The Impact of Social Support on Postoperative Recovery in Retinal Detachment Surgery
<i>Background and Objectives</i>: Retinal detachment is a severe ophthalmological condition requiring urgent surgical intervention and comprehensive postoperative management. This study aimed to evaluate the impact of perceived social support (PSS) on postoperative adherence, pain manage...
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MDPI AG
2025-02-01
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| Online Access: | https://www.mdpi.com/1648-9144/61/2/273 |
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| author | Pedro-Raúl Castellano-Santana Francisco Cabrera-López María-DeLasNieves Martín-Alonso Yésica Flores-Jardo Jesús María González-Martín Ariday-Miguel Díaz-Ginory Abián-David Torres-Duchement Yurena Santana-Socorro José-Enrique Hernández-Rodríguez |
| author_facet | Pedro-Raúl Castellano-Santana Francisco Cabrera-López María-DeLasNieves Martín-Alonso Yésica Flores-Jardo Jesús María González-Martín Ariday-Miguel Díaz-Ginory Abián-David Torres-Duchement Yurena Santana-Socorro José-Enrique Hernández-Rodríguez |
| author_sort | Pedro-Raúl Castellano-Santana |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Retinal detachment is a severe ophthalmological condition requiring urgent surgical intervention and comprehensive postoperative management. This study aimed to evaluate the impact of perceived social support (PSS) on postoperative adherence, pain management, and reintervention rates in patients undergoing retinal detachment surgery. It was hypothesized that higher levels of PSS would be associated with better postoperative outcomes, particularly in adherence and anxiety management. <i>Materials and Methods</i>: A prospective observational study was conducted with 166 patients at a tertiary hospital between 2022 and 2024. Sociodemographic and clinical data were collected, and PSS was assessed using the Medical Outcomes Study (MOS) questionnaire (Cronbach’s alpha = 0.96). The primary outcomes included adherence to postoperative recommendations, reintervention rates, additional analgesic use, and local complications. Given the non-normal distribution of key variables, non-parametric statistical analyses were performed, with significance set at <i>p</i> < 0.05. <i>Results</i>: PSS scores were consistently high (median: 5; IQR: 4.7–5.0). Adherence rates were excellent (100% at 7 and 15 days; 99.04% at 30 days). Reintervention rates remained low (0.5%, 1.0%, and 1.5% at 7, 15, and 30 days, respectively). The need for additional analgesia decreased significantly over time (46.43% at 7 days vs. 13.33% at 30 days; <i>p</i> = 0.041). Preoperative anxiety was significantly associated with higher postoperative analgesic consumption (median STAI score: 38 [IQR: 34–42], <i>p</i> = 0.041). A significant relationship was found between higher preoperative anxiety levels and greater postoperative analgesic use (<i>p</i> = 0.041). However, no significant associations were found between PSS and major clinical outcomes such as reintervention or complications. <i>Conclusions</i>: These findings suggest that PSS may influence adherence to postoperative recommendations, although its direct impact on clinical outcomes remains uncertain. The significant association between higher preoperative anxiety and increased postoperative analgesic consumption highlights the need for psychosocial and educational interventions in RD surgical care. These results support a multidisciplinary approach incorporating psychosocial support alongside surgical treatment to optimize patient outcomes. |
| format | Article |
| id | doaj-art-73f46077265641d482a3c28103bc91d2 |
| institution | OA Journals |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-73f46077265641d482a3c28103bc91d22025-08-20T02:04:06ZengMDPI AGMedicina1010-660X1648-91442025-02-0161227310.3390/medicina61020273The Impact of Social Support on Postoperative Recovery in Retinal Detachment SurgeryPedro-Raúl Castellano-Santana0Francisco Cabrera-López1María-DeLasNieves Martín-Alonso2Yésica Flores-Jardo3Jesús María González-Martín4Ariday-Miguel Díaz-Ginory5Abián-David Torres-Duchement6Yurena Santana-Socorro7José-Enrique Hernández-Rodríguez8Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, 35016 Las Palmas de Gran Canaria, SpainComplejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, 35016 Las Palmas de Gran Canaria, SpainComplejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, 35016 Las Palmas de Gran