The goal of this clinical trial is to learn the effect of self prepare by multimedia program before going to heart surgery. The main questions it aim to answer is: Is preparing for heart surgery on your own or with a physical therapist the same? Researchers were compare the effects of preoperative physical therapy between multimedia and traditional programs in patients undergoing open heart surgery. Participants were received traditional therapy from a physical therapist or used a multimedia self-learning program.
This randomized controlled trial compared the effects of multimedia and traditional preoperative physical therapy programs in 70 patients undergoing elective open-heart surgery at Khon Kaen University, Thailand. Patients were divided equally into control and experimental groups. The control group received traditional therapy from a physical therapist, while the experimental group used a multimedia self-learning program. Both groups also received a leaflet with preoperative guidelines. After completing the programs, patients were assessed on chest expansion and surgery knowledge. Both groups showed significant improvement in upper and lower chest expansion after the programs. However, there were no significant differences between the groups in chest expansion or knowledge scores. The study concluded that a preoperative multimedia self-learning physical therapy program is as clinically effective as traditional therapy for patients preparing for open-heart surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
70
A two-dimensional (2D) animated video was developed to deliver educational content regarding open-heart surgery procedures (sternotomy and general anesthesia), the preoperative physical therapy program (diaphragmatic breathing, lower-lobe breathing, and chest expansion exercises), potential postoperative complications (e.g., pneumonia and atelectasis), therapeutic exercises (ankle pumping), and mobility training (bed mobility and transitioning from lying to a sitting position)
traditional preoperative program from an experienced physical therapist
Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Khon Kaen, Changwat Khon Kaen, Thailand
Chest expansion
Chest expansion (both upper and lower) using a measuring tape
Time frame: Before and immediately after receiving the preoperative program
Preoperative knowledge
The secondary outcome was preoperative knowledge. Preoperative knowledge was assessed using a knowledge questionnaire, with scores ranging from 0 to 10. Higher scores indicated better knowledge.
Time frame: Immediately after receiving the preoperative program on the same day with chest expansion assessment.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.