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Abstract:Introduction: Background. Upper abdominal surgery alters postoperative pulmonary function, as observed by impairment of lung volumes such as total lung capacity, vital capacity. Impaired clearance of sputum results in a vicious cycle of colonization and infection of bronchi with pathogenic organisms, dilation of bronchi and further production of sputum. The aim was to investigate the effect of combination of Acapella device and breathing exercises on treatment of post operative pulmonary complications after upper abdominal surgeries. Subjects and methods: Sixty patients underwent upper abdominal surgery were assigned randomly into two equal groups; their ages ranged from 20-50 years. The study group received breathing exercises, Acapella device and traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). Control group received traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). All groups received three sessions per week for four successful weeks. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to measure pulmonary function: Forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) using electronic spirometer. Results: Post treatment results showed that there was a significant improvement difference in FVC and FEV1 in both groups in favor of the study group. Percentage of improvement of FVC in the study group was 42.28%, while it was 16.31%in the control group. Percentage of improvement of FEV1 in the study group was 49.05%, while it was 20.79%in the control group. Conclusion: Combination of Acapella device and breathing exercises were considered to be an effective modality for treatment of postoperative pulmonary complications and removal of secretions after upper abdominal surgeries.
Abstract:Introduction: Background. Upper abdominal surgery alters postoperative pulmonary function, as observed by impairment of lung volumes such as total lung capacity, vital capacity. Impaired clearance of sputum results in a vicious cycle of colonization and infection of bronchi with pathogenic organisms, dilation of bronchi and further production of sputum. The aim was to investigate the effect of combination of Acapella device and breathing exercises on treatment of post operative pulmonary complications after upper abdominal surgeries. Subjects and methods: Sixty patients underwent upper abdominal surgery were assigned randomly into two equal groups; their ages ranged from 20-50 years. The study group received breathing exercises, Acapella device and traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). Control group received traditional chest physical therapy program (postural drainage. percussion, vibration, cough training and early ambulation). All groups received three sessions per week for four successful weeks. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to measure pulmonary function: Forced vital capacity (FVC) and Forced expiratory volume in one second (FEV1) using electronic spirometer. Results: Post treatment results showed that there was a significant improvement difference in FVC and FEV1 in both groups in favor of the study group. Percentage of improvement of FVC in the study group was 42.28%, while it was 16.31%in the control group. Percentage of improvement of FEV1 in the study group was 49.05%, while it was 20.79%in the control group. Conclusion: Combination of Acapella device and breathing exercises were considered to be an effective modality for treatment of postoperative pulmonary complications and removal of secretions after upper abdominal surgeries.
Background: Abdominal surgery is one of the most frequent surgical procedures performed in age 65 and more. postoperative respiratory tract infection (RTIs) is the most common serious complication after this type of surgery with reported incidence between 17-88%. Delayed mobilization was associated with a three-fold increase in RTIs. Aim of the study: To evaluate the effect of early ambulation on reducing RTIs among postoperative elderly patients with abdominal surgeries. Research design: Quasi-experimental research design was utilized in the current study. Subjects: Convenient sample including 80 elderly patients male and female, classified equally into two equal groups; study group (n= 40) and control group (n= 40), were collected through one year. Setting: This study was carried out at the general surgery departments (A and C) at Minia University Hospital. Tools of data collection: three tools were utilized in collecting data. Tool I: patient interview structured questionnaire, Tool II: patient's physical and respiratory assessment; Tool III: early ambulation record. Results: current study findings revealed that the 87.5% of the study group were free from postoperative RTIs. In contrast to, 85% of the control group had postoperative RTIs. Conclusion: The current study findings concluded that, early ambulation had a synergetic positive effect on reducing postoperative RTIs, improving respiratory parameters and decreased length of hospital stay among elderly with laparotomy. Recommendations: Hospitals should recommend implementing protocols for postoperative early ambulation as a routine hospital policy among all general surgical patients in all age groups.
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