Abstract: Cataract surgery is one of the most frequently performed surgical procedures worldwide. Patients usually experience strong negative emotions, such as fear and anxiety. A systematic review of the recent literature regarding the emotional states experienced during cataract surgery under local anaesthesia was performed based on the PubMed and Scopus databases. The objective of this review was to determine the causes and frequency of fear and anxiety, as well as methods for improving intraoperative experience and supporting the patient prior to surgery. Anxiety is mainly caused by fear of the surgery itself, fright of pain, and loss of vision. Abstaining and visual sensations experienced during cataract surgery also increased the preoperative anxiety. Women and hypochondriacs showed higher levels of anxiety. The greatest intensity of negative emotions occurred on the day of the cataract surgery. Patients operated on both eyes experienced greater fear and anxiety before the operation of the first eye surgery. In order to reduce patients’ negative experiences, pharmacological sedation, preoperative education and counselling, manual massage immediately before surgery, and listening to music during surgery are used. Taking this information into consideration allows the introduction of effective methods of eliminating the patient’s negative feelings in connection with cataract surgery, which leads to an improvement in the results of the operation and an increase in the patients’ sense of satisfaction and quality of life.

Keywords: sedation, preoperative counseling, phacoemulsification, patients’ emotions, quality of life

中文翻译：

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成人局部麻醉下白内障手术相关的恐惧和焦虑：系统评价

摘要：白内障手术是全世界最常进行的外科手术之一。患者通常会经历强烈的负面情绪，例如恐惧和焦虑。基于 PubMed 和 Scopus 数据库对近期关于局部麻醉下白内障手术期间经历的情绪状态的文献进行了系统回顾。本综述的目的是确定恐惧和焦虑的原因和频率，以及改善术中体验和术前支持患者的方法。焦虑主要是由对手术本身的恐惧、对疼痛的恐惧和视力丧失引起的。白内障手术期间经历的禁欲和视觉感觉也增加了术前焦虑。女性和疑病症患者表现出更高的焦虑水平。最强烈的负面情绪发生在白内障手术当天。双眼手术的患者在第一次眼科手术前经历了更大的恐惧和焦虑。为减少患者的负面体验，采用药物镇静、术前教育和咨询、术前即刻手动按摩、术中听音乐等方法。考虑到这些信息，可以引入有效的方法来消除患者对白内障手术的负面情绪，从而改善手术结果，提高患者的满意度和生活质量。双眼手术的患者在第一次眼科手术前经历了更大的恐惧和焦虑。为减少患者的负面体验，采用药物镇静、术前教育和咨询、术前即刻手动按摩、术中听音乐等方法。考虑到这些信息，可以引入有效的方法来消除患者对白内障手术的负面情绪，从而改善手术结果，提高患者的满意度和生活质量。双眼手术的患者在第一次眼科手术前经历了更大的恐惧和焦虑。为减少患者的负面体验，采用药物镇静、术前教育和咨询、术前即刻手动按摩、术中听音乐等方法。考虑到这些信息，可以引入有效的方法来消除患者对白内障手术的负面情绪，从而改善手术结果，提高患者的满意度和生活质量。和在手术过程中听音乐。考虑到这些信息，可以引入有效的方法来消除患者对白内障手术的负面情绪，从而改善手术结果，提高患者的满意度和生活质量。和在手术过程中听音乐。考虑到这些信息，可以引入有效的方法来消除患者对白内障手术的负面情绪，从而改善手术结果，提高患者的满意度和生活质量。

Keywords:镇静, 术前咨询, 超声乳化术, 患者情绪, 生活质量