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7/28/2019 lived in experience of patients subjected to cataract surgery
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STATEMENT OF THE
PROBLEM
A research critique onlived-in experience of
patients subjected tocataract surgery at SRH
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CONTI..
OBJECTIVEElicit the lived-in experiences of patients before
cataract surgery
Explore the lived-in experiences of patients aftercataract surgery
PURPOSE
Develop appropriate nursing strategies for thepre-operative and post operative needs and
problems of the cataract patients
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ContiASSUMPTION
1. The essential truth about reality can be
identified by eliciting the patients lived-in
experience
2. The perception of the phenomenon varies
with each individual
CONCEPTUAL FRAME WORK
Conceptual frame work for the study was
derived from Peplau's interpersonal relation
model
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METHODOLOGY
RESEARCH DESIGN:
The research design adapted for the
study was Qualitative design with
phenomenological approachSETTING OF THE STUDY:
The study was conducted in Sri
Ramachandra Hospital, Porur, Chennai.
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Conti
POPULATION:
Patients who had been admitted for
cataract extraction in SRH
SAMPLING TECHNIQUE & SAMPLE SIZE:
A convenient sample of 30 patients
admitted for cataract surgery were taken assamples
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Conti
SAMPLING CRITERIA:1.Inclusion criteria:
Both the male & female patients with in the
age group of 40-70 years subjected for
cataract surgery
Patients who speak & understand Tamil
Patients who were admitted on the previous
day of surgery & staying in the hospital on 1stpostoperative day
Patients who were conscious & oriented
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Conti
2.Exclution criteria:
Patients who were not willing to participate
Patients who did not speak and understand
Tamil
Patients who had hearing problem
Patients who were subjected to day care
cataract surgery
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Conti
DESCRIPTION OF THE INSTRUMENT:Section A:
The demographic variables used in the study were
age, sex, religion, education, occupation, monthly
income of the family, marital status, type of family,
locality & duration of cataract.
Section B:
An interview schedule was used to explore the lived
in experience of patients subjected to cataract surgery
by using open-ended question
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Conti
DATA COLLECTION:
An unstructured interview schedule
was used to explore the lived-in experience
of cataract patients.
The interview was recorded in tape
recorder.
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Conti
DATA ANALYSIS:
The collected data were analyzed by using modifiedColaizzis analysis.
Modified Colaizzi analysis framework
All interviews were transcribed into verbatim and read in
order to get an understanding of the verbatim Significant statement and phrases pertaining to the
experience of patients under investigation were extracted
Meanings were formulated from these significantstatements
Significant statement were organized into clusters of themes
The themes were used to provide a full description of theexperiences
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RESULTS
Lived-in experiences ofpatients subjected to cataract
surgery were organized into theclusters of themes and subthemes
were extracted from themes
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THEMES
Physical dimensionPsychological dimension
Economical dimension
Educational dimension
Social dimension
Vocational dimension
Spiritual dimension
Satisfaction of care
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Physical dimension
Preoperative period 100% of patients were experienced diminished vision
73%of patients were experienced glaring of eyes
43% of patients were experienced sleep disturbance
40% of patients were expressed there difficult in ADL 20% of patients were experienced giddiness
Postoperative period 93% of patients were having pain in operated eye
27% of patients were experienced giddiness immediatelyafter surgery
60% of patients had inadequate sleep because of pain
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Psychological dimension
Preoperative period 60% of patients experienced anxiety about surgery
30% of patients had loss of control over their family
members
27% of patients experienced fear about future & therefamily position
23% of patients were depressed due to there condition &
about economical burden
17% of patients were felt guilty for their previous actives
Postoperative period 100% of patients expressed theirhappiness as they are
going to get the vision
67% of patients had fear about the outcome of surgery
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Economical dimensionPreoperative period
80% of patients stated that they had
economical burden
67% of patients stated that their surgery
delay was due to economical burden
Postoperative period
67% of patients were more eager to improve
the economical status
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Educational dimension 13% of patients had some knowledge
about condition
20% of patients had some knowledge
about home care measures
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Social dimensionPreoperative period
33% of patients were experienced inability to
meet others
93% of patients had family support
7% of patients got social support from an
orphanage
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vocational dimensionPreoperative period
50% of patients were not able to do the workproperly because of diminished vision
20% of patients were lost their job due to poorvision
30% of patients were not going for job becauseof visual problem
Postoperative period
66% of patients were planning to go back tosame job
7% of patients were planning to change the job
27% of patients were planning not to go for job
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Spiritual dimensionPreoperative period 97% of patients believes god & stated he is the creator
of everything
27% of patients expressed their anger towards god
27% of patents were blaming god for given thisproblem
97% of patients were stated that they are praying godto get back the better vision
Postoperative period 97% of patients said that they are very much
thankful to god
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Satisfaction of care 80% of patients were much satisfied for the
care given by the hospital members
20% of patients expressed that they are not
satisfied with the care
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CONCLUSION The study identified that cataract has
more influence on the patients quality of life.Due to cataract, the patients physical ,psychological, economical, educational,
social, spiritual, and vocational aspect has got
affected.
Nurses & health care professionals
need to intensify their involvement in
implementing the care to enhance thesupportive environment and to reduce thesufferings of cataract patents before and
after surgery.
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