IMPACT OF ADOPT CARE ON PATIENT COOPERATION AND PSYCHOLOGICAL RECOVERY AFTER FEMTOSECOND LASER-ASSISTED SMALL INCISION LENTICULE EXTRACTION: INSIGHTS FOR SPORTS VISION AND PERFORMANCE

Abstract

Objective: This study aimed to evaluate the effectiveness of the Attitude, Definition, Open Mind, Planning, and Try It Out (ADOPT) care model in improving patient cooperation, psychological well-being, and postoperative outcomes in individuals undergoing femtosecond laser (FSL)-assisted small incision lenticule extraction (SMILE). Methods: A total of 100 patients (200 eyes) undergoing FSL-assisted SMILE at Cangzhou People's Hospital from April 2022 to December 2022 were randomly divided into two groups: the research group (RG; n=50) receiving ADOPT care and the control group (CG; n=50) receiving routine care. Key outcome measures included pre- and post-operative diopter (D), visual acuity (VA), Self-Rating Depression/Anxiety Scale (SDS/SAS) scores, intraoperative suction loss, operation time, health knowledge scores, and postoperative complications. Results: Both groups showed significant improvement in postoperative D and VA (P<0.05). The research group demonstrated lower rates of intraoperative suction loss, reduced operation time, and better psychological well-being with lower SDS/SAS scores compared to the control group (P<0.05). Health knowledge scores were also higher in the research group (P<0.05). No significant difference in postoperative complications was observed between the two groups (P>0.05). Conclusions: The ADOPT care model effectively enhances patient cooperation, reduces psychological distress, and supports better postoperative outcomes in patients undergoing FSL-assisted SMILE. This approach has potential applications in sports vision care and rehabilitation, where optimized visual performance and emotional stability are essential for athletes’ performance and recovery.