ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 20 of 33
Up
JMBS 2021, 6(4): 142–148
https://doi.org/10.26693/jmbs06.04.142
Physical Therapy and Ergotherapy

The Influence of Respiratory Component on Satisfaction with Physical Therapy after Cardiosurgical Interventions

Vitomskyi V. V. 1,2
Abstract

The purpose of the study was to investigate the effect of additional respiratory physical therapy on the level of satisfaction with physical therapy among patients after cardiac surgery. Materials and methods. The study involved 150 patients. The patients were randomly divided into three groups: control (respiratory physical therapy was limited to cough), group of incentive spirometry (in classes with a physical therapist patients performed additional 3 approaches of 10 breaths through the simulator; they received recommendations for hourly performance of a similar number of cycles of exercise), a group of patients who received additional respiratory physical therapy with positive expiratory pressure in the form of exhalation into a bottle of water through a tube (number of repetitions and recommendations are similar to those received by the previous group). All groups underwent the same protocol of mobilization and use of therapeutic physical exercises in the procedure of therapeutic gymnastics. Performing exercises with breathing simulators began on the first postoperative day. Results and discussion. A questionnaire (17 questions) was used to assess the satisfaction with physical therapy. The survey was conducted on the seventh postoperative day. The answers were distributed on a 5-point Likert scale from 1 point to 5 points. The key preoperative indicators and time indicators of surgical interventions of the examined groups did not differ significantly. Analysis of satisfaction with physical therapy revealed a high level in all items of the questionnaire. Statistical differences between the groups were found in only three items of the questionnaire, but they were not related to either the use of equipment or diligence in treatment or the content of physical therapy. The overall score of the questionnaire did not differ in groups according to the Kraskel-Wallis criterion, and Me indicators (25%; 75%) were in the control group – 81 (77; 85) points, in the group of stimulating spirometry – 81 (72; 85) points in the group with positive expiratory pressure – 79 (73; 84) points (χ2 = 4.560; p = 0.102). Conclusion. Additional respiratory physical therapy did not affect the overall satisfaction rate and results of most items of the questionnaire. The differences found in the three items did not indicate any effect of the use of respiratory physical therapy on the level of satisfaction, as higher scores in these items were in the control group. All items in the questionnaire received high scores

Keywords: breathing exercises, therapeutic exercises, therapeutic alliance, cardiorehabilitation, satisfaction

