Araştırma Makalesi
BibTex RIS Kaynak Göster

The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial

Yıl 2018, Cilt: 26 Sayı: 3, 159 - 167, 26.10.2018

Öz

Aim: This study aims to assess the effect of pre-operative breathing exercises provided to patients undergoing open-heart operation on atelectasis development during the post-operative period.

Method: This randomized controlled study was conducted with 48 patients hospitalized for open-heart surgery. Training was provided to the patients in the experimental group in the form of breathing exercises and spirometry and the instructed exercises were performed by the patients for 7 days before the operation. The patients in both groups were assessed in terms of atelectasis during post-operative days. 

Results: The proportion of atelectasis development on the post-op 0th day was 71% in the experimental group and 92% in the control group. In terms of average peripheral oxygen saturation, the patients in the experimental group had higher oxygen saturation than the patients in the control group (p<0.05). 

Conclusion: Though not at significant levels, this study found that, performing breathing exercises before the operation decreased atelectasis development, duration of extubation, length of time in intensive care and hospital discharge; thus, pre-operative breathing exercises were found to have a positive effect on patients during the post-operative period.

Kaynakça

  • Arslangiray, D. (2010). The effect of the deep breathing exercise training with spirometry before coronary artery bypass greft on the ventilation after operation (Dissertation, Dokuz Eylül University, Turkey).
  • Babayiğit, M., Özgencil, G., Çatav, S., Denker, Ç., & Babayiğit, A. (2012). Effect of ventilation during cardiopulmonary bypass in open heart surgery on postoperative pulmonary functions. Journal of Anesthesia, 20(2), 92–98.
  • Ball, L., Costantino, F., & Pelosi, P. (2016) Aug. Postoperative complications of patients undergoing cardiac surgery. Current Opinion in Critical Care, 22(4), 386–392.
  • Barrera, R., Shi, W., Amar, D., Thaler, H. T., Gabovich, N., Bains, M. S., & White, D. A. (2005). Smoking and timing of cessation: Impact on pulmonary complications aſter thoracotomy. Chest, 127(6), 1977–1983. http://dx.doi.org/10.1378/chest.127.6.1977
  • Başoğlu, Ö. K. (2001). Toraks dışı cerrahide preoperatif solunumsal değerlendirme [Pre-operative respiratory assessment in operations excluding torachs]. Türk Toraks Derneği, 12(2),75–82.
  • Bluman, L., Mosca, L., Newman, N., & Simon, D. G. (1998). Preoperative smoking habits and postoperative pulmonary complications. Chest, 113(4), 883–889.
  • Çağlı, K., Yıldız, Ü., Demirkıran, M. S., & Uncu, H. (2003). Açık kalp cerrahisinde preoperatif solunum sistemi değerlendirilmesi ve postoperatif akciğer komplikasyonları [Evaluation of preoperative respiratory system in open heart surgery and postoperative lung complications] Arşiv Kaynak Tarama Dergisi, 12(1), 45–54. http://dx.doi.org/10.17827/aktd.19283
  • Graybill, W. S., Frumovitz, M., Nick, A. M., Wei, C., Mena, G. E., Soliman, P. T. … Ramirez, P. T. (2012). Impact of smoking on perioperative pulmonary and upper respiratory complications after laparoscopic gynecologic surgery. Gynecologic Oncology, 125(3), 556–560. http://dx.doi.org/10.1016/j.ygyno.2012.03.020
  • Hanözü, M. (2006). Açık kalp cerrahisi sonrası gelişen torasik komplikasyonlar (Master thesis, Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Turkey). Retrived from http://www.istanbulsaglik.gov.tr/w/tez/pdf/gogus_cerrahi/dr_murat_hanozu.pdf
  • Hulzebos, E., Helders, P., Favie, N., De Bie, R., Riviere, M. D., Nico, L., & Meeteren, V. (2006). Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high – risk patients undergoing CABG surgery. The Journal of the American Medical Association, 296(15),1851–1857. http://dx.doi.org/10.1001/jama.296.15.1851
  • Neves, F., Carmona, M., Jr, JOC., Rodrigues, R., Rouby, J. J., & Malbouisson, L. (2013). Cardiac compression of lung lower lobes after coronary artery bypass graft with cardiopulmonary bypass. PLoS ONE, 8(11), e78643. http://dx.doi.org/10.1371/journal.pone.0078643
  • Karadakovan, A., & Aslan, F. (Eds.) (2011). Dahili ve cerrahi hastalıklarda bakım [ Medical and Surgical Care]. Adana, Turkey: Nobel Yayınevi.
  • Karagözoğlu, Ş., Dönmez, A., Özden, D., & Tel, H. (2013). Nurses’ knowledge and practices regarding chest physiotherapy. İzmir Göğüs Hastanesi Dergisi, 27(2), 95–104.
  • Moller, A. M., Villebro, N., Pedersen, T., & Tonnesen, H. (2002). Effect of preoperative smoking intervention on postoperative complications: A randomised clinical trial. Lancet, 359, 114–117. http://dx.doi.org/10.1016/S0140-6736(02)07369-5
  • Rudra, A., & Sudipta, D. (2006). Postoperative pulmonary complications. Indian Journal of Anaesthesia, 50(2), 89–98.
  • Özkan, M., Kırkıl, G., Görek Dilektaşlı, A., Söğüt, A., Sertoğullarından, B., Çetinkaya, E. … Sezer, M. (2015). Preoperatif değerlendirme konsensus raporu özeti. Turk Toraks Dergisi, 16(1), 43–52. http://dx.doi.org/10.5152/ttd.2014.4505
  • Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (Eds.) (2013). Fundamentals of nursing. St Louis Missouri, NY: Elsevier.
  • Sin, D. D. (2008). Postoperative pulmonary complications: What every general practitioner ought to know. British Columbia Medical Journal, 50(3), 152–154.
  • Tusman, G., Böhm, S. H., Warner, D. O., & Sprung, J. (2012). Atelectasis and perioperative pulmonary complications in high-risk patients. Current Opinion in Anesthesiology, 25(1), 1–10. http://dx.doi.org/10.1097/ACO.0b013e32834dd1eb.
  • Türk Toraks Derneği (Turkish Thoracic Society) (2014). Pre-Operatif değerlendirme uzlaşı raporu. Retrived from http://www.toraks.org.tr/userfiles/file/PREOPERAT%C4%B0F%20DE%C4%9EERLEND%C4%B0RME-Uzla%C5%9F%C4%B1%20raporu%281%29.pdf
  • Urell, C., Westerdahl, E., Hedenström, H., Janson, C., & Emtner, M. (2012). Lung function before and two days after openheart surgery. Critical Care Research and Practice, 2012, 1-7. http://dx.doi.org/10.1155/2012/291628
Yıl 2018, Cilt: 26 Sayı: 3, 159 - 167, 26.10.2018

