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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引用次数: 0

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.

Abstract Image

查看原文本刊更多论文

冠脉搭桥术患者奖励性肺活量测定的结果：一项随机对照试验。

背景：激励性肺活量测定法是在护理之外使用的，特别是在减少手术后肺部并发症方面。心血管和肺系统的并发症基本上可以通过血值和生命体征来判断，这是血液动力学的重要客观数据。目的：本研究旨在验证激励性肺活量测定结合术后肺康复护理对动脉血气、血氧饱和度（SpO2）及生命体征有显著影响的假设。方法：随机对照试验采用重复测量设计。该研究在2021年至2022年间进行，分析了在一所大学医院心血管外科诊所接受冠状动脉搭桥手术的58名患者的数据。所有患者均接受肺康复治疗，实验组加励肺活量测定。结果：实验组患者术后第3天动脉血氧分压（PaO2）（p = 0.01）、动脉血氧饱和度（SaO2）（p = 0.002）、血氧饱和度（SpO2） (p)明显降低。结论：激励肺活量测定可改善冠状动脉搭桥术后血氧水平和生命体征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.