Coronary Artery Bypass Graft
Conditions
Keywords
coronary artery bypass, pulmonary rehabilitation, quality of life, respiratory functions
Brief summary
In this study, the effect of a pulmonary rehabilitation (PR) program on the respiratory function and quality of life of patients undergoing CABG surgery with an open-heart technique is examined. A randomized controlled experimental design was used. The study was conducted with two groups: the intervention group (n=25) and control group (n=25). The control group received standard care after CABG. In contrast, the experimental group, in addition to standard care, participated in a PR program created by the researchers. After CABG, the respiratory functions of both groups (clinical care day 4) and quality of life (6th week) evaluated
Interventions
OTHERpulmonary rehabilitation
Simple breathing techniques, secretion-removal techniques, airway-cleaning techniques, mobilization techniques and use of an incentive spirometer
Sponsors
Afyonkarahisar Health Sciences University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients who were extubated in twenty-four hours, * aged 18 or above, * had undergone CABG surgery using the open-heart method and using a saphenous vein graft for CABG, * who were conscious, * without visual and hearing problems, * who spoke Turkish, * had not orthopedic, psychiatric and neurological problems, * no co-morbid lung disease, * who had not been re-operated on, * had not postoperative cardiac dysfunction, * had not developed postoperative atrial fibrillation, * who were willing to participate in the study.
Exclusion criteria
* Patients who were not extubated in twenty-four hours, * who were under 18 years of age, * had not undergone CABG surgery using the open-heart method and using a saphenous vein graft for CABG, * who were not conscious, * were visual and hearing problems, * who don't spoke Turkish, * had orthopedic, psychiatric and neurological problems, * co-morbid lung disease, * who had been re-operated on, * had postoperative cardiac dysfunction, * had developed postoperative atrial fibrillation, * who were not willing to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Pulmonary Function Test (PFT) | Preoperative day | A diagnostic criterion used to identify patients with or at risk of pulmonary dysfunction. The PFT assessment was performed using the NDD Easy on-PC spirometer. During this test, challenging expiratory volume (FEV1 % (\>80)), challenging vital capacity (FVC % (\>80)), FEV1/FVC ( %, \>80) ratio, and Peak Expiratory air pressure (PEF % (\>100)) were measured in the first second. The PFT was performed in the Chest Diseases Outpatient Clinic of the hospital preoperatively. |
| The Pulmonary Function Test (PFT) Change | 4th day of clinical care | A diagnostic criterion used to identify patients with or at risk of pulmonary dysfunction. The PFT assessment was performed using the NDD Easy on-PC spirometer. During this test, challenging expiratory volume (FEV1 % (\>80)), challenging vital capacity (FVC % (\>80)), FEV1/FVC ( %, \>80) ratio, and Peak Expiratory air pressure (PEF % (\>100)) were measured in the first second. The PFT was performed in the Chest Diseases Outpatient Clinic of the hospital preoperatively. The PFT was performed in the Chest Diseases Outpatient Clinic of the 4th day of clinical care. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Short-Form Health Survey (SF-36) | preoperative day | The points given vary between 0-100; 0 points indicate bad health and 100 points indicate that health is progressing in a good direction. |
| The Short-Form Health Survey (SF-36) Change | postoperative sixth week | The points given vary between 0-100; 0 points indicate bad health and 100 points indicate that health is progressing in a good direction. |
Countries
Turkey (Türkiye)
Outcome results
None listed