EFFECT OF INSPIRATORY MUSCLE TRAINING ON CLINICAL OUTCOMES OF PATIENTS UNDERGOING CARDIOTHORACIC SURGERIESName : Dr. Afaf Abdelaziz Basal
Affliation : Assistant professor
University : Tanta university
Country : Egypt
Inspiratory muscle training is a therapeutic strategy that aimed at preventing post-operative pulmonary complications.
This study aimed to study the effect of inspiratory muscle training on clinical outcomes of patients underwent cardiothoracic surgeries.
Materials and Methods:
A quasi-experimental study was conducted in Cardiothoracic Surgery Department at Student Hospital affliated to Tanta University. A sample of 40 adult patients of both sexes underwent cardiothoracic surgeries based on statistical power analysis were selected and divided into 2 equal groups: Group 1 (Control group): were received routine hospital care. Group 2 (Study group): were received pre and postoperative inspiratory muscle training which was implemented by the researcher. Three tools were used to collect data: Tool (I) Cardiothoracic Patient Assessment Tool. Tool II Cardiovascular and Respiratory System Assessment Tool. Tool III The Clinical Outcome Assessment Tool.
The incidence of post-operative pulmonary complications was higher in the control group (70% and 60%) while it was (30% and 25%) of the study group during the 5th and 7th post-operative day respectively. Duration of stay in ICU was longer in the control group 4-17 days while it was 2-9 days in the study group. None of the study group compared to fifth (20%) and fourth (25%) of the control group needed re-intubation and ICU readmission respectively. A high proportion of the study group (55% and 70%) had dyspnea relieved by practice of inspiratory muscle training compared to none of the study group.
Conclusions and Recommendations:
Inspiratory muscle training is an effective nursing strategy in improving patient's outcomes after cardiothoracic surgery. It was recommended that all cardiothoracic surgical patients should receive pre and post-operative inspiratory muscle training as a daily routine care.
Dr. Afaf Abdulaziz Basal is an Assistant Professor of Medical Surgical Nursing in Faculty of Nursing, Tanta University, Egypt. She has published many scientific articles in regional and international journals of nursing and medical sciences. She has participated and is active coordinator for many international and local conferences of nursing.