Document Type : Research articles
Authors
1
Demonstrator Medical-Surgical Nursing, Faculty of Nursing, Alexandria University
2
Professor Emeritus Medical-Surgical Nursing, Faculty of Nursing, Alexandria University
3
, Professor Medical-Surgical Nursing, Faculty of Nursing, Alexandria University
4
Lecturer Cardiothoracic Surgery department, Faculty of medicine, Alexandria University
Abstract
Background: Thoracic surgery is one of surgical specialties that dealing with the
diagnosis and treatment of congenital or acquired diseases of the thorax, including disease of the
chest wall, pleura, lungs, airways, mediastinum, diaphragm, and esophagus. It was estimated that
Approximately 530,000 general thoracic surgery cases are performed annually in the United
States. Objective: Identify the health-related learning needs among patients undergoing thoracic
surgery. Settings: This study was conducted at the cardiothoracic surgery department,
Alexandria Main University Hospital of Egypt. Subjects: A convenience sample of 80 adult
patients, males and females were admitted to the above-mentioned department undergoing
thoracic surgery.Tools: Two tools were used by the researcher based on the review of recent
related literature to collect the necessary data. Tool one: Thoracic surgery patients’ sociodemographic
characteristics and clinical data structured interview schedule. Tool two: Thoracic
surgery patients’ health-related learning needs scale. Results: All the studied patients had poor
knowledge regarding to thoracic surgery health-related learning needs in the pre-, intra-, and
postoperative periods, and the min-max of the total scores were 221.0-289.0 and the mean ± SD
was 242.3 ± 14.29. Also, this result shows the min-max of the percent score was 17.50–30.58 and
the mean ± SD was 21.59 ± 2.75. There was no statistically significant relation between thoracic
surgery health-related learning needs and their age, marital status, level of education, area of
residence, monthly income from the patient’s point of view P = 0.382, 0.372, 0.381, 0.829, 0.057
respectively.Conclusion: All the studied patients needed knowledge in thoracic surgery healthrelated
learning needs in the pre, intra, postoperative period. Recommendations: Establishing
instructional guidelines on patients undergoing thoracic surgery before and after surgery,
Cardiothoracic department should be supplied with a nursing protocol regarding care for
patients undergoing surgical procedures and periodic scientific meetings must be conducted
among multidisciplinary team to discuss patient’s problems and establish a comprehensive plan
to meet thoracic surgery patient’s learning needs. The proposed perioperative nursing guidelines
for patients undergoing thoracic surgery should be distributed and implemented in thoracic unit
for nurses in all university hospitals, health insurance units, medical institutions, and private
hospitals.
Keywords
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