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http://dx.doi.org/10.14400/JDC.2019.17.7.265

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

Park, Soohyun (Department of Nursing, Asan medical center)
Jang, Insil (Department of Nursing, University of Ulsan)
Publication Information
Journal of Digital Convergence / v.17, no.7, 2019 , pp. 265-274 More about this Journal
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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Times Cited By KSCI : 3  (Citation Analysis)
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