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Rehabilitation Practice and Science

Translated Title

術前復健治療對於高危險開心手術之病人其住院日的影響

Abstract

The study was to evaluate the effect of pre-operative education for diaphragmatic breathing and coughing techniques in elective open heart surgery patients on the post-operative pulmonary complications, ventilator use duration and post-operative hospital days.The retrospective chart reviewarticle of the 27 elective open heart surgery patients was from March 2008 to April 2009. The basic data and risk factors of post-operative complications were recorded. The complications, mechanical ventilation duration, and hospital days in the two groups with and without the education were compared; so were the high risk and nonhigh risk group according to the risk score of the post-operative pulmonary complications.The 13 patients were pre-operatively educated for the diaphragmatic breathing and coughing techniques; the 12 patients were as the control group. Before hospital discharge, the post-operative pulmonary complications developed in the 8 (61.5%) patients in the former group and 12 (85.7%) in the latter group (p=0.476), both of which also showed no significant difference in the durations of: ventilator use; ICU stay; general ward stay; post-operative hospital stay. But in the high risk group (risk score ＞ 2) of the post-operative pulmonary complications, the mean duration of postoperative hospitalization was reduced more significantly in Group 1 than 2 (6.03±1.03 vs. 9.24±3.29 days; p=0.012).The education for diaphragmatic breathing and coughing techniques before open-heart surgery in high risk patients of post-operative pulmonary complications decreased hospitalization and medical care costs.

Language

Traditional Chinese

First Page

157

Last Page

165

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