A Randomized Clinical Trial Comparing the Effects of Educational Video and Operating Room Visit on Preoperative Anxiety in Older Adults Undergoing Cataract Surgery

被引：0

作者：

Akram Nami ^{[1
]}

Mahdi Basiri Moghadam ^{[2
]}

Seyed Hamid Jafarzadeh ^{[3
]}

Hossein Ajamzibad ^{[4
]}

机构：

[1] Gonabad University of Medical Sciences,Student in Geriatric Nursing, Student Research Committee

[2] Gonabad University of Medical Sciences,Pediatric and Medical Surgical Nursing Department, Faculty of Nursing, Nursing Research Center

[3] Gonabad University of Medical Sciences,Department of Surgery, Allameh Bohloul Gonabadi Hospital

[4] Gonabad University of Medical Sciences,Department of Geriatric Health, Faculty of Nursing, Nursing Research Center

来源：

SN Comprehensive Clinical Medicine | / 7卷 / 1期

关键词：

Anxiety; Elderly; Cataract; Surgery;

D O I：

10.1007/s42399-025-01887-3

中图分类号：

学科分类号：

摘要：

Cataract disease increases with age. Anxiety is one of the most common problems before cataract surgery. Preoperative anxiety can negatively affect surgical outcomes, including hemodynamic instability and delayed recovery. Therefore, this study was conducted with the aim of comparing the effects of watching a video about cataract surgery and visiting the operation room on anxiety levels in older adults. In this clinical trial, 81 (27 in each group) elderly patients who were candidates for cataract surgery and referred to Allameh Bohlool Gonabadi Hospital were studied. Inclusion criteria included age over 60 years, no history of cataract surgery, and no use of sedatives. Patients were assigned to three groups—video watching, visiting the operating room, and control—using a three-way permutation block method. Anxiety was assessed at three time points: the day before surgery, 30 min before surgery, and immediately after surgery. Data were analyzed using SPSS22 software with Kolmogorov–Smirnov test, one-way ANOVA, t-test, repeated measures ANOVA, and chi-square tests at a significance level of 0.05. Three groups were homogeneous in terms of demographic variables. The average anxiety levels of the research units before, half an hour prior to, and after the operation showed significant differences among the three groups (video watching, visiting the operating room, and the control group) (p = 0.001). Despite interventions typically aiming to reduce anxiety, anxiety unexpectedly increased in the intervention groups compared to the control group. Both intervention groups showed significantly higher anxiety scores than the control group (p = 0.001), but there was no significant difference between the intervention groups. Additionally, the mean levels of overt anxiety (p = 0.004) and hidden anxiety (p = 0.001) among the three groups showed significant differences. Contrary to expectations, familiarizing patients with cataract surgery via video or operating room visit increased anxiety. These findings suggest that such familiarization methods may not be appropriate for reducing preoperative anxiety in older adults. Further research is needed to explore alternative strategies.

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