Effect of Deep Breathing Exercises on Post Operative Sleep Duration

Study Overview
=================
Brief Summary
-----------------
This study will provide the evidence that during the postoperative period deep breathing exercise combined with physical training can positively influence the sleep duration and quality. This study will provide the evidence that during the postoperative period deep breathing exercise combined with physical training can positively influence the sleep duration and quality.

Detailed Description
-----------------
Subjects will be randomly placed into Control group and Interventional group. The control program will consist of Deep Breathing Exercises (from Morning to night every three hours; each session consisting of 10 deep breaths with a few seconds pause between each set, for 3 days) in addition with progressive Exercises. Two daily sessions with an average duration of 25 min will be performed. In addition to the physiotherapeutic program standardized by the hospital's team of physical therapists, the intervention group will perform additional Deep breathing Exercises (from Morning to night every three hours; each session consisting of 30 deep breaths with a few seconds pause between each set, for 3 days). Deep breathing exercises will start 48 hours after extubation and full education along with the routine care (i.e.: from the fourth to sixth postoperative day).

Official Title
-----------------
Effect of Deep Breathing Exercises on Post Operative Sleep Duration and Quality in Patients Undergoing CABG (Coronary Artery Bypass Graft).

Conditions
-----------------
Coronary Artery Bypass Graft

Intervention / Treatment
-----------------
* Other: Deep Breathing Exercise after every 3hrs, each session consists of 10 deep breaths Exercise
* Other: Deep Breathing Exercise after every 3hrs, each session consist of 30 deep breaths Exercise


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Ability to read and write Stabilization of vital signs [blood pressure, pulse, respiration) Patient undergoing OFF Pump Coronary Artery Bypass Graft (CABG) Procedure Exclusion Criteria: History of severe mental diseases resulting in hospitalization and drug treatment within the previous 6 months Use any kind of other complementary methods such as massage therapy, aromatherapy, etc. to treat sleep disorders for the previous two weeks History of sleep or respiration disorders and used CNS medications in the night.

Ages Eligible for Study
-----------------
Minimum Age: 30 Years
Maximum Age: 69 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Deep breathing ex (10 reps) Group<br>The control program will consist of Deep Breathing Exercises (from Morning to night every three hours; each session consisting of 10 deep breaths with a few seconds pause between each set, for 3 days) in addition with progressive Exercises. | Other: Deep Breathing Exercise after every 3hrs, each session consists of 10 deep breaths Exercise<br>* • The control program will consist of Deep Breathing Exercises (from Morning to night every three hours; each session consisting of 10 deep breaths with a few seconds pause between each set, for 3 days) in addition with progressive Exercises.<br>|
| Experimental: Deep breathing ex (30 reps) Group<br>The intervention group will perform additional Deep breathing Exercises (from Morning to night every three hours; each session consisting of 30 deep breaths with a few seconds pause between each set, for 3 days). | Other: Deep Breathing Exercise after every 3hrs, each session consist of 30 deep breaths Exercise<br>* • The intervention group will perform additional Deep breathing Exercises (from Morning to night every three hours; each session consisting of 30 deep breaths with a few seconds pause between each set, for 3 days).<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| St Mary's Hospital Sleep Questionnaire (SMHSQ) | To check the quality of sleep over the past 24 hours. This SMH tool was a 14 item multiple choice and short answer instrument which examined individuals' previous nights sleep. | Baseline | 
| St Mary's Hospital Sleep Questionnaire (SMHSQ) | To check the quality of sleep over the past 24 hours. This SMH tool was a 14 item multiple choice and short answer instrument which examined individuals' previous nights sleep. | 3 week | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Breathing exercises, Coronary artery bypass, Sleep