Effects of early mobilization on pulmonary parameters and complications post coronary artery bypass graft surgery.

Esmealy, L; Allahbakhshian, A; Gholizadeh, L; Khalili, AF; Sarbakhsh, P

Effects of early mobilization on pulmonary parameters and complications post coronary artery bypass graft surgery.

Esmealy, L Allahbakhshian, A Gholizadeh, L

Khalili, AF Sarbakhsh, P

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Appl Nurs Res, 2023, 69, pp. 151653
Issue Date:: 2023-02

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Field	Value	Language
dc.contributor.author	Esmealy, L
dc.contributor.author	Allahbakhshian, A
dc.contributor.author	Gholizadeh, L https://orcid.org/0000-0002-6711-3312
dc.contributor.author	Khalili, AF
dc.contributor.author	Sarbakhsh, P
dc.date.accessioned	2023-03-30T22:48:56Z
dc.date.available	2022-12-06
dc.date.available	2023-03-30T22:48:56Z
dc.date.issued	2023-02
dc.identifier.citation	Appl Nurs Res, 2023, 69, pp. 151653
dc.identifier.issn	0897-1897
dc.identifier.issn	1532-8201
dc.identifier.uri	http://hdl.handle.net/10453/168900
dc.description.abstract	This study compared the effects of a four-phase and a three-phase early mobilization protocol on respiratory parameters and complications in patients following coronary artery bypass graft surgery. This is a three-arm, parallel-group, randomized controlled clinical trial with 120 candidates for coronary artery bypass graft surgery. Participants were randomly allocated to three groups: four-phase early mobilization protocol, three-phase early mobilization protocol, and control. Arterial blood gases, oxygen saturation, and incidence of pulmonary complications were compared among the groups. Mean arterial blood gases and oxygen saturation improved significantly over time in both four-phase early mobilization protocol and three-phase early mobilization protocol groups compared to control (p < 0.05). There were observed trends for greater improvements in the study outcomes with three-phase early mobilization protocol than four-phase early mobilization protocol; however, did not reach statistically significant levels. The incidence of pulmonary complications was significantly in both intervention groups compared to control (odds ratio: 0.48, 95 % CI 0.007-0.537; p < 0.001). Both four-phase early mobilization and the three-phase early mobilization protocols improved respiratory parameters and reduced pulmonary complications. Statistically insignificant trends were found trends in the three-phase early mobilization protocol, focusing on chest physiotherapy and breathing exercises.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Appl Nurs Res
dc.relation.isbasedon	10.1016/j.apnr.2022.151653
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Early Ambulation
dc.subject.mesh	Coronary Artery Bypass
dc.subject.mesh	Gases
dc.subject.mesh	Humans
dc.subject.mesh	Gases
dc.subject.mesh	Early Ambulation
dc.subject.mesh	Coronary Artery Bypass
dc.subject.mesh	Humans
dc.subject.mesh	Early Ambulation
dc.subject.mesh	Coronary Artery Bypass
dc.subject.mesh	Gases
dc.title	Effects of early mobilization on pulmonary parameters and complications post coronary artery bypass graft surgery.
dc.type	Journal Article
utslib.citation.volume	69
utslib.location.activity	United States
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access	*
utslib.copyright.embargo	2024-02-01T00:00:00+1000Z
dc.date.updated	2023-03-30T22:48:55Z
pubs.publication-status	Published
pubs.volume	69

Abstract:

This study compared the effects of a four-phase and a three-phase early mobilization protocol on respiratory parameters and complications in patients following coronary artery bypass graft surgery. This is a three-arm, parallel-group, randomized controlled clinical trial with 120 candidates for coronary artery bypass graft surgery. Participants were randomly allocated to three groups: four-phase early mobilization protocol, three-phase early mobilization protocol, and control. Arterial blood gases, oxygen saturation, and incidence of pulmonary complications were compared