Effect of Incentive Spirometry on Recovery of Post-Operative Patients: Pre Experimental Study

A. Kaur, C. Kalyani, K. Kusum
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引用次数: 3

Abstract

Background: Post-operative care is management of patients after any surgery. The main goal of post-operative care is to prevent complications i.e. atelectasis and infection. The other objective is early healing of the surgical incision and return of patient to a state of health. About 17% to 88% of people in postoperative duration will have decreased lung volumes. This decreased lung volume problem can be solved with use of incentive spirometry in postoperative period on Day 1. Incentive spirometer is perioperative respiratory therapy given to postoperative patients to improve lung volume of patients and hasten recovery of patients also.Purpose: This study aimed to identify effect of Incentive spirometry on postoperative patient’s recovery.Methods: It was pre-experimental study with pretest- posttest design only, which was done on post-operative patients at All India Institute of Medical Sciences (AIIMS), Rishikesh.Results: Majority (52 %) of participants were 41 to 50 years age group. Male and female ratio for participants were 46:54. Paired ‘t’ test p value i.e. 0.00* with CI [0.72, 1.03] showed that on Pretest and Day 3 Performance level on incentive spirometry of participants showed a significant value, which indicate that spirometer enhance recovery of post-operative patients by increasing their lung volumes.Conclusions: This study revealed that incentive spirometry is effective in improving of pulmonary function among post-operative patients, which further improves blood circulation and hasten early recovery of surgical wound. This spirometry should be integral part of Post-operative care. All nurses who are involved in Postoperative units should encourage patients to do it on regular basis and document it as a vital sign. Good compliance to incentive spirometry can improve better outcome of patient’s
激励性肺活量测定法对术后患者康复的影响:实验前研究
背景:术后护理是对任何手术后患者的管理。术后护理的主要目的是预防并发症,如肺不张和感染。另一个目的是使手术切口早日愈合,使病人恢复健康。术后约有17% - 88%的患者肺容量减小。术后第1天使用刺激肺活量计可以解决肺容量减少的问题。奖励性肺活量计是术后患者围手术期的呼吸治疗方法,可改善患者肺容量,加快患者康复。目的:探讨激励性肺活量测定法对术后患者康复的影响。方法:采用前测-后测设计的实验前研究,对全印度医学科学研究所(AIIMS)手术后患者进行研究。结果:大多数参与者(52%)年龄在41至50岁之间。参与者的男女比例为46:54。配对“t”检验p值为0.00*,CI[0.72, 1.03]表明,受试者在预试和第3天的激进性肺活量计的表现水平均有显著值,说明肺活量计通过增加患者肺容量来促进术后患者的恢复。结论:本研究表明,激励肺活量测定法能有效改善术后患者的肺功能,进一步改善血液循环,促进手术创面的早期恢复。这种肺活量测定应该是术后护理的一个组成部分。所有参与术后病房的护士都应鼓励患者定期进行检查,并将其作为生命体征记录下来。良好的依从性可以改善患者的预后
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