Canaria, SpainGerencia de Atención Primaria de Gran Canaria, 35004 Las Palmas de Gran Canaria, SpainUnidad de Investigación del Complejo Hospitalario Universitario Insular Materno Infantil, 35016 Las Palmas de Gran Canaria, SpainComplejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, 35016 Las Palmas de Gran Canaria, SpainComplejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, 35016 Las Palmas de Gran Canaria, SpainComplejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, 35016 Las Palmas de Gran Canaria, SpainFaculty of Health Sciences, University of Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Spain<i>Background and Objectives</i>: Retinal detachment is a severe ophthalmological condition requiring urgent surgical intervention and comprehensive postoperative management. This study aimed to evaluate the impact of perceived social support (PSS) on postoperative adherence, pain management, and reintervention rates in patients undergoing retinal detachment surgery. It was hypothesized that higher levels of PSS would be associated with better postoperative outcomes, particularly in adherence and anxiety management. <i>Materials and Methods</i>: A prospective observational study was conducted with 166 patients at a tertiary hospital between 2022 and 2024. Sociodemographic and clinical data were collected, and PSS was assessed using the Medical Outcomes Study (MOS) questionnaire (Cronbach’s alpha = 0.96). The primary outcomes included adherence to postoperative recommendations, reintervention rates, additional analgesic use, and local complications. Given the non-normal distribution of key variables, non-parametric statistical analyses were performed, with significance set at <i>p</i> < 0.05. <i>Results</i>: PSS scores were consistently high (median: 5; IQR: 4.7–5.0). Adherence rates were excellent (100% at 7 and 15 days; 99.04% at 30 days). Reintervention rates remained low (0.5%, 1.0%, and 1.5% at 7, 15, and 30 days, respectively). The need for additional analgesia decreased significantly over time (46.43% at 7 days vs. 13.33% at 30 days; <i>p</i> = 0.041). Preoperative anxiety was significantly associated with higher postoperative analgesic consumption (median STAI score: 38 [IQR: 34–42], <i>p</i> = 0.041). A significant relationship was found between higher preoperative anxiety levels and greater postoperative analgesic use (<i>p</i> = 0.041). However, no significant associations were found between PSS and major clinical outcomes such as reintervention or complications. <i>Conclusions</i>: These findings suggest that PSS may influence adherence to postoperative recommendations, although its direct impact on clinical outcomes remains uncertain. The significant association between higher preoperative anxiety and increased postoperative analgesic consumption highlights the need for psychosocial and educational interventions in RD surgical care. These results support a multidisciplinary approach incorporating psychosocial support alongside surgical treatment to optimize patient outcomes.https://www.mdpi.com/1648-9144/61/2/273social supportpostoperative adherenceretinal detachmentpreoperative anxietyophthalmologic surgerysurgical recovery |
| spellingShingle | Pedro-Raúl Castellano-Santana Francisco Cabrera-López María-DeLasNieves Martín-Alonso Yésica Flores-Jardo Jesús María González-Martín Ariday-Miguel Díaz-Ginory Abián-David Torres-Duchement Yurena Santana-Socorro José-Enrique Hernández-Rodríguez The Impact of Social Support on Postoperative Recovery in Retinal Detachment Surgery Medicina social support postoperative adherence retinal detachment preoperative anxiety ophthalmologic surgery surgical recovery |
| title | The Impact of Social Support on Postoperative Recovery in Retinal Detachment Surgery |
| title_full | The Impact of Social Support on Postoperative Recovery in Retinal Detachment Surgery |
| title_fullStr | The Impact of Social Support on Postoperative Recovery in Retinal Detachment Surgery |
| title_full_unstemmed | The Impact of Social Support on Postoperative Recovery in Retinal Detachment Surgery |
| title_short | The Impact of Social Support on Postoperative Recovery in Retinal Detachment Surgery |
| title_sort | impact of social support on postoperative recovery in retinal detachment surgery |
| topic | social support postoperative adherence retinal detachment preoperative anxiety ophthalmologic surgery surgical recovery |
| url | https://www.mdpi.com/1648-9144/61/2/273 |
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