lived in experience of patients subjected to cataract surgery

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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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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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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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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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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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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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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lived in experience of patients subjected to cataract surgery

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