Outcomes of Incentive Spirometry for Patients Undergoing Coronary Artery Bypass Surgery: A Randomised Controlled Trial

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-03-22 DOI:10.1111/ijn.70011

Esma Gökçe, Dudu Alptekin, Derya Gezer, Refiye Akpolat, Hamide Şişman, Güldane Kayhanlı, Sevban Arslan

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Abstract

Background

Incentive spirometry is used in addition to care, especially in reducing pulmonary complications after surgery. Complications in the cardiovascular and pulmonary systems can basically be determined by blood values and vital signs, which are important objective data of haemodynamics.

Aim

This study aimed to test the hypothesis that the use of incentive spirometry in conjunction with postoperative pulmonary rehabilitation care has a notable impact on arterial blood gas, oxygen saturation (SpO2) and vital signs.

Methods

This randomised, controlled trial used repeated-measures design. It was conducted between 2021 and 2022, and data from 58 patients who underwent coronary artery bypass graft surgery at the cardiovascular surgery clinic of a university hospital were analysed. All patients received pulmonary rehabilitation, and incentive spirometry was added for the experimental group.

Results

In the experimental group, on post-op day 3, the arterial partial pressure of oxygen (PaO2) (p = 0.01), arterial oxygen saturation (SaO2) (p = 0.002) and oxygen saturation (SpO2) (p < 0.001) values were statistically significantly higher. Additionally, on post-op day 3 the experimental group had significantly lower systolic blood pressure (p = 0.03), diastolic blood pressure (p = 0.004) and respiratory rate (p < 0.001).

Conclusion

Incentive spirometry after coronary artery bypass graft surgery improves oxygen levels and vital signs.

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.