。