Influence of a mobilization protocol in COPD patients after myocardial revascularization
DOI:
https://doi.org/10.33233/fb.v24i6.5521Keywords:
thoracic surgery, breathing exercises, physical therapy modalitiesAbstract
Background: The Chronic Obstrutive Pulmonary Disease (COPD) compromises the cardiac function, which may lead to a surgical necessity such as the myocardial revascularization (MR), and consequent pulmonary complications. Objective: To identify the influence of mobilization in the postoperative of MR on pulmonary complications and functional capacity in COPD patients. Methods: 69 patients with COPD II or III, >21 years old, divided into 2 groups. Preoperatively, control group (CG) and experimental group (EG) received orientations. Postoperatively, CG underwent respiratory physiotherapy and EG, respiratory and mobilization. The evaluation was pre-surgical and at hospital discharge through the 6-minute-walk test. Data tested for normality by the Kolmogoroy-Smirnov test. For the moment, two-way ANOVA was applied for the repeated samples. For the analysis of pulmonary complications, it was used the Chi-square test. In all analyses, the IBM SPSS version 21 software was adopted, with a significance level of 5%. Results: In the preoperative period, CG and EG showed no difference on the distance walked (p = 0.39), while postoperatively, yes (p = 0.00). Regarding the occurrence of pulmonary complications, CG was more compromised (p = 0.015). Conclusion: Postoperative mobilization of MR in COPD patients provided an increase in functional capacity and reduction in pulmonary complications.
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