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| Name | Class |
|---|---|
| National Taipei University of Nursing and Health Sciences | OTHER |
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This study aims to examine the effectiveness of multimedia health education in reducing preoperative anxiety and enhancing self-care awareness among patients undergoing outpatient cataract surgery. A randomized group design will be employed, in which participants will receive either standard preoperative education or a multimedia-based intervention covering surgical procedures, precautions, and postoperative care. Primary outcomes include levels of surgical anxiety, assessed using validated anxiety scales, and self-care knowledge evaluated through structured questionnaires. Findings are expected to inform the development of patient-centered educational strategies and enhance perioperative care quality in cataract surgery settings.
This randomized controlled trial aims to evaluate the effectiveness of multimedia health education in reducing preoperative anxiety and improving postoperative care awareness among patients undergoing outpatient cataract surgery. A total of 118 patients scheduled for cataract surgery at an ophthalmology outpatient clinic will be randomly assigned to either the control group or the intervention group.
All participants will receive standard verbal preoperative instructions from their physician. In addition, the intervention group will view a 10-minute multimedia video covering the surgical procedure, precautions, and postoperative care. Baseline data-including demographics, visual acuity, physiological anxiety indicators, the Beck Anxiety Inventory (BAI), and a cataract-specific self-care knowledge questionnaire-will be collected during the final preoperative clinic visit.
Outcome data will be collected at three time points: before surgery, one week after surgery, and one month after surgery. Primary outcomes include changes in anxiety levels and self-care knowledge; secondary outcomes include physiological responses during surgery and postoperative visual recovery. The results are expected to support the use of multimedia education to enhance patient preparedness and care quality in cataract surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | Participants in the control group will receive standard preoperative education, including verbal explanation and printed materials about cataract surgery and postoperative care, provided by the ophthalmologist during the final clinic visit before surgery. | |
| Multimedia Education Group | Experimental | Participants in the multimedia education group will receive the same standard preoperative education as the control group, plus a 10-minute multimedia video covering the surgical procedure, preoperative instructions, postoperative care guidelines, and common patient concerns. The video includes both visual animations and spoken explanations. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multimedia Health Education | Behavioral | A 10-minute multimedia video is provided to the intervention group during their final preoperative clinic visit. All participants receive standard verbal and printed education from the ophthalmologist. The video includes visual and auditory content on cataract surgery, preoperative instructions, postoperative care, and common concerns. Baseline data (T0) are collected before the intervention, including demographics, visual acuity, physiological indicators, BAI, and self-care knowledge. Follow-ups occur at T1 (surgery day), T2 (1 week postop), and T3 (1 month postop), assessing anxiety, physiology, vision, and self-care. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in anxiety levels measured by the Beck Anxiety Inventory (BAI) | Participants will complete the Beck Anxiety Inventory (BAI), a 21-item self-report questionnaire used to assess the severity of anxiety symptoms. The total score ranges from 0 to 63, with higher scores indicating greater levels of anxiety. Specifically, scores from 0-7 suggest minimal anxiety, 8-15 mild anxiety, 16-25 moderate anxiety, and 26-63 severe anxiety. The BAI will be administered at baseline and at three follow-up points. | Time Frame: Day 0 (baseline, preoperative clinic visit), Day of Surgery, 1 Week Postoperative, 1 Month Postoperative |
| Change in self-care knowledge related to cataract surgery | Participants will complete a structured questionnaire designed to evaluate their knowledge of postoperative cataract care. Scores will be compared across time points to determine the impact of multimedia education. | Time Frame: Day 0 (baseline, preoperative clinic visit), Day of Surgery, 1 Week Postoperative, 1 Month Postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Change in heart rate | Physiological indicators such as heart rate will be collected at designated time points to objectively assess anxiety responses. | Time Frame: Day 0 (baseline, preoperative clinic visit), Day of Surgery |
| Change in visual acuity following cataract surgery |
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Inclusion Criteria:
Exclusion Criteria:
Diagnosed with dementia or psychiatric disorders
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tsen-Yu Tu, RN, BSN | Contact | 886-2-24313131 | 2720 | doris820902@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Keelung Chang Gung Memorial Hospital, Operating Room | Recruiting | Keelung | Keelung | 204 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33309944 | Background | Yu X, Vargas J, Green PHR, Bhagat G. Innate Lymphoid Cells and Celiac Disease: Current Perspective. Cell Mol Gastroenterol Hepatol. 2021;11(3):803-814. doi: 10.1016/j.jcmgh.2020.12.002. Epub 2020 Dec 10. | |
| 31579688 | Background | Jafarzadeh M, Saatchi M, Jafarnejadi P, Gooran M. Digital Radiographic Evaluation of the Quality of Different Root Canal Obturation Techniques in Deciduous Mandibular Molars after Preparation with Rotary Technique. J Dent (Shiraz). 2019 Sep;20(3):152-158. doi: 10.30476/DENTJODS.2019.44902. |
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| ID | Term |
|---|---|
| D002386 | Cataract |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
| D001523 | Mental Disorders |
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Two-arm parallel group trial comparing standard education vs. multimedia education
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This study adopts a randomized experimental research design with two-group repeated measures. A single-blind procedure is implemented, in which patients are blinded to group allocation (patient blinding).
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Visual acuity will be measured using a standard eye chart at follow-up to assess postoperative recovery. |
| Time Frame: Day 0 (baseline, preoperative clinic visit), 1 Week Postoperative, 1 Month Postoperative |
| Change in blood pressure | Systolic and diastolic blood pressure (mmHg) will be recorded at baseline and on the day of surgery as objective physiological indicators of anxiety. | Day 0 (baseline, preoperative clinic visit), Day of Surgery |