Patients' Perceptions of Experiences of Postoperative Chest Drain Tube Insertion: A Pilot Survey.

drainage patient knowledge patient safety thoracic surgery

Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
21 02 2023
Historique:
received: 29 12 2022
revised: 03 02 2023
accepted: 11 02 2023
entrez: 11 3 2023
pubmed: 12 3 2023
medline: 15 3 2023
Statut: epublish

Résumé

Pleural drainage is a routine procedure conducted after thoracotomy and thoracoscopy. It is used to remove air or excess fluid from a pleural cavity and enables proper lung expansion. Essential elements of care provided during hospitalization and treatment include meeting patients' growing expectations and continually improving quality while optimizing safety. This study aimed to explore patients' experiences with pleural drainage after thoracic surgery and their correlation with socio-demographic data. A pilot survey with an exploratory design was conducted at a large teaching hospital in Poland, in the Department of Thoracic Surgery at the University Clinical Centre in Gdansk. The study involved the analysis of 100 randomly selected subjects with a chest tube drain. A self-designed questionnaire was used to collect social, demographic, and clinical data. Twenty-three questions related to experiences with pleural drainage, ailments, limitations in daily functioning, and security with a chest tube were evaluated using a 5-point Likert scale. Patients completed the questionnaire on the third postoperative day. Individuals fitted with a traditional water-seal drainage system felt safer than those from the digital drainage group ( Demographic and social characteristics did not significantly affect patients' sense of safety with chest drainage types. Patients with traditional drainage felt significantly safer than patients with digital drainage. Patient knowledge of pleural drainage management was not satisfactory, with a number of patients indicating a lack of knowledge in this area. This is important information that should be considered when planning measures to improve the quality of care.

Sections du résumé

BACKGROUND
Pleural drainage is a routine procedure conducted after thoracotomy and thoracoscopy. It is used to remove air or excess fluid from a pleural cavity and enables proper lung expansion. Essential elements of care provided during hospitalization and treatment include meeting patients' growing expectations and continually improving quality while optimizing safety.
AIM
This study aimed to explore patients' experiences with pleural drainage after thoracic surgery and their correlation with socio-demographic data.
METHODS
A pilot survey with an exploratory design was conducted at a large teaching hospital in Poland, in the Department of Thoracic Surgery at the University Clinical Centre in Gdansk. The study involved the analysis of 100 randomly selected subjects with a chest tube drain. A self-designed questionnaire was used to collect social, demographic, and clinical data. Twenty-three questions related to experiences with pleural drainage, ailments, limitations in daily functioning, and security with a chest tube were evaluated using a 5-point Likert scale. Patients completed the questionnaire on the third postoperative day.
RESULTS
Individuals fitted with a traditional water-seal drainage system felt safer than those from the digital drainage group (
CONCLUSIONS
Demographic and social characteristics did not significantly affect patients' sense of safety with chest drainage types. Patients with traditional drainage felt significantly safer than patients with digital drainage. Patient knowledge of pleural drainage management was not satisfactory, with a number of patients indicating a lack of knowledge in this area. This is important information that should be considered when planning measures to improve the quality of care.

Identifiants

pubmed: 36900784
pii: ijerph20053773
doi: 10.3390/ijerph20053773
pmc: PMC10001358
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Agnieszka Kruk (A)

Department of Surgical Nursing, Medical University of Gdansk, Dębinki 7, 80-211 Gdansk, Poland.
Thoracic Surgery Department, Medical University of Gdansk, Smoluchowskiego 17, 80-211 Gdansk, Poland.

Robert Dziedzic (R)

Thoracic Surgery Department, Medical University of Gdansk, Smoluchowskiego 17, 80-211 Gdansk, Poland.

Sylwia Terech-Skóra (S)

Department of Surgical Nursing, Medical University of Gdansk, Dębinki 7, 80-211 Gdansk, Poland.

Renata Piotrkowska (R)

Department of Surgical Nursing, Medical University of Gdansk, Dębinki 7, 80-211 Gdansk, Poland.

Wioletta Mędrzycka-Dąbrowska (W)

Department of Anaesthesiology Nursing and Intensive Care, Medical University of Gdansk, Dębinki 7, 80-211 Gdansk, Poland.

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Classifications MeSH