Chronic ischemic heart disease. chronic total occlusion of coronary artery
Conditions
Interventions
Intervention 1: Intervention group 1: Implementation of four phase early movement protocol for Intervention group 1: Intervention will be performed in two days the first day 24 hours after surgery and
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: 1. Selecting units from both ages 18 to 65 years 2. Having a BMI between 20 and 30 mg / m2 3. Stable hemodynamic status without taking inotropic drugs 4. Lack of arrhythmias and angina 5. No Significance of Respiratory Distress and RR under 20 without Symptoms of Systemic Infection. 6.Lack of Motor and Neurological Problems 7.Static pressure above 90 mmHg 8. Time of pump pulmonary than 90 minutes 9. As an expert in cardiac surgery 10. Having no previous history of pulmonary disease 11. A psychological and mental illness that will be examined by examining a patient's case and completing a mental-mental mental test questionnaire (MMSE) before entering the study. If the MMSE score of the patient in the heart surgery department and before entering the intensive care unit in the range of 30 -25 were enrolled in the study and will be excluded from the study if they have dementia and pathologic features.
Exclusion criteria
Exclusion criteria: Exclusion criteria: 1. Cardiovascular and respiratory tract during and after admission in the ICU 2. Time for mechanical ventilation over 24 hours 3. Heart rate above 120 or uncontrolled arrhythmias 4. Unstable angina 5. Open sternum 6. Oxygen substitution under 90 7. Taccharide and bradycardia 8. EF below 40 9. No ability to communicate after entering the intensive care unit 10. The chest tube thickness is more than 100 cc at four hours 11. The time of the heart-pulmonary pump is 90 minutes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arterial oxygen saturation. Timepoint: Before the intervention, immediately after the intervention, 15 after intervention. Method of measurement: Using pulse oximetry and assessing arterial blood gases(ABG).;Pain. Timepoint: Before the intervention, immediately after the intervention, 15 after intervention. Method of measurement: Analog visual analogue tool: VAS (Visual Analogue Scale).;Levels of cognitive status. Timepoint: Before the study, after reading and end intervention. Method of measurement: Short Psycho-Mental Testing Tool: MMSE (Mini-Mental State Examination).;Frequency of pulmonary complications. Timepoint: Before the intervention, on the last day of intervention. Method of measurement: Using CXR and Physician Visit.;Arterial blood gas. Timepoint: before intervention and after 15 minute after end intervention. Method of measurement: ABG. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of stay in hospital and ICU. Timepoint: On the day of the patient's discharge from ICU and Hospital. Method of measurement: The patient's stay in the hospital and ICU will be determined by calculating the days of admission. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr Atefeh Allahbakhshian
Tabriz University of Medical Sciences
Outcome results
None listed