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Volume 10,Issue 7

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6 February 2026
Research on the Impact of Evidence-Based Predictive Nursing on Elderly Cataract Patients During the Perioperative Period
Weijian Ma ,  Lili Sun ,  Rong Zeng ,  Yanling Liu
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1 Taikang Xianlin Gulou Hospital Affiliated to Medical School of Nanjing University, Nanjing 210046, Jiangsu, China,
JCNR 2026 , 10(1), 13–20; https://doi.org/10.26689/jcnr.v10i1.13745
© 2026 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
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Abstract

Objective: To explore the impact of evidence-based predictive nursing intervention on psychological stress and physiological indicator stability of elderly cataract patients during the perioperative period (1 day before surgery to 1 day after surgery), and to provide a basis for optimizing clinical nursing plans for elderly cataract surgery. Methods: A retrospective selection of 90 elderly patients (aged ≥ 60 years) who underwent cataract surgery in the Ophthalmology Department of our hospital from August 2024 to December 2024 was conducted. They were divided into an observation group (n = 45) and a control group (n = 45) using a random number table method. The control group received routine nursing for cataract surgery, while the observation group implemented evidence-based predictive nursing intervention (including the establishment of a multidisciplinary evidence-based team, hierarchical psychological intervention, perioperative environment optimization, intraoperative personalized cooperation, and video-based health education). Psychological stress indicators [Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), General Self-Efficacy Scale (GSES)] on the 1st day before surgery and 1st day after surgery, and fluctuations of physiological indicators [Heart Rate (HR), Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP)] on the 1st day before surgery and during surgery were compared between the two groups. Results: Before intervention, there were no statistically significant differences in SAS, SDS, GSES scores, HR, SBP, or DBP between the two groups (p > 0.05); after intervention, the SAS score (33.62 ± 5.72) and SDS score (32.14 ± 4.86) of the observation group on the 1st day after surgery were significantly lower than those of the control group [(41.05 ± 5.56), (43.59 ± 4.75)], and the GSES score (31.15 ± 3.28) was significantly higher than that of the control group (24.84 ± 3.52) (all p < 0.05); during surgery, the fluctuations of HR (74.0 ± 6.0) beats/min, SBP (127.0 ± 15.8) mmHg, and DBP (75.0 ± 5.9) mmHg in the observation group were significantly smaller than those in the control group (all p < 0.05). Conclusion: Evidence-based predictive nursing intervention can effectively alleviate anxiety and depression in elderly cataract patients during the perioperative period, improve self-efficacy, stabilize intraoperative physiological status, and enhance surgical cooperation, which is worthy of clinical promotion.

References
Gao H, Chen X, Shi W, 2019, Analysis of the Prevalence of Blindness and Main Causes of Blindness in China. Chinese Journal of Ophthalmology, 55(08): 625–628.
Xu J, Zhu W, Teng X, 2021, Application Effect of Comprehensive Nursing Intervention in Perioperative Period of Patients with Glaucoma Complicated with Cataract. Journal of Wannan Medical College, 40(06): 610–612.
Wu W, Ma H, Huang F, et al., 2024, Impact of Evidence-Based Predictive Intervention on Infection Rate and Inflammatory Indicators of Elderly Patients After Hip Arthroplasty. Chinese Journal of Gerontology, 44(15): 3631–3634.
Zhao X, Wu C, Wang C, et al., 2019, Effect of Predictive Nursing Intervention on Negative Emotions of Patients with Coronary Heart Disease Complicated with Vitreoretinopathy After Vitrectomy. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 27(10): 79–82 + 86.
Shang W, Li K, 2021, Discussion on the Application of Specific Scenarios Combined with VR in Doctor–Patient Communication Before Intraocular Lens Implantation. Chinese Hospitals, 25(12): 78–80.
Xiong D, Xiong M, Tan S, et al., 2023, Clinical Effect of CICARE Communication Model Guided by Evidence-Based Concept on Perioperative Period of Patients with Glaucoma Complicated with Cataract. Qilu Journal of Nursing, 29(14): 30–33.
Shi Y, Wang Q, Huang L, et al., 2024, Effects of Evidence-Based Nursing on Surgical Site Wound Infections in Patients Undergoing Surgery for Liver Cancer: A Meta-Analysis. International Wound Journal, 21(01): e14545–e14545.
Liu S, 2024, Effect of Evidence-Based Predictive Nursing Intervention on Psychological Status and Self-Efficacy of Stroke Patients. Clinical Research and Practice, 9(23): 179–182.
Shi Y, 2024, Impact of Refined Surgical Nursing Based on Multidisciplinary Collaboration on Psychological Stress and Complication Risk of Patients Undergoing Thoracoscopic Lung Cancer Surgery. Chinese Journal of Antituberculosis, 46(S2): 487–489.
Wang C, 2021, Application Effect of Predictive Nursing in Perioperative Period of Elderly Diabetic Cataract Patients. Henan Medical Research, 30(04): 766–768.
Wang Y, Kang G, Zhou J, et al., 2023, The Effect of Psychological Intervention on the Visual Quality of Patients with a Diffractive Multifocal Intraocular Lens Implant. Klinische Monatsblätter für Augenheilkunde, 240(05): 697–704.
Song X, Li M, Liu X, 2020, Impact of Perioperative Music Therapy Combined With “Therapeutic Listening” Psychological Intervention on Elderly Patients Undergoing Cataract Phacoemulsification. Journal of General Nursing, 18(33): 4601–4605.
National Technical Committee for Standardization of Cleanrooms and Related Controlled Environments (SAC/TC 319), 2023, General Technical Requirements for Clean Operating Departments: GB/T 42392-2023. Beijing: Standards Press of China.
Ma M, Ai Z, Shi Z, 2022, Reliability and Validity Test of the General Self-Efficacy Scale in Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus. Journal of Tongji University (Medical Edition), 43(04): 515–520.
Liu J, Huang B, 2023, Impact of Pain Education Combined with Psychological Intervention on Postoperative Psychological Resilience and Stress Hormone Levels of Patients with Primary Liver Cancer. China Journal of Health Psychology, 31(03): 387–392.
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