玻璃体内注射对心理影响的述评。

IF 5.9 2区 医学 Q1 OPHTHALMOLOGY
Nicholas George Giannopoulos, Carmelo Zak Macri, Isuri Apsara Kumari Seneviratne, Stephen Bacchi, Michelle Tian Sun, Weng Onn Chan
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引用次数: 0

摘要

玻璃体内注射(IVI)是一种常见的、有效的治疗多种视网膜疾病的方法,尽管可能与显著的心理影响有关,降低了治疗的依从性。我们回顾了IVI的心理影响,以描述其原因、后果和解决方案。我们检索了PubMed、OVID Medline、OVID Embase、b谷歌Scholar和Cochrane Reviews等电子数据库,检索了1252篇同行评议文章。最终纳入并分析了34篇文章。大多数检索到的文章与焦虑有关;然而,在有限的证据中,其他影响也被确定为抑郁症。术前焦虑一般为轻度至中度,17.3-85%的患者接受静脉注射。导致焦虑的主要因素包括缺乏患者教育、手术过程中的疼痛和不适、旅行和等待时间。减少焦虑的潜在策略包括以人为本的教育,使用镜的替代方法,减少诊所等待时间,以及在手术过程中播放音乐或牵手。由于多种因素,包括缺乏对手术的教育,缺乏对程序的熟悉,以及疼痛,患者在IVI中会经历严重的焦虑,这需要以患者为中心的方法来解决,考虑到个人的需求和偏好。关于静脉注射的非焦虑效应的数据很少,因此进一步的研究可能会确定坚持治疗的其他障碍及其解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A narrative review of the psychological impact of intravitreal injections.

Intravitreal injections (IVI) are a common, effective therapy for multiple retinal diseases although can be associated with significant psychological effects that reduce adherence to treatment. We reviewed the psychological impacts of IVI to characterise their causes, consequences, and solutions. We searched the electronic databases PubMed, OVID Medline, OVID Embase, Google Scholar and Cochrane Reviews and retrieved 1252 peer-reviewed articles. Thirty-four articles were ultimately included and analysed. The majority of retrieved articles pertained to anxiety; however, other impacts were also identified with limited available evidence regarding depression. Pre-procedural anxiety was generally mild to moderate and reported in 17.3-85 % of patients undergoing IVI. Key contributing factors to anxiety included a lack of patient education, pain and discomfort during the procedure, and travel and waiting times. Potential strategies to reduce anxiety included person-centred education, alternatives to speculum use, reducing clinic wait times, and music or handholding during the procedure. Patients experience significant anxiety from IVI, owing to multiple factors, including lack of education about the procedure, lack of procedural familiarity, and pain, which require a patient-centred approach to addressing that considers individual needs and preferences. Little data pertain to non-anxiety effects of IVI, and thus further research may identify additional barriers to adherence and their solutions.

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来源期刊
Survey of ophthalmology
Survey of ophthalmology 医学-眼科学
CiteScore
10.30
自引率
2.00%
发文量
138
审稿时长
14.8 weeks
期刊介绍: Survey of Ophthalmology is a clinically oriented review journal designed to keep ophthalmologists up to date. Comprehensive major review articles, written by experts and stringently refereed, integrate the literature on subjects selected for their clinical importance. Survey also includes feature articles, section reviews, book reviews, and abstracts.
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