Öz

Kaynakça

  • Arslangiray, D. (2010). The effect of the deep breathing exercise training with spirometry before coronary artery bypass greft on the ventilation after operation (Dissertation, Dokuz Eylül University, Turkey).
  • Babayiğit, M., Özgencil, G., Çatav, S., Denker, Ç., & Babayiğit, A. (2012). Effect of ventilation during cardiopulmonary bypass in open heart surgery on postoperative pulmonary functions. Journal of Anesthesia, 20(2), 92–98.
  • Ball, L., Costantino, F., & Pelosi, P. (2016) Aug. Postoperative complications of patients undergoing cardiac surgery. Current Opinion in Critical Care, 22(4), 386–392.
  • Barrera, R., Shi, W., Amar, D., Thaler, H. T., Gabovich, N., Bains, M. S., & White, D. A. (2005). Smoking and timing of cessation: Impact on pulmonary complications aſter thoracotomy. Chest, 127(6), 1977–1983. http://dx.doi.org/10.1378/chest.127.6.1977
  • Başoğlu, Ö. K. (2001). Toraks dışı cerrahide preoperatif solunumsal değerlendirme [Pre-operative respiratory assessment in operations excluding torachs]. Türk Toraks Derneği, 12(2),75–82.
  • Bluman, L., Mosca, L., Newman, N., & Simon, D. G. (1998). Preoperative smoking habits and postoperative pulmonary complications. Chest, 113(4), 883–889.
  • Çağlı, K., Yıldız, Ü., Demirkıran, M. S., & Uncu, H. (2003). Açık kalp cerrahisinde preoperatif solunum sistemi değerlendirilmesi ve postoperatif akciğer komplikasyonları [Evaluation of preoperative respiratory system in open heart surgery and postoperative lung complications] Arşiv Kaynak Tarama Dergisi, 12(1), 45–54. http://dx.doi.org/10.17827/aktd.19283
  • Graybill, W. S., Frumovitz, M., Nick, A. M., Wei, C., Mena, G. E., Soliman, P. T. … Ramirez, P. T. (2012). Impact of smoking on perioperative pulmonary and upper respiratory complications after laparoscopic gynecologic surgery. Gynecologic Oncology, 125(3), 556–560. http://dx.doi.org/10.1016/j.ygyno.2012.03.020
  • Hanözü, M. (2006). Açık kalp cerrahisi sonrası gelişen torasik komplikasyonlar (Master thesis, Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Turkey). Retrived from http://www.istanbulsaglik.gov.tr/w/tez/pdf/gogus_cerrahi/dr_murat_hanozu.pdf
  • Hulzebos, E., Helders, P., Favie, N., De Bie, R., Riviere, M. D., Nico, L., & Meeteren, V. (2006). Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high – risk patients undergoing CABG surgery. The Journal of the American Medical Association, 296(15),1851–1857. http://dx.doi.org/10.1001/jama.296.15.1851
  • Neves, F., Carmona, M., Jr, JOC., Rodrigues, R., Rouby, J. J., & Malbouisson, L. (2013). Cardiac compression of lung lower lobes after coronary artery bypass graft with cardiopulmonary bypass. PLoS ONE, 8(11), e78643. http://dx.doi.org/10.1371/journal.pone.0078643
  • Karadakovan, A., & Aslan, F. (Eds.) (2011). Dahili ve cerrahi hastalıklarda bakım [ Medical and Surgical Care]. Adana, Turkey: Nobel Yayınevi.
  • Karagözoğlu, Ş., Dönmez, A., Özden, D., & Tel, H. (2013). Nurses’ knowledge and practices regarding chest physiotherapy. İzmir Göğüs Hastanesi Dergisi, 27(2), 95–104.
  • Moller, A. M., Villebro, N., Pedersen, T., & Tonnesen, H. (2002). Effect of preoperative smoking intervention on postoperative complications: A randomised clinical trial. Lancet, 359, 114–117. http://dx.doi.org/10.1016/S0140-6736(02)07369-5
  • Rudra, A., & Sudipta, D. (2006). Postoperative pulmonary complications. Indian Journal of Anaesthesia, 50(2), 89–98.
  • Özkan, M., Kırkıl, G., Görek Dilektaşlı, A., Söğüt, A., Sertoğullarından, B., Çetinkaya, E. … Sezer, M. (2015). Preoperatif değerlendirme konsensus raporu özeti. Turk Toraks Dergisi, 16(1), 43–52. http://dx.doi.org/10.5152/ttd.2014.4505
  • Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (Eds.) (2013). Fundamentals of nursing. St Louis Missouri, NY: Elsevier.
  • Sin, D. D. (2008). Postoperative pulmonary complications: What every general practitioner ought to know. British Columbia Medical Journal, 50(3), 152–154.
  • Tusman, G., Böhm, S. H., Warner, D. O., & Sprung, J. (2012). Atelectasis and perioperative pulmonary complications in high-risk patients. Current Opinion in Anesthesiology, 25(1), 1–10. http://dx.doi.org/10.1097/ACO.0b013e32834dd1eb.
  • Türk Toraks Derneği (Turkish Thoracic Society) (2014). Pre-Operatif değerlendirme uzlaşı raporu. Retrived from http://www.toraks.org.tr/userfiles/file/PREOPERAT%C4%B0F%20DE%C4%9EERLEND%C4%B0RME-Uzla%C5%9F%C4%B1%20raporu%281%29.pdf
  • Urell, C., Westerdahl, E., Hedenström, H., Janson, C., & Emtner, M. (2012). Lung function before and two days after openheart surgery. Critical Care Research and Practice, 2012, 1-7. http://dx.doi.org/10.1155/2012/291628
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Gülşen Devecel Bu kişi benim

Leman Şenturan 0000-0001-7951-6971

Yayımlanma Tarihi 26 Ekim 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 26 Sayı: 3

Kaynak Göster

APA Devecel, G., & Şenturan, L. (2018). The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial. Florence Nightingale Journal of Nursing, 26(3), 159-167.
AMA Devecel G, Şenturan L. The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial. Florence Nightingale Journal of Nursing. Ekim 2018;26(3):159-167.
Chicago Devecel, Gülşen, ve Leman Şenturan. “The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial”. Florence Nightingale Journal of Nursing 26, sy. 3 (Ekim 2018): 159-67.
EndNote Devecel G, Şenturan L (01 Ekim 2018) The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial. Florence Nightingale Journal of Nursing 26 3 159–167.
IEEE G. Devecel ve L. Şenturan, “The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial”, Florence Nightingale Journal of Nursing, c. 26, sy. 3, ss. 159–167, 2018.
ISNAD Devecel, Gülşen - Şenturan, Leman. “The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial”. Florence Nightingale Journal of Nursing 26/3 (Ekim 2018), 159-167.
JAMA Devecel G, Şenturan L. The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial. Florence Nightingale Journal of Nursing. 2018;26:159–167.
MLA Devecel, Gülşen ve Leman Şenturan. “The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial”. Florence Nightingale Journal of Nursing, c. 26, sy. 3, 2018, ss. 159-67.
Vancouver Devecel G, Şenturan L. The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial. Florence Nightingale Journal of Nursing. 2018;26(3):159-67.