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IRCT20211119053108N1 IRCT 2022-01-03 Shahid Rajaei Heart Center Respiratory Physiotherapy before Surgery and Pulmonary Complications Effect of Respiratory Physiotherapy before Surgery on Pulmonary Complications in Patients Undergoing Cardiac valve Surgery 2021-12-31 anticipated 80 Complete https://irct.ir/trial/60247 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Prevention, Randomization description: The candidate for heart valve surgery will select the available method based on the inclusion criteria and randomly assign a block to one of the experimental (40) or control (40) groups. For random assignment to the experimental or control group, the blocking method will be used in the form of four random blocks. The letter A belongs to the intervention group and the letter B belongs to the control group. Based on. The sample size is 80 people. Blocking is used in the form of four blocks. N/A Pulmonary complications . cardiovascular patients. Intervention 1: Intervention group: The start of TFS physiotherapy is 15 days before surgery. In the clinic of Shahid Rajaei Hospital, pamphlets related to breathing exercises and incentive spirometry are provided to the patient and the necessary training on how to perform respiratory physiotherapy and use of incentive spirometry is given through lectures and shows. The patient is given. To ensure the effectiveness of the training, the patient is asked to once use the method of using incentive spirometry and how to perform respiratory physiotherapy in the presence of the researcher, and in case of problems at any stage, the training will be repeated.Preoperative physiotherapy techniques for patients will include the following: 1. Breathing exercises consisting of 10 attempts at deep breathing and diaphragmatic breathing 2. 10 breathing lip buds 3. Neck and shoulder exercises with emphasis on chest rehabilitation 4. Muscle tension exercises 5. Exercises to strengthen the muscles responsible for moving the shoulders back and forth (Shakoori et al., 2015). 6. Use of incentive spirometry (IS) (Respiflow ™ FS) and effective cough. Intervention 2: Control group: The usual hospital treatments are performed on the control group. Yes - There is a plan to make this available What will be shared: Participant data When: 6 months after printing the results To whom: People working in scientific institutes Conditions: In order to be used for scientific work Where to obtain: By email and phone number How to obtain: Send requests from individuals and then review and send responses Comments:
public Saeed Hosseini
Shariati St., Kaleem Kashani St., Daryani Alley, No. 52, Unit 2
Tehran Iran (Islamic Republic of) ۱۶۱۳۷۷۳۹۱۱ +98 21 3421 5785 hamedbayati700@gmail.com Shahid Rajaei Heart Center scientific Saeed Hosseini
Shariati St., Kaleem Kashani St., Daryani Alley, No. 52, Unit 2
Tehran Iran (Islamic Republic of) ۱۶۱۳۷۷۳۹۱۱ +98 21 3421 5785 hamedbayati700@gmail.com Shahid Rajaei Heart Center Iran (Islamic Republic of) Patients who are candidates for heart valve surgery (mitral, aortic or tricuspid) No history of heart surgery No neuromuscular disorders or cognitive disorders No emergency surgery 18 years 65 years Both Dissatisfaction with participating in the study Be lung and kidney healthy ۰ ۰ Treatment - Devices Treatment - Devices Intervention group: The start of TFS physiotherapy is 15 days before surgery. In the clinic of Shahid Rajaei Hospital, pamphlets related to breathing exercises and incentive spirometry are provided to the patient and the necessary training on how to perform respiratory physiotherapy and use of incentive spirometry is given through lectures and shows. The patient is given. To ensure the effectiveness of the training, the patient is asked to once use the method of using incentive spirometry and how to perform respiratory physiotherapy in the presence of the researcher, and in case of problems at any stage, the training will be repeated.Preoperative physiotherapy techniques for patients will include the following: 1. Breathing exercises consisting of 10 attempts at deep breathing and diaphragmatic breathing 2. 10 breathing lip buds 3. Neck and shoulder exercises with emphasis on chest rehabilitation 4. Muscle tension exercises 5. Exercises to strengthen the muscles responsible for moving the shoulders back and forth (Shakoori et al., 2015). 6. Use of incentive spirometry (IS) (Respiflow ™ FS) and effective cough Control group: The usual hospital treatments are performed on the control group Determining and comparing the mean results of arterial blood gases in the intervention and control groups, before surgery and three days after surgery. Timepoint: Before surgery and 3 days later. Method of measurement: Measurement using arterial blood gas test results. • Determination and comparison of mean respiratory volume using incentive spirometry in the intervention and control groups, before, three days and six days after surgery. Timepoint: Before surgery and 3 days later and 6 days later. Method of measurement: Based on the volume determined by the incentive spirometer. Determination of clinical and radiographic symptoms of pneumonia and atelectasis in the intervention group compared with the control group before, three days and six days after surgery. Timepoint: Before surgery and 3 days later and 6 days later. Method of measurement: Based on clinical examination and chest x-ray. Determining and comparing the mean duration of intubation and hospitalization time in the intensive care unit and hospitalization in the intervention and control groups. Timepoint: Duration of hospitalization. Method of measurement: Based on hospital information. Personal Approved 2021-03-09 Ethics Committee of Shahid Rajaei Heart Center Tehran - Vali Asr St. (AS) - Next to Mellat Park - Corner of Niayesh Shahid Rajaei Cardiovascular Training, Research and Treatment Center Tehran Tehran Iran (Islamic Republic of)