Effectiveness of Patient Centered Care to Reduce Anxiety Level and Improve Satisfaction in Patients Undergoing Cataract Surgery

Mochammad Sjarifudhin, Elsye Maria Rosa

Abstract


Research on Patient Centered Care (PCC) in cataract patients is still limited, especially those that analyze the effectiveness of PCC in reducing anxiety levels and improving the patient satisfaction. This study was a quasi-experimental pre- and post-test design, which involved 30 treatment respondents and 30 control respondents. The instrument used a SAI questionnaire to measure anxiety and SERVQUAL modifications to measure patient satisfaction. The study was conducted at Nganjuk Eye Clinic in October-November 2018. Analysis of data using paired t-test and independent t-test. The results of difference tests of anxiety levels before and after PCC and difference tests of anxiety levels of the control and PCC group showed the results of sig. 2-tailed = 0,000. Whereas the difference tests of satisfaction levels between the control and PCC group were obtained sig. 2-tailed = 0.035. The PCC Effect Size obtained strong effects (2.59 and 4.31) in reducing anxiety and average effect (0.56) on improving satisfaction. There were significant differences in the level of anxiety and satisfaction in both groups. The results showed that PCC was very effective in reducing anxiety levels and quite effective in improving the satisfaction on cataract surgery patients.


Keywords


Patient Centered Care; Anxiety; Satisfaction; Cataract Surgery

Full Text:

PDF

References


Allen D, Vasavada A. Cataract and surgery for cataract. BMJ [Internet]. 2006 Jul 15 [cited 2018 Sep 23];333(7559):128–32. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16840470

Anderson DF, Dhariwal M, Bouchet C, Keith MS. Global prevalence and economic and humanistic burden of astigmatism in cataract patients: a systematic literature review. Clin Ophthalmol [Internet]. 2018 [cited 2018 Sep 8];12:439–52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29563768

Gianino MM, Lenzi J, Bonaudo M, Fantini MP, Siliquini R, Ricciardi W, et al. The switch between cataract surgical settings: Evidence from a time series analysis across 20 EU countries. Madigan M, editor. PLoS One [Internet]. 2018 Feb 28 [cited 2018 Sep 23];13(2):e0192620. Available from: http://dx.plos.org/10.1371/journal.pone.0192620

Nijkamp MD, Ruiter RAC, Roeling M, Van Den Borne B, Hiddema F, Hendrikse F, et al. Factors related to fear in patients undergoing cataract surgery: a qualitative study focusing on factors associated with fear and reassurance among patients who need to undergo cataract surgery. Patient Educ Couns [Internet]. 2002 [cited 2018 Sep 25];47:265–72. Available from: https://s3.amazonaws.com/academia.edu.documents/5355568/artikel_fear.pdf?AWSAccessKeyId=AKIAIWOWYYGZ2Y53UL3A&Expires=1537894279&Signature=E8qDb9Btt9FC1lhVA9IDE6n8m2E%3D&response-content-disposition=inline%3B filename%3DFactors_related_to_fear_in_patients_

Ramke J, Gilbert CE, Lee AC, Ackland P, Limburg H, Foster A. Effective cataract surgical coverage: An indicator for measuring quality-of-care in the context of Universal Health Coverage. 2017 [cited 2018 Sep 16]; Available from: http://www.raabdata.

World Health Organization. VISION 2020 [Internet]. 2009 [cited 2018 Sep 8]. Available from: http://apps.who.int/iris/bitstream/handle/10665/206523/B4317.pdf?sequence=1&isAllowed=y

World Health Organization. Universal eye health: a global action plan 2014-2019. [Internet]. 2013 [cited 2018 Sep 8]. Available from: www.who.int/about/licensing/copyright_form/en/index.html

Das T. Blindness and Visual Impairment Profile and Rapid Assessment of Avoidable Blindness in South East Asia: Analysis of New Data. 2017 APAO Holmes Lecture. Asia-Pacific J Ophthalmol. 2018;

Astbury N. A hand to hold: communication during cataract surgery. Eye [Internet]. 2004 Feb 5 [cited 2018 Sep 8];18(2):115–6. Available from: http://www.nature.com/articles/6700569

Parveen A, Ellahi R, Sultana S, Tahir M, Khatoon T. Effect of Pre-Operative Education on Level of Anxiety in Patients Undergoing Cataract Surgery. J Islam Med Dent Coll [Internet]. 2016 [cited 2018 Sep 13];5(4):192–4. Available from: http://jimdc.org.pk/index.php/JIMDC/article/view/128

Nijkamp MD, Kenens CA, Dijker AJM, Ruiter RAC, Hiddema F. Determinants of surgery related anxiety in cataract patients. Br J Ophthalmol [Internet]. 2004 [cited 2018 Sep 14];88:1310–4. Available from: www.rivm.nl

