Volume 27, Issue 6 (1-2020)                   Avicenna J Nurs Midwifery Care 2020, 27(6): 432-440 | Back to browse issues page

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Oshvandi K, Bostanbakhsh A, Salavati M, Bakhsai M, Moghimbeighi A, Maghsoudi Z. Effect of Respiratory Exercises on the Prevalence of Atelectasis in Patients Undergoing Coronary Artery Bypass Surgery. Avicenna J Nurs Midwifery Care 2020; 27 (6) :432-440
URL: http://nmj.umsha.ac.ir/article-1-2039-en.html
Effect of Respiratory Exercises on the Prevalence of Atelectasis in Patients Undergoing Coronary Artery Bypass Surgery
Khodayar Oshvandi1 , Atefeh Bostanbakhsh2 , Mohsen Salavati * 3, Mohammad Bakhsai4 , Abas Moghimbeighi5 , Zahra Maghsoudi6
1- Maternal and Child Care Research Center, Faculty of Nursing & Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Master of Nursing, Student Research Committee, School of Nursing and Midwifery, Hama- dan University of Medical Sciences, Hamadan, Iran
3- Instructor, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , salavati@umsha.ac.ir
4- Associate Professor, Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Biostatistics, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
6- PhD Student in Nursing, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (6497 Views)

Introduction: Patients with coronary artery bypass (CAB) surgery are at risk of atelectasis. Use of respiratory exercises as an effective approach has had controversy finding in CAB patients. This study aimed to determine the effect of breathing exercises on the prevention of atelectasis in patients undergoing coronary artery bypass surgery.
Methods: In this randomized clinical trial, 80 patients with CAB surgery who referred to Ekbatan Hospital, Hamadan, Iran from July 2013 to May 2015 were randomly divided into two groups. In experimental group (n=40), respiratory exercises (30 deep respiratory per hour for 3 days postoperatively) were performed by patients, after full education and extubation along with routine care. In control group (n=40), patients only received routine care. Chest x ray was used to diagnose atelectasis. Data analysis was done by SPSS 17.
Results: The two groups did not differ significantly in terms of personal characteristics such as age, sex, education, bmi and etc. (P<0/05). The result of the Mann-Whitney test in order to compare the two groups of test and control for the occurrence of atelectasis, respiration and respiratory type showed a significant difference between the two groups at all hours after surgery (P<0/001). These findings confirmed the effectiveness of respiratory exercises.
Conclusion: This study showed that breathing exercises can reduce the incidence of atelectasis. Therefore, applying this method as a routine care is recommended in patients with CAB surgery.

Keywords: Breathing exercises, Coronary artery bypass surgery, Atelectasis
Persian Full-Text [PDF 477 kb]   (2100 Downloads) |   |   Extended Abstract (HTML)  (2515 Views)  

✅ This study showed that breathing exercises can reduce the incidence of atelectasis. Therefore, applying this method as a routine care is recommended in patients with CAB surgery.


Type of Study: Original Research | Subject: Nursing
Received: 2019/05/20 | Accepted: 2019/07/14 | Published: 2019/08/28
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