Pulmonary Rehabilitation and Quality of Life

Study Overview
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Brief Summary
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In this study, the effect of a pulmonary rehabilitation (PR) program on the respiratory function and quality of life of patients undergoing CABG surgery with an open-heart technique is examined. A randomized controlled experimental design was used. The study was conducted with two groups: the intervention group (n=25) and control group (n=25). The control group received standard care after CABG. In contrast, the experimental group, in addition to standard care, participated in a PR program created by the researchers. After CABG, the respiratory functions of both groups (clinical care day 4) and quality of life (6th week) evaluated

Official Title
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The Effect of Pulmonary Rehabilitation on Respiratory Functions and Quality of Life Following Coronial Artery Bypass Grafting: a Randomized Controlled Trial

Conditions
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Coronary Artery Bypass Graft

Intervention / Treatment
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* Other: pulmonary rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who were extubated in twenty-four hours, aged 18 or above, had undergone CABG surgery using the open-heart method and using a saphenous vein graft for CABG, who were conscious, without visual and hearing problems, who spoke Turkish, had not orthopedic, psychiatric and neurological problems, no co-morbid lung disease, who had not been re-operated on, had not postoperative cardiac dysfunction, had not developed postoperative atrial fibrillation, who were willing to participate in the study. Exclusion Criteria: Patients who were not extubated in twenty-four hours, who were under 18 years of age, had not undergone CABG surgery using the open-heart method and using a saphenous vein graft for CABG, who were not conscious, were visual and hearing problems, who don't spoke Turkish, had orthopedic, psychiatric and neurological problems, co-morbid lung disease, who had been re-operated on, had postoperative cardiac dysfunction, had developed postoperative atrial fibrillation, who were not willing to participate in the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: intervention group<br>standard care and participated in a pulmonary rehabilitation program | Other: pulmonary rehabilitation<br>* Simple breathing techniques, secretion-removal techniques, airway-cleaning techniques, mobilization techniques and use of an incentive spirometer<br>|
| No Intervention: control group<br>received standard care after coronary artery bypass graft | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Pulmonary Function Test (PFT) | A diagnostic criterion used to identify patients with or at risk of pulmonary dysfunction. The PFT assessment was performed using the NDD Easy on-PC spirometer. During this test, challenging expiratory volume (FEV1 % (>80)), challenging vital capacity (FVC % (>80)), FEV1/FVC ( %, >80) ratio, and Peak Expiratory air pressure (PEF % (>100)) were measured in the first second. The PFT was performed in the Chest Diseases Outpatient Clinic of the hospital preoperatively. | Preoperative day | 
| The Pulmonary Function Test (PFT) Change | A diagnostic criterion used to identify patients with or at risk of pulmonary dysfunction. The PFT assessment was performed using the NDD Easy on-PC spirometer. During this test, challenging expiratory volume (FEV1 % (>80)), challenging vital capacity (FVC % (>80)), FEV1/FVC ( %, >80) ratio, and Peak Expiratory air pressure (PEF % (>100)) were measured in the first second. The PFT was performed in the Chest Diseases Outpatient Clinic of the hospital preoperatively. The PFT was performed in the Chest Diseases Outpatient Clinic of the 4th day of clinical care. | 4th day of clinical care | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Short-Form Health Survey (SF-36) | The points given vary between 0-100; 0 points indicate bad health and 100 points indicate that health is progressing in a good direction. | preoperative day | 
| The Short-Form Health Survey (SF-36) Change | The points given vary between 0-100; 0 points indicate bad health and 100 points indicate that health is progressing in a good direction. | postoperative sixth week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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coronary artery bypass, pulmonary rehabilitation, quality of life, respiratory functions