Ramirez DA, Brodie FL, Rose-Nussbaumer J, Ramanathan S. Anxiety in patients undergoing cataract surgery: a pre- and postoperative comparison. Clin Ophthalmol [Internet]. 2017 [cited 2018 Sep 13];11:1979–86. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29184388

Marback R, Temporini E, Kara Júnior Marback NR, Júnior K. Clinical Sciences Emotional Factors prior to Cataract Surgery. Clinics [Internet]. 2007 [cited 2018 Sep 17];62(4):433–41. Available from: http://www.scielo.br/pdf/clin/v62n4/a10v62n4.pdf

Tzelepis F, Sanson-Fisher RW, Zucca AC, Fradgley EA. Measuring the quality of patient-centered care: why patient-reported measures are critical to reliable assessment. Patient Prefer Adherence [Internet]. 2015 [cited 2018 Oct 1];9:831–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26150703

Fix GM, VanDeusen Lukas C, Bolton RE, Hill JN, Mueller N, LaVela SL, et al. Patient-centred care is a way of doing things: How healthcare employees conceptualize patient-centred care. Heal Expect. 2018;21(1).

Barry MJ, Edgman-Levitan S. Shared decision making—the pinnacle of patient-centered care. N Engl J Med. 2012;

Liberati EG, Gorli M, Moja L, Galuppo L, Ripamonti S, Scaratti G. Exploring the practice of patient centered care: The role of ethnography and reflexivity. Soc Sci Med [Internet]. 2015 [cited 2018 Sep 7];133:e82–92. Available from: http://dx.doi.org/10.1016/j.socscimed.2015.03.050

Jardien-Baboo S, van Rooyen D, Ricks E, Jordan P. Perceptions of patient-centred care at public hospitals in Nelson Mandela Bay. Heal SA Gesondheid [Internet]. 2016 Dec [cited 2018 Sep 24];21:397–405. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1025984816300114

Epstein RM, Fiscella K, Lesser CS, Stange KC. Why The Nation Needs A Policy Push On Patient-Centered Health Care. Health Aff [Internet]. 2010 Aug 2 [cited 2018 Sep 21];29(8):1489–95. Available from: http://www.healthaffairs.org/doi/10.1377/hlthaff.2009.0888

Epstein RM, Street RL. The values and value of patient-centered care. Annals of Family Medicine. 2011;

Vest JR, Bolin JN, Miller TR, Gamm LD, Siegrist TE, Martinez LE. Medical Homes: "Where You Stand on Definitions Depends on Where You Sit" Med Care Res Rev [Internet]. 2016 [cited 2018 Sep 21];67(4):393–411. Available from: http://mcr.sagepub.com

Delaney LJ. Patient-centred care as an approach to improving health care in Australia. Collegian [Internet]. 2018 [cited 2018 Sep 14];25:119–23. Available from: https://doi.org/10.1016/j.colegn.2017.02.005

Hobbs JL. A Dimensional Analysis of Patient-Centered Care. 2009;58(1):52–62.

Meterko M, Wright S, Lin H, Lowy E, Cleary PD. Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient-Centered Care and Evidence-Based Medicine. Health Serv Res [Internet]. 2010 [cited 2018 Sep 14]; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2965500/pdf/hesr0045-1188.pdf

McMillan A. Patient-Centered Approaches to Health Care: A Systematic Review of Randomized Controlled Trials Copyright Statement. 2013 [cited 2018 Sep 21]; Available from: http://hdl.handle.net/10072/55958

Suhonen R, Välimäki M, Leino-Kilpi H. “Individualised care” from patients’, nurses’ and relatives’ perspective—a review of the literature. Int J Nurs Stud [Internet]. 2002 Aug [cited 2018 Sep 24];39(6):645–54. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0020748902000044

Morgan SS, Yoder L. A Concept Analysis of Person-Centered Care On behalf of: American Holistic Nurses Association can be found at: Journal of Holistic Nursing Additional services and information for. J Holist Nurs [Internet]. 2011 [cited 2018 Sep 24];20. Available from: http://jhn.sagepub.com/http://jhn.sagepub.com/content/early/2011/07/15/0898010111412189http://jhn.sagepub.com/cgi/alertsEmailAlerts:http://jhn.sagepub.com/

Cheraghi MA, Esmaeili M, Salsali M. Seeking Humanizing Care in Patient-Centered Care Process. Holist Nurs Pract [Internet]. 2017 [cited 2018 Sep 16];31(6):359–68. Available from: http://insights.ovid.com/crossref?an=00004650-201711000-00002

Ogden K, Barr J, Greenfield D. Determining requirements for patient-centred care: a participatory concept mapping study. BMC Health Serv Res [Internet]. 2017 Dec 28 [cited 2018 Sep 21];17(1):780. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2741-y

