Effect of Chest Physiotherapy along with Early Mobility after Abdominal Surgery

Abstract

The purpose of the study was to evaluate the effect of chest physiotherapy along with early mobility after abdominal surgery. The study was investigating the effect of chest physiotherapy along with early mobility and only chest physiotherapy after major abdominal surgeries on respiratory function, length of hospital stays, pain intensity, oxygen saturation level and status of functional independency (FIM).
 Methodology: This was a quasi-experimental study where sixty patients with Lower abdominal surgery conveniently selected from the post-operative unit of the tertiary level specialized hospitals in Dhaka and simple random sampling was used for differentiating the groups. Thirty patients in chest physiotherapy group (control) and thirty in chest physiotherapy along with early mobility group (Experimental). It was measured the respiratory function, length of hospital stays, pain intensity, oxygen saturation level and status of functional independence.
 Results: Regarding this study the mean age of the experimental group were 46.7 (±18.12) years and mean age of control group were 43.4 (±15.66) years. Mean length of hospital stay was 7.90 (± 2.078) days in experimental group and 11.50 (±3.75) in control group, and the p value was 0.0016 in experimental group and 0.019 in control group so it was proved that the chest physiotherapy along with early mobilization significantly reduce the duration of hospital stay and chest physiotherapy was also effective. However it was showed that post-operative day-05 experimental group treatment was significantly effective where the p value was ≤0.05 (p=0.0378). So it was absolute showed that the treatment of experimental group was much effective. Study was showed that the effect on improving functional independency level was significantly effective of experimental group of FIM score in all parameters and also in control group also but in comparison it was showed that the experimental group was more effective than control group.
 Conclusion: It was identified the significant effectiveness of chest physiotherapy (CPT) along with early mobility rather than only chest physiotherapy after abdominal surgeries. But both groups of participants were showed significant effectiveness. Participants in the CPT along with early mobility exercise after abdominal surgeries showed that it significantly reduces the duration of hospital stay and as well as increase the peripheral oxygen saturation level and also improved functional independence rather than the control group who got only chest physiotherapy.

Programa De Reabilitação Respiratória Na Pessoa Submetida a Cirurgia

“…A participação em programa de RR permite maximizar a função pulmonar (Liu et al, 2020), pelo que participantes que integraram programas de RR no período perioperatório, demonstram menor incidência de complicações pulmonares do foro pulmonar e como consequência o tempo internamento em instituição hospitalar para recuperação pós-operatória é menor (Kabir et al, 2021;Liu et al, 2020;Zhou et al, 2020).…”

“…O programa de RR, no período pré-operatório, possibilita aos integrantes melhoria da função pulmonar, maximização da função motora e marcha. Já no que respeita à sua implementação no período pós-operatório, os integrantes demonstram melhoria no parâmetro FEV1, melhoria na qualidade de vida, além de contribuir para melhorar a amplitude de movimentos e maximizar a independência funcional (Fujimoto & Nakayama, 2019;Kabir et al, 2021).…”

“…A estes exercícios respiratórios, associa-se treino aeróbico (Fujimoto & Nakayama, 2019;Gao et al, 2019;Lohiya et al, 2018;Wang et al, 2019;Zhou et al, 2020). Já no período pós-operatório o enfoque assenta na mobilização precoce, limpeza das vias aéreas, correção postural, reeducação respiratória no esforço e continuidade dos exercícios respiratórios iniciados no período préoperatório (Ahmad, 2018;Gao et al, 2019;Kabir et al, 2021;Liu et al, 2020;Wang et al, 2019).…”

“…Na sua realização a pessoa é instruída a inspirar pelo nariz e suster a respiração por 2 segundos e seguidamente a expirar pela boca lentamente, com os lábios franzidos. No período pós-operatório a pessoa deve ser instruída a realizar contenção da incisão cirúrgica, aquando da realização deste exercício, afim de minimizar a dor (Ahmad, 2018;Fujimoto & Nakayama, 2019;Gao et al, 2019;Kabir et al, 2021;Lohiya et al, 2018;Zhou et al, 2020). Estes exercícios podem ainda ser combinados com mobilização de membros superiores e tronco (Ahmad, 2018).…”

“…Pode ser realizado na posição sentado ou deitado, em que como estímulo a pessoa é instruída a colocar as mãos na região epigástrica e apical e instruída a respirar para o abdómen e parte inferior do tórax (Gao et al, 2019;Kabir et al, 2021;Liu et al, 2020;Zhou et al, 2020).…”