Health Care Service, Afyonkarahisar State Hospital, 03200 Afyonkarahisar, Turkey.
Department of Nursing, Faculty of Health Science, Afyonkarahisar Health Science University, 03200 Afyonkarahisar, Turkey.
Biomed Res Int. 2021 Sep 17;2021:6811373. doi: 10.1155/2021/6811373. eCollection 2021.
Examining the effects of a pulmonary rehabilitation (PR) program applied to patients undergoing coronary artery bypass grafting (CABG) surgery with open heart technique on respiratory functions, functional capacity, and quality of life (QoL).
This randomised controlled study applied the Consolidated Standards of Reporting Trials statement.
The study was conducted with two groups: the intervention group ( = 25) and the control group ( = 25). The control group received standard care after coronary artery bypass grafting. On the contrary, the experimental group participated in a PR program created by the researchers in addition to standard care. After coronary artery bypass grafting, the respiratory functions (on the 4th day of clinical care) and QoL (at the 6 week) of both groups were evaluated. The primary outcome measure was the respiratory function (forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC). The secondary outcome measure of this study was the QoL.
When the average pulmonary function test values of the patients were examined, the mean FVC and FEV1 values of the patients in the intervention group on the 4th day of clinical care were significantly higher with a medium level size effect than the control group ( = 0.027; effect size () = 0.643; < 0.024; effect size () = 0.658, respectively). At the postoperative 6th week measurement of QoL, a decrease was observed in all subdimensions of the scale, albeit less in the intervention group ( < 0.05). There was a decrease in both the mental and physical component summary of QoL ( < 0.05).
The results of this study revealed that pulmonary rehabilitation applied to patients who have undergone coronary artery bypass graft recover their functional capacity faster.
研究对行体外循环冠状动脉旁路移植术（CABG）的患者实施肺康复（PR）方案对呼吸功能、功能能力和生活质量（QoL）的影响。
本随机对照研究采用 CONSORT 声明。
该研究纳入两组患者：干预组（n=25）和对照组（n=25）。对照组在 CABG 后接受标准护理。相反，实验组除了接受标准护理外，还参加了由研究人员制定的 PR 方案。在 CABG 后，评估两组患者的呼吸功能（临床护理第 4 天）和 QoL（6 周时）。主要结局指标为呼吸功能（第 1 秒用力呼气量（FEV1）、用力肺活量（FVC）和 FEV1/FVC）。本研究的次要结局指标为 QoL。
当检查患者的平均肺功能测试值时，与对照组相比，干预组患者在临床护理第 4 天的 FVC 和 FEV1 平均值具有中等水平的显著升高，组间差异有统计学意义（=0.027；效应量（d）=0.643；<0.024；效应量（d）=0.658）。在术后第 6 周的 QoL 测量时，所有子维度的评分均有所下降，但在干预组下降幅度较小（<0.05）。QoL 的心理和生理成分综合评分均有所下降（<0.05）。
本研究结果表明，对接受冠状动脉旁路移植术的患者实施肺康复可以使其更快地恢复功能能力。