Robinson JH, Callister LC, Berry JA, Dearing KA. Patient-centered care and adherence: Definitions and applications to improve outcomes. J Am Acad Nurse Pract [Internet]. 2008 Dec 1 [cited 2018 Sep 28];20(12):600–7. Available from: http://doi.wiley.com/10.1111/j.1745-7599.2008.00360.x

Weiner SJ, Schwartz A, Sharma G, Binns-Calvey A, Ashley N, Kelly B, et al. Patient-Centered Decision Making and Health Care Outcomes. Ann Intern Med [Internet]. 2013 Apr 16 [cited 2018 Sep

;158(8):573. Available from: http://annals.org/article.aspx?doi=10.7326/0003-4819-158-8-201304160-00001

Esmaeili M, Cheraghi MA, Salsali M. Explaining the Context of Patient-Centered Care in Critical Care Units. J Holist Nurs Midwifery [Internet]. 2017 Oct 15 [cited 2018 Sep 7];27(3):17–26. Available from: http://hnmj.gums.ac.ir/browse.php?a_id=913&sid=1&slc_lang=en&html=1

Poochikian-Sarkissian S, Sidani S, Ferguson-Pare M, Doran D. Examining the relationship between patient-centred care and outcomes. Can J Neurosci Nurs [Internet]. 2010 [cited 2018 Sep 23];32(4):14–21. Available from: www.accesscopyright.ca

Bertakis KD, Azari R. Patient-Centered Care is Associated with Decreased Health Care Utilization. J Am Board Fam Med [Internet]. 2011 May 1 [cited 2018 Sep 24];24(3):229–39. Available from: http://www.jabfm.org/cgi/doi/10.3122/jabfm.2011.03.100170

Madiana F, Rosa EM. Efektifitas Patient Centered Care dalam Menurunkan Tingkat Kecemasan dan Meningkatkan Kepuasan Pasien Pasca Cesarian Section. 2018.

Jayadevappa R, Chhatre S. Patient Centered Care-A Conceptual Model and Review of the State of the Art [Internet]. Vol. 4, The Open Health Services and Policy Journal. 2011 [cited 2018 Sep 14]. Available from: https://benthamopen.com/contents/pdf/TOHSPJ/TOHSPJ-4-15.pdf

Raja S, Hasnain M, Vadakumchery T, Hamad J, Shah R, Hoersch M. Identifying Elements of Patient-Centered Care in Underserved Populations: A Qualitative Study of Patient Perspectives. Gupta V, editor. PLoS One [Internet]. 2015 May 19 [cited 2018 Sep 14];10(5):e0126708. Available from: http://dx.plos.org/10.1371/journal.pone.0126708

Haley B, Heo S, Wright P, Barone C, Rao Rettiganti M, Anders M. Relationships among active listening, self-awareness, empathy, and patient-centered care in associate and baccalaureate degree nursing students. NursingPlus Open. 2017;3.

Talley-Rostov A. Patient-centered care and refractive cataract surgery. Curr Opin Ophthalmol [Internet]. 2008 Jan [cited 2018 Sep 23];19(1):5–9. Available from: https://insights.ovid.com/crossref?an=00055735-200801000-00003

Choi AR, Greenberg PB. Patient education strategies in cataract surgery: A systematic review. J Evid Based Med [Internet]. 2018 May [cited 2018 Sep 23];11(2):71–82. Available from: http://doi.wiley.com/10.1111/jebm.12297

Nijkamp MD, Nuijts RMMA, Van Den Borne B, Webers CAB, Van Der Horst F, Hendrikse F. Determinants of patient satisfaction after cataract surgery in 3 settings. J Cataract Refract Surg [Internet]. 2000 [cited 2018 Sep 26];26:1379–88. Available from: https://s3.amazonaws.com/academia.edu.documents/5355444/artikel_Satisfaction.pdf?AWSAccessKeyId=AKIAIWOWYYGZ2Y53UL3A&Expires=1537904096&Signature=VfrWwMQ%2FBhW7hj9hPAsP1quza7w%3D&response-content-disposition=inline%3B filename%3DDeterminants_of_patient_

Pager CK. Randomised controlled trial of preoperative information to improve satisfaction with cataract surgery. Br J Ophthalmol [Internet]. 2005;89(1):10–3. Available from: http://bjo.bmj.com/cgi/doi/10.1136/bjo.2004.048637




DOI: https://doi.org/10.18196/jmmr.7372

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)

JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) are indexed by:

                      

Office:
Ruang Jurnal JMMR, Gedung Pascasarjana Universitas Muhammadiyah Yogyakarta
Brawijaya Street, Tamantirto, Kasihan, Bantul, D.I. Yogyakarta, Indonesia
email: jmmr@umy.ac.id

Chat me!

Creative Commons License
JMMR is licensed under Creative Commons Attribution 4.0 International License.

View My Journal of JMMR