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Effects of pain, sleep and self-care behavior in patients underwent robotic minimally invasive cardiac surgeries

로봇을 이용한 심장수술이 환자의 통증, 수면 및 자가간호수행에 미치는 영향

  • Received : 2019.04.30
  • Accepted : 2019.07.20
  • Published : 2019.07.28

Abstract

The purpose of this study was to know the difference in pain, sleep, self-care behavior in patients performed by sternotomy and robotic minimally invasive cardiac surgeries. The participants were 64 patients with sternotomy and 64 patients with minimal thoracotomy in heart valve surgeries at a tertiary hospital in Seoul. Data were analyzed using descriptive statistics, ${\chi}^2$ test, paired t-test. with SPSS/WIN(22.0). The participants with minimally invasive thoracotomy felt severe pain than the patients with thoracotomy at post operation day 2 & 5. The severe pain site were the surgical site in both groups. The participants with sternotomy had better sleep than minimally invasive thoracotomy patients. Self-care behavior was higher in the minimally invasive thoracotomy group. Therefore, despite the many advantages of robotic surgery such as rapid recovery and shortening of length of stay in hospital, accurate pain assessment and application of differentiated protocols are needed for the management of pain in the patients with robotic minimally invasive cardiac surgeries. In addition, a structured education program intervention is needed to improve comfort by considering gender, age, and method of operation.

Keywords

heart valve surgery;sternotomy;minimally invasive thoracotomy;pain;sleep;self-care behavior

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Fig. 1. Location of pain

Table 1. General & clinical characteristics between median sternotomy group and minimally invasive thoracotomy group

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Table 2. Pain, sleep & self-care behavior between median sternotomy group and minimally invasive thoracotomy group

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Table 3. Pain and Sleep between median sternotomy group and minimally invasive thoracotomy group by the patients’ general & clinical characteristics at POD 2days

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Table 4. Pain and Sleep between median sternotomy group and minimally invasive thoracotomy group by the patients’ general & clinical characteristics at POD 5days

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