title: Investigation of the effects of chest physiotherapy in different positions on the heart and the respiratory system after coronary artery bypass surgery.
abstract: This trial was conducted to investigate the effect of chest physiotherapy in different positions on the heart and the respiratory system after coronary artery bypass surgery. Patients are divided into two groups of 30 patients each in the study. To the patients in the first group (30 patients), percussion-vibration was performed in the 45° supine position, while slightly laterally lying and endotracheal aspiration was performed in the supine position. To the patients in the second group (30 patients), percussion-vibration was performed in the 0° supine position, while slightly laterally lying and endotracheal aspiration was performed in the supine position. The procedures are repeated two times for all patients and their means were taken. The pre- and postapplication values of patients were measured from central venous and arterial catheters and the values of patient monitors were recorded. Comparison of the two groups in terms of respiratory values did not reveal a significant difference, but chest physiotherapy with the head of the bed at 0° was determined to improve cardiac functions. Evaluation of the groups in terms of pre- and postphysiotherapy applications showed a significant increase in mixed venous oxygen saturation in both groups. Chest physiotherapy with the head of the bed elevated to 45° may be recommended in patients who carry a risk of pulmonary complications and who are candidates for chest physiotherapy at an early stage.
authors.affiliation: Surgical Nursing Department, School of Health, Yuzuncu Yil University, Van, Turkey Ilkay.guner@hotmail.com.
authors.forename: Sukriye Ilkay
authors.initials: SI
authors.lastname: Guner
authors.affiliation: Surgical Nursing Department, Faculty of Nursing, Ege University, Bornova-İzmir, Turkey.
authors.forename: Fatma Demir
authors.initials: FD
authors.lastname: Korkmaz
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D002320:Cardiovascular Physiological Phenomena; D001026:Coronary Artery Bypass; D006321:Heart / Q000502:physiology; D006339:Heart Rate / Q000502:physiology; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D010474:Percussion / Q000379:methods*; D026741:Physical Therapy Modalities; D012121:Respiration, Artificial; D012143:Respiratory Physiological Phenomena; D012137:Respiratory System; D016683:Supine Position; D014732:Vibration; D055815:Young Adult
keywords: Coronary artery bypass graft; chest physiotherapy; mechanical ventilation; nursing application; patient position