Effects of a self-management promoting program for recovery of patients undergoing video-assisted thoracoscopic surgery
Keywords:
self-management, recovery, patients undergoing video-assisted thoracoscopic surgeryAbstract
This quasi-experimental research aimed to examine the effects of a self-management promoting program for recovery of patients undergoing Video-Assisted Thoracoscopic Surgery. Sample consisted of 52 patients receiving Video-Assisted Thoracoscopic Surgery at a surgical male ward in Maharaj Nakorn Chiang Mai Hospital. The participants were purposively selected and assigned into two groups, 26 participants in the control group and 26 participants in the intervention group. The control group was retrospective study and the experimental group was prospective study. Instrument for conducting research was a self-management promoting program for recovery of patients undergoing Video-Assisted Thoracoscopic Surgery, which consisted of individual lesson plan on self-management for recovery of patients undergoing Video-Assisted Thoracoscopic Surgery, Self-management manual, and self-monitoring record form. Research tools for data collection were demographic data record form, and the recovery after having Video-Assisted Thoracoscopic Surgery record form. Data were collected from August 2016 to August 2019. Data analysis was carried out using descriptive statistics, chi-square test, and Mann-Whitney U test.
Comparison between the experimental group and the control group showed that pain score on post operative day 1, pain score on all intercostal chest drains removal day, and the volume of inhalation with incentive spirometry on all intercostal chest drains removal day were statistically significantly different (p=.01, .02, and <.001, respectively). There was no pulmonary complication in both groups.
Results of this study indicated that a self-management promoting program for recovery of patients undergoing Video-Assisted Thoracoscopic Surgery can decrease post operative pain and increase the volume of inhalation with incentive spirometry. Therefore, the program can be applied for the recovery of patients undergoing Video-Assisted Thoracoscopic Surgery.
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