Nursing Care of Patients Undergoing Mitral Valve Replacement Surgery with Medial Incision and Minimally Invasive Surgery: 2 Case Studies
Keywords:
Nursing Care of Patients undergoing Mitral Valve Replacement Surgery, Mid-Chest Incision Surgery, Small Incision Laparoscopic SurgeryAbstract
Mitral valve disease is a health problem that affects quality of life and is a leading cause of death in the population. Currently, there are two methods of surgical treatment of heart valve disease, namely ventricular incision and laparoscopic incision. The purpose of this study was to analyze problems and nursing activities of mitral heart valve replacement surgery patients with mid-chest incision and laparoscopic incision. The study was based on medical records of inpatients, outpatients, and operating room records. Interviews with patients and relatives. The results of the study found that
1. In the preoperative period, both patients had high anxiety about surgery. The risk of accidents while moving is the same.
2. During the surgery period, both patients had nursing problems as follows: 1. Risk of surgery in the wrong position 2. Risk of contamination during surgery 3. Risk of pressure ulcers and nerve injury from the surgery. 3. Risk of pressure ulcers and nerve injury from surgical positioning 4. Risk of complications from the use of lung and heart implants, although both patients were able to withdraw lung machines from the study. And an artificial heart without complications However, the duration of use of lung and heart implants in laparoscopy patients was longer than in patients with mid-chest incisions, causing a greater risk of complications 5. The risk of blood loss during surgery was found that the surgical incision in the middle of the chest caused more blood loss than the small incision laparoscopic surgery. 6. The risk of residual tools and equipment in the patient's body.
3. Postoperative period, both patients had nursing problems as follows: 1. They were also at risk of complications after surgery and accidents while moving to the ICU. 2. Unwell due to wound pain. Mid-chest surgery is more painful than laparoscopic incision due to the larger incision size and more tissue injury.
The results of this study can be used as a basis for improving the nursing guidelines for patients undergoing mitral incision in the chest and laparoscopic incisions as a standard practice guideline. And to operate effectively and reduce complications that may occur to patients.
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