Akademik Veri Yönetim Sistemi
Fizyoterapi Rehabilitasyon, cilt.15, sa.1, ss.28-33, 2004 (SCI-Expanded)
Purpose: This study has been planned to compare the effects of deep breathing and incentive spirometry (IS) on respiratory muscle function, arterial blood gases and hemodynamical parameters. Material and methods: This study was carried out with 60 patients who had abdominal surgery and were treated in the intensive care unit. Patients were divided randomly into two groups. Group 1 was applied physiotherapy program deep inspiration, forced expiration and coughing techniques, Group 2 was applied physiotherapy program included IS, forced expiration and coughing techniques. Both programs were performed every hour with 5-10 repetitions during 6 hours. Heart rate, mean arterial pressure and SpO2 calculated before and after each treatment period. FEV 1, FVC, FEV1/FVC, PImax and PEmax were measured before and after treatment. Arterial blood gases were recorded before and at 3rd and 6th hours after treatment. Results: We found that PaO2 values increased significantly at both groups after 6th hours treatment (p<0.001). Pre and post treatment values of heart rate, mean arterial pressure, SpO2, FEV1, FVC, FEV1/FVC, PImax and PEmax values within groups and between the two groups were not statistically significant (p>0.001). Conclusion: We found that after abdominal surgery deep breathing and IS do not negatively effect hemodynamic parameters and it increases oxygenetation. It is concluded that there are two different methods, which can be each others' alternative for postoperative chest physiotherapy.