Effect of Implementing Respiratory Exercises on Patients’ Hemodynamic Parameters Post Extubation in Cardiothoracic Intensive Care Unit | ||
| Tanta Scientific Nursing Journal | ||
| Volume 37, Issue 2, May 2025 PDF (1018.76 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/tsnj.2025.434608 | ||
| Authors | ||
| Hady E. Kandil1; Safaa E. Ahmed2; Abdelhady M. Taha3; Heba Z. Elmetyazidy4 | ||
| 1Nursing Specialist, Kafr Elsheikh University Hospitals, Egypt 2 Master student at Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 2Prof of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| 3Prof of Cardiothoracic Surgery, Faculty of Medicine, Tanta University, Egypt | ||
| 4Assist prof of Critical Care Nursing, Faculty of Nursing, Tanta University, Egypt | ||
| Abstract | ||
| Background: The most critical time for the patient is the postoperative phase. During this period, complications following open heart surgery result in significant consequences so using respiratory exercises have long been a standard component of post-operative care. Aim: Evaluate the effect of implementing respiratory exercises on patients’ hemodynamic parameters post extubation in Cardiothoracic Intensive Care Unit. Design: A quasi- experimental study was used. Setting: Cardiothoracic Intensive Care Unit in Tanta International Teaching Hospital affiliated to Tanta University Hospitals. Subjects: Purposive sample of 60 patients divided into two groups 30 in each. Tools: Three tools were utilized in this research. Tool I: Patients’ Structured Assessment. Tool II: Cardiothoracic Rehabilitation Exercises Tolerance Checklist. Tool III: Patients’ Respiratory Hemodynamic Parameters. Result: the mean of FEV1 in the study group at first day was 87.87±5.17 and for the second day was 93.63±3.43 with highly statistically significant, p value = 0.000. Comparison with the mean control group FEV1 was 56.30±4.21 for day one and 56.57±3.89for day two .the mean of FVC in the study group first day was 86.27±3.06 and for the second day was 92.60±3.58 with highly statistically significant p value = 0.000. A significant correlation between total exercises tolerance and heart rate and pao2 among patients in study group on 2nd day with p value 0.005 and 0.003 respectively, while there no significant correlation between total exercises tolerance and BP, RR and Paco2 with p value < 0.05. Conclusion: Combination of early activity and chest physiotherapy lead to better hemodynamic parameters such as oxygenation and ventilation indicators and stability of vital signs than the routine nursing care. Recommendation: Giving more training to nurses working in anesthesia care who deal with patients after open-heart surgery and encouraging nurses to using deep breathing exercise and incentive spirometer, shoulder mobilization and chest exercises and upper limb exercise. | ||
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