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.
Int J Environ Res Public Health. 2023 Feb 21;20(5):3773. doi: 10.3390/ijerph20053773.
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 ( = 0.017). Statistically significant differences were found in the assessment of nursing assistance ( = 0.025); the number of satisfied patients was greater in a group of unemployed people. No correlation was found between demographic and social factors and the patients' sense of security (gender: = 0.348, age: = 0.172, education level: = 0.154, professional activity: = 0.665).
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.
胸腔引流是胸外科和胸腔镜手术后的常规程序。它用于从胸腔中排出空气或多余的液体，使肺部正常扩张。住院和治疗期间提供的护理的基本要素包括满足患者日益增长的期望，不断提高质量，同时优化安全性。
本研究旨在探讨胸腔手术后患者的胸腔引流体验及其与社会人口统计学数据的相关性。
在波兰格但斯克大学临床中心胸外科的一家大型教学医院进行了一项初步调查，采用探索性设计。该研究涉及对 100 名随机选择的带有胸腔引流管的患者进行分析。使用自行设计的问卷收集社会、人口统计学和临床数据。23 个问题与胸腔引流的经验、疾病、日常生活功能的限制以及胸腔引流管的安全性有关，采用 5 点李克特量表进行评估。患者在术后第 3 天完成问卷。
与数字引流组相比，使用传统水封引流系统的患者感觉更安全（ = 0.017）。在护理协助评估方面存在显著差异（ = 0.025）；失业人群中对护理满意的患者人数更多。人口统计学和社会因素与患者的安全感之间没有相关性（性别： = 0.348，年龄： = 0.172，教育水平： = 0.154，职业活动： = 0.665）。
人口统计学和社会特征并未显著影响患者对胸腔引流类型的安全感。使用传统引流的患者明显比使用数字引流的患者感觉更安全。患者对胸腔引流管理的了解并不满意，许多患者表示在这方面缺乏知识。这是在计划改善护理质量措施时应考虑的重要信息。
