Learning Needs of Women Who Undergo Robotic Versus Open Gynecologic Surgery

• Published in: Journal of obstetric, gynecologic, and neonatal nursing Vol. 47; no. 4; pp. 490 - 497
• Main Authors: Kurt, Gonul, Loerzel, Victoria W., Hines, Robert B., Tavasci, Krystal, Galura, Sandra, Ahmad, Sarfraz, Holloway, Robert W.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2018
• Subjects: clinical outcomes; gynecologic conditions; laparotomy; learning needs; Nursing; postoperative nursing care; robotic surgery; clinical outcomes; postoperative nursing care; gynecologic conditions; laparotomy; learning needs; robotic surgery
• ISSN: 0884-2175; 1552-6909
• DOI: 10.1016/j.jogn.2018.04.133

To compare the learning needs of women undergoing robotic versus open (laparotomy) gynecologic surgery for benign and cancerous conditions. Descriptive exploratory study. A tertiary care hospital in Orlando, Florida. Women undergoing gynecologic surgery (N = 226; n = 71 laparotomy and n = 155 robotic). All consenting procedures and data collection occurred in two study visits. Instruments included a demographics questionnaire and the Patient Learning Needs Scale. Bivariable sociodemographic and clinical differences between surgical groups were assessed with Pearson’s chi-square test. Multiple linear regression was used to assess differences in total Patient Learning Needs Scale scores and subscores between surgical groups and to evaluate the association of demographic and clinical variables with total Patient Learning Needs Scale scores within surgical groups. White and non-Hispanic women were more likely to receive robotic surgery. Women who underwent robotic surgery were more likely to ambulate and have their first oral intake on the day of surgery. Women in the robotic surgery group were also significantly more likely to have a hospital length of stay of 1 day or less (90.3% vs. 4.2%, p < .001). At discharge, participants in the robotic surgery group had significantly more learning needs overall (179.67 vs. 159.66, p < .001) and for the subscales of Medication, Activities of Daily Living, Feelings Related to Condition, Treatment/Complications, Quality of Life, and Skin Care than participants in the laparotomy group. For women in the robotic surgery group, those with a hospital length of stay longer than 1 day had significantly greater learning needs. For women in the laparotomy group, Asian women had greater learning needs than White women. Participants who underwent robotic gynecologic surgery had greater learning needs than those who underwent laparotomy. Nurses and other health care providers may perceive robotic surgery as a less invasive procedure with fewer adverse effects, shorter length of stay, and faster recovery that requires fewer postoperative care instructions.