{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:26:26Z","timestamp":1783445186255,"version":"3.54.6"},"reference-count":15,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_med-2026-1480_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluated the effects of multimodal health education combined with preoperative ocular fixation training on patients undergoing pterygium surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1480_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort of 88 patients who underwent pterygium surgery at Xining First People\u2019s Hospital from April 2025 to September 2025 were selected and randomly assigned to a control group (n=44) and an intervention group (n=44) using a random number table. The control group received routine high-quality nursing, and the intervention group received multimodal health education and preoperative ocular fixation training in addition to routine care. Disease uncertainty, psychological stress scores, and postoperative complications were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1480_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Following the intervention, patients in the intervention group had significantly lower Mishel Uncertainty in Illness Scale (MUIS) scores compared with the control group (p&lt;0.05). Psychological resilience scores were significantly higher in the intervention group (p&lt;0.05). The incidence rates of eye pain (11.36\u202f%), infection (0), and dry eye (0) in the intervention group were lower than those observed in the control group (79.55\u202f, 13.64, and 15.91\u202f%, respectively) (p&lt;0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_med-2026-1480_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Multimodal health education combined with preoperative ocular fixation training markedly reduced psychological stress and illness uncertainty in patients undergoing pterygium surgery and was associated with lower postoperative complication\u00a0rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/med-2026-1480","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:57:38Z","timestamp":1783443458000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of multimodal health education and preoperative ocular fixation training on psychological stress and postoperative complications in patients undergoing pterygium surgery"],"prefix":"10.1515","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0723-4068","authenticated-orcid":false,"given":"Shi-Jie","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Center , Xining No. 1 People\u2019s Hospital , Xining , Qinghai , P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"2026070716570202919_j_med-2026-1480_ref_001","doi-asserted-by":"crossref","unstructured":"Chu, WK, Choi, HL, Bhat, AK, Jhanji, V. Pterygium: new insights. Eye (Lond) 2020;34:1047\u201350. https:\/\/doi.org\/10.1038\/s41433-020-0786-3.","DOI":"10.1038\/s41433-020-0786-3"},{"key":"2026070716570202919_j_med-2026-1480_ref_002","doi-asserted-by":"crossref","unstructured":"Eberhart, L, Aust, H, Schuster, M, Sturm, T, Gehling, M, Euteneuer, F, et al.. Preoperative anxiety in adults\u00a0\u2013\u00a0a cross-sectional study on specific fears and risk factors. BMC Psychiatry 2020;20:140. https:\/\/doi.org\/10.1186\/s12888-020-02552-w.","DOI":"10.1186\/s12888-020-02552-w"},{"key":"2026070716570202919_j_med-2026-1480_ref_003","doi-asserted-by":"crossref","unstructured":"Tom, K, Phang, PT. Effectiveness of the video medium to supplement preoperative patient education: a systematic review of the literature. Patient Educ Couns 2022;105:1878\u201387. https:\/\/doi.org\/10.1016\/j.pec.2022.01.013.","DOI":"10.1016\/j.pec.2022.01.013"},{"key":"2026070716570202919_j_med-2026-1480_ref_004","doi-asserted-by":"crossref","unstructured":"Huber, J, Ihrig, A, Yass, M, Bruckner, T, Peters, T, Huber, CG, et al.. Multimedia support for improving preoperative patient education: a randomized controlled trial using the example of radical prostatectomy. Ann Surg Oncol 2013;20:15\u201323. https:\/\/doi.org\/10.1245\/s10434-012-2536-7.","DOI":"10.1245\/s10434-012-2536-7"},{"key":"2026070716570202919_j_med-2026-1480_ref_005","doi-asserted-by":"crossref","unstructured":"Chu, X, Chen, F, Chen, B. Analysis of the effect of preoperative eye position fixation training in patients with pterygium: a randomized controlled trial. Eval Health Prof 2024;15:1632787241291246.","DOI":"10.1177\/01632787241291246"},{"key":"2026070716570202919_j_med-2026-1480_ref_006","unstructured":"Zhao, KX, Yang, PZ. Ophthalmology, 8th ed. Xining, Qinghai: People\u2019s medical publishing house; 2013:798\u2013801 pp."},{"key":"2026070716570202919_j_med-2026-1480_ref_007","doi-asserted-by":"crossref","unstructured":"Mishel, MH. The measurement of uncertainty in illness. Nurs Res 1981;30:258\u201363. https:\/\/doi.org\/10.1097\/00006199-198109000-00002.","DOI":"10.1097\/00006199-198109000-00002"},{"key":"2026070716570202919_j_med-2026-1480_ref_008","doi-asserted-by":"crossref","unstructured":"Connor, KM, Davidson, JR. Development of a new resilience scale: the connor-davidson resilience scale (CD-RISC). Depress Anxiety 2003;18:76\u201382. https:\/\/doi.org\/10.1002\/da.10113.","DOI":"10.1002\/da.10113"},{"key":"2026070716570202919_j_med-2026-1480_ref_009","unstructured":"Tan, XH, Lv, XL, Li, CJ. The impact of diversified interventions based on nursing aesthetics on postoperative recovery and ocular aesthetic satisfaction in patients undergoing pterygium excision. Chin J Appl Mech 2023;32:190\u20133."},{"key":"2026070716570202919_j_med-2026-1480_ref_010","unstructured":"Gao, F, Zhang, SJ, Du, XP. The impact of rapid rehabilitation nursing mode on postoperative pain, early recovery, and comfort in patients undergoing pterygium surgery. Int J Nurs 2022;41:3784\u20137."},{"key":"2026070716570202919_j_med-2026-1480_ref_011","doi-asserted-by":"crossref","unstructured":"Sadeghi, N, Salari, N, Jalali, R. Effect of multimedia education on anxiety and pain in patients undergoing laparoscopic cholecystectomy: a solomon four-group randomized controlled trial. Sci Rep 2025;15:9357. https:\/\/doi.org\/10.1038\/s41598-024-77207-x.","DOI":"10.1038\/s41598-024-77207-x"},{"key":"2026070716570202919_j_med-2026-1480_ref_012","unstructured":"Liu, L, Guo, CJ. The impact of nursing intervention based on the concept of humanistic care on psychological stress, pain, and rehabilitation outcomes in patients with pterygium. Mod Diagn Ther 2024;35:1873\u20135."},{"key":"2026070716570202919_j_med-2026-1480_ref_013","unstructured":"Li, S, Zhang, YR, Wang, X. The application of preoperative eye position gaze training combined with health education nursing in patients\u00a0undergoing pterygium excision. Int J Nurs 2025;44:1246\u201350."},{"key":"2026070716570202919_j_med-2026-1480_ref_014","unstructured":"Xia, P, Chen, YL, Huang, YF. The impact of rapid rehabilitation nursing on the postoperative recovery process in pterygium excision patients using corneal bandage lenses. Aerospace Med J 2022;33:1022\u20134."},{"key":"2026070716570202919_j_med-2026-1480_ref_015","doi-asserted-by":"crossref","unstructured":"Yang, G, Li, Q, Tian, M, Liu, M, Zhang, T, Guo, W, et al.. Risk factors for postoperative pain in pterygium surgery patients. 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