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Masters Thesis | Physiotherapy | India | Volume 12 Issue 3, March 2023 | Rating: 4.7 / 10
A Study to Evaluate the Effects of Pre Operative Education and Ventilatory Exercises Training in Reducing Anxiety and Improvement in Recovery among Cardiac Patients
Dr. Chirag Purbia [2] | Dr. Goldy Jain
Abstract: After cardiac surgery, various complications that will require specific care, especially in the respiratory system, can be observed. These complications can lengthen the hospital stay of patients, causing increased hospital costs and becoming an important cause of morbidity and mortality. The preoperative and postoperative physical therapy management of patients in the ICU is a specialized area. It includes providing the patient with information about what to expect during the perioperative course relieves fear and anxiety. This study was conducted to evaluate the effects of pre operative physiotherapy instructions and ventilatory muscle training in patients undergoing cardiac surgery which is beneficial in improving recovery and reducing anxiety post operatively. This study includes 100 subjects both male and female undergoing elective cardiac surgery of age 18 - 60 years who were eligible as per the inclusion criteria. Pre - participation questionnaire along with the consent form was given to the subjects to fulfill criteria for selection. Subjects were allocated physiotherapy instructions and ventilatory exercise training pre operatively. The primary outcome was change in anxiety which was measured by BAI (Beck Anxiety Inventory) pre operatively before and after education and training and 4 days post operatively. Secondary outcomes were pain and SPO2 which were measured by VAS (Visual Analogue Scale) and pulse oxymetry respectively. Results showed that anxiety score after pre operative instructions and ventilatory exercise training exercise was significantly higher (p<0.01) in males as compared to females. There was a significant decrease in score of anxiety pre and post operatively after physiotherapy instructions and ventilatory exercise training (p<0.01) and there was also a significant reduction in VAS score (p<0.01) whereas SPO2 was increased significantly (p<0.01). Thus it showed that pre operative education and ventilatory exercise training is effective in reducing and improves recovery among patients undergoing cardiac surgery.
Keywords: CABG, post-operative education
Edition: Volume 12 Issue 3, March 2023,
Pages: 1647 - 1652