Koroner Arter Bypass Greft Cerrahisi Sonrası Fiziksel Aktivite Danışmanlığının Erken Dönem Sonuçlarının İncelenmesi

Year 2024, , 105 - 113, 30.01.2024

Zehra Can Karahan , Yasemin Buran Çırak , Hülya Arıkan

https://doi.org/10.61399/ikcusbfd.1284133

Abstract

Amaç: Koroner arter hastalığı için önemli bir risk faktörü olan fiziksel inaktivite, koroner arter bypass greft (KABG) ameliyatı sonrasında artırılmalıdır. Bu çalışmanın amacı, KABG ameliyatı geçirmiş hastalarda erken dönemdeki fiziksel aktivite (FA) danışmanlığının etkilerini incelemekti.
Gereç ve Yöntem: Çalışmaya dahil edilen 30 erkek hasta rastgele iki gruba ayrıldı. 15 hasta FA danışmanlığı ve rutin fizyoterapi alırken, diğerleri sadece rutin fizyoterapi aldı. FA, egzersiz kapasitesi, günlük yaşam aktiviteleri, uyku kalitesi, depresyon ve anksiyete ameliyattan önce ve iki hafta sonra değerlendirildi. Tüm hastalara taburcu olduktan sonra FA ve enerji harcaması değerlendirmesi için bir aktivite monitörü (MF-SenseWear Armband) takıldı. Enerji harcaması, ortalama MET değeri, FA süresi, yatma ve uyuma süresi ve günlük adım sayısı taburcu olduktan sonraki 7 gün boyunca izlendi.
Bulgular: 6 dakikalık yürüme mesafesi FA grubunda 507,87±77,70 m'den 470,46±69,83 m'ye (p=0,001) ve kontrol grubunda 499,80±82,93 m'den 448,00±64,25 m'ye (p=0,002) düşdü, ancak aradaki fark anlamlı değildi (p=0,610). FA danışmanlığı, toplam enerji harcamasını (8516.10±1489.75 karşı 8568.75±999.68 joule, p=0.910), aktif enerji harcamasını (307.43 joule (min 13.57-maks 3300.57) karşı 303.68 joule (min 30.71-maks 11.68), p=0. 412), ortalama metabolik eşdeğer (1.30±0.16 karşı 1.17±0.17, p=0.057), FA süresi (16.57 dakikaya (min 0.71- maks 180) karşı 16.85 dakika (min 3.57-maks 58.71), p=0.367), adım sayısı (723.86 adıma (min 198.57-maks 5944.14) karşı 796.28 (min73.86-maks 4217.86), p=1.000).
Sonuç: FA danışmanlığımız, CABG ameliyatı sonrası FA'yı ve klinik sonuçları geleneksel tedaviden daha fazla iyileştirmedi. Etkinliğin gösterilmesi için daha uzun takiplere ihtiyaç vardır.

Keywords

Aktivite monitörü, enerji harcaması, fiziksel aktivite danışmanlığı, koroner arter bypass

Examination of Early Results of Physical Activity Counseling after Coronary Artery Bypass Graft Surgery

Abstract

Objective: Physical inactivity, an important risk factor for coronary artery disease, should be increased after coronary artery bypass graft (CABG) surgery. The aim of this study was to examine the effects of early physical acitivity (PA) counseling in CABG patients.
Material and Method: Thirty male patients included in the study were randomly divided into two groups. Fifteen patients received PA counseling and routine physiotherapy, while the others received only standard physiotherapy. PA, exercise capacity, daily living activities, sleep quality, depression, and anxiety were assessed before and two weeks after surgery. All patients received an activity monitor (MF-SenseWear Armband) upon discharge for PA and energy expenditure evaluation. Energy expenditure, average MET, PA duration, laying and sleeping time, and daily steps were monitored for seven days after discharge.
Results: The 6-minute walking distance decreased from 507.87±77.70 m to 470.46±69.83 m in the PA group (p=0.001) and from 499.80±82.93 m to 448.00±64.25 m in the control group (p=0.002), but the difference was not significant (p=0.610). PA counseling did not significantly affect total energy expenditure (8516.10±1489.75 vs. 8568.75±999.68 joules, p=0.910), active energy expenditure (307.43 joules (min 13.57- max 3300.57) vs. 303.68 joules (min 30.71-max 11.68), p=0.412), mean metabolic equivalent (1.30±0.16 vs 1.17±0.17, p=0.057), PA duration (16.57 minutes (min 0.71-max 180) vs 16.85 minutes (min 3.57-max 58.71), p=0.367), the number of steps (723.86 steps (min 198.57-max 5944.14) vs 796.28 (min73.86-max 4217.86), p=1.000).
Conclusion: Our PA counseling did not improve PA and clinical outcomes after CABG surgery more than conventional treatment. Longer follow-ups are needed to demonstrate efficacy.

Keywords

Activity monitor, energy expenditure, physical activity counseling, coronary artery bypass

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