Full text: PDF (Ukr) 294K

References
  1. Ferreira PE, Rodrigues AJ, Evora PR. Effects of an inspiratory muscle rehabilitation program in the postoperative period of cardiac surgery. Arq Bras Cardiol. 2009; 92(4): 275-82. https://doi.org/10.1590/S0066-782X2009000400005
  2. Johnson D, Hurst T, Thomson D, Mycyk T, Burbridge B, To T, Mayers I. Respiratory function after cardiac surgery. J Cardiothorac Vasc Anesth. 1996; 10(5): 571-7. https://doi.org/10.1016/S1053-0770(96)80130-3
  3. Cordeiro AL, de Melo TA, Neves D, Luna J, Esquivel MS, Guimarães AR, et al. Inspiratory Muscle Training and Functional Capacity in Patients Undergoing Cardiac Surgery. Braz J Cardiovasc Surg. 2016; 31(2): 140-4. https://www.ncbi.nlm.nih.gov/pubmed/27556313. Https://www.ncbi.nlm.nih.gov/pmc/articles/5062729. https://doi.org/10.5935/1678-9741.20160035
  4. Hulzebos EH, Helders PJ, Favié NJ, De Bie RA, Brutel de la Riviere A, et al. Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial. JAMA. 2006 Oct 18; 296(15): 1851-7. https://www.ncbi.nlm.nih.gov/pubmed/17047215. https://doi.org/10.1001/jama.296.15.1851
  5. Lomi C, Westerdahl E. Physical therapy treatment after cardiac surgery: a national survey of practice in Greece. J Clin Exp Cardiolog. 2013; 7(004): 1-5. https://doi.org/10.4172/2155-9880.S7-004
  6. Cargnin C, Karsten M, Guaragna JCVDC, Dal Lago P. Inspiratory Muscle Training After Heart Valve Replacement Surgery Improves Inspiratory Muscle Strength, Lung Function, and Functional Capacity: A RANDOMIZED CONTROLLED TRIAL. J Cardiopulm Rehabil Prev. 2019; 39(5): E1-E7. PMid:31465307. https://doi.org/10.1097/HCR.0000000000000409
  7. Kodric M, Trevisan R, Torregiani C, Cifaldi R, Longo C, Cantarutti F, et al. Inspiratory muscle training for diaphragm dysfunction after cardiac surgery. J Thorac Cardiovasc Surg. 2013 Mar; 145(3): 819-23. https://www.ncbi.nlm.nih.gov/pubmed/22938776. https://doi.org/10.1016/j.jtcvs.2012.07.087
  8. Vitomskyi VV, Lazarіeva OB, Doroshenko EYu, Vitomska MV, Kovalenko TМ, Hertsyk AМ, et al. The impact of mobilization protocols on the length of postoperative hospitalization among cardiac surgery patients. Zaporozhye medical journal. 2021; 23 (2): 259-265. https://doi.org/10.14739/2310-1210.2021.2.228781
  9. Donabedian A. The quality of care. How can it be assessed? JAMA. 1988; 260(12): 1743-8. https://www.ncbi.nlm.nih.gov/pubmed/3045356. https://doi.org/10.1001/jama.260.12.1743
  10. Hush JM, Cameron K, Mackey M. Patient satisfaction with musculoskeletal physical therapy care: a systematic review. Phys Ther. 2011 Jan; 91(1): 25-36. https://www.ncbi.nlm.nih.gov/pubmed/21071504. https://doi.org/10.2522/ptj.20100061
  11. Dull JL, Dull WL. Are maximal inspiratory breathing exercises or incentive spirometry better than early mobilisation after cardiopulmonary bypass? Phys Ther. 1983; 63: 655-9. https://www.ncbi.nlm.nih.gov/pubmed/6844410. https://doi.org/10.1093/ptj/63.5.655
  12. Renault JA, Costa-Val R, Rosseti MB, Houri Neto M. Comparison between deep breathing exercises and incentive spirometry after CABG surgery. Rev Bras Cir Cardiovasc. 2009; 24: 165-72. https://www.ncbi.nlm.nih.gov/pubmed/19768295. https://doi.org/10.1590/S0102-76382009000200012
  13. Reeve J, Ewan S. The physiotherapy management of the coronary artery bypass graft patient: a survey of current practice throughout the United Kingdom. Assoc Chart Physiother Resp Care. 2006; 27: 35-45.
  14. Vitomskyi VV. Vplyv respiratornoi fizychnoi terapii na riven vilnoi ridyny u plevralnykh porozhnynakh pislia kardiokhirurhichnykh vtruchan [The Effect of Respiratory Physical Therapy on the Lеvel of Free Fluid in Pleural Cavities after Cardiac Surgery]. Ukr Ž Med Bìol Sport. 2021; 6(2): 189-95. https://doi.org/10.26693/jmbs06.02.189
  15. Vitomskyi VV, Al-Hawamdeh KM, Vitomska MV, Gavreliuk SV. Porivniannia pokaznykiv terapevtychnoho aliansu za rezultatamy anketuvannia kardiokhirurhichnykh patsiientiv ta yikh fizychnykh terapevtiv [Comparison of the Therapeutic Alliance Indicators according to the Results of the Survey of Cardiosurgical Patients and their Physical Therapists]. Ukr Ž Med Bìol Sport. 2020; 5(6): 275-81. https://doi.org/10.26693/jmbs05.06.275
  16. Monnin D, Perneger TV. Scale to measure patient satisfaction with physical therapy. Phys Ther. 2002; 82(7): 682-91. https://www.ncbi.nlm.nih.gov/pubmed/12088465. https://doi.org/10.1093/ptj/82.7.682
  17. Ampiah PK, Ahenkorah J, Karikari M. Patients' Satisfaction With Inpatient Orthopedic Physiotherapy Services at a Tertiary Hospital in Ghana. J Patient Exp. 2019; 6(3): 238-246. https://www.ncbi.nlm.nih.gov/pubmed/31535013. Https://www.ncbi.nlm.nih.gov/pmc/articles/6739682. https://doi.org/10.1177/2374373518793144
  18. van der Peijl ID, Vliet Vlieland TP, Versteegh MI, Lok JJ, Munneke M, Dion RA. Exercise therapy after coronary artery bypass graft surgery: a randomized comparison of a high and low frequency exercise therapy program. Ann Thorac Surg. 2004; 77(5): 1535-41. https://www.ncbi.nlm.nih.gov/pubmed/15111138. https://doi.org/10.1016/j.athoracsur.2003.10.091
  19. Lima PM, Cavalcante HE, Rocha AR, Brito RT. Physical therapy in postoperative cardiac surgery: patient's perception. Rev Bras Cir Cardiovasc. 2011; 26(2): 244-9. https://www.ncbi.nlm.nih.gov/pubmed/21894415. https://doi.org/10.1590/s0102-76382011000200015
  20. Simchen E, Naveh I, Zitser-Gurevich Y, Brown D, Galai N. Is participation in cardiac rehabilitation programs associated with better quality of life and return to work after coronary artery bypass operations? The Israeli CABG Study. Isr Med Assoc J. 2001; 3(6): 399-403.
  21. Braun LA, Stanguts C, Casanelia L, Spitzer O, Paul E, Vardaxis NJ, et al. Massage therapy for cardiac surgery patients - a randomized trial. J Thorac Cardiovasc Surg. 2012; 144(6): 1453-9. https://www.ncbi.nlm.nih.gov/pubmed/22964355. https://doi.org/10.1016/j.jtcvs.2012.04.027