Pulmonary Rehabilitation and Quality of Life

Afyonkarahisar Health Sciences University50 enrolled

Overview

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Coronary Artery Bypass Graft

Interventions

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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.

Outcomes

Primary Outcomes

The Pulmonary Function Test (PFT)

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.

Time frame: Preoperative day

The Pulmonary Function Test (PFT) Change

Time frame: 4th day of clinical care

Secondary Outcomes

The Short-Form Health Survey (SF-36)

The points given vary between 0-100; 0 points indicate bad health and 100 points indicate that health is progressing in a good direction.

Time frame: preoperative day

The Short-Form Health Survey (SF-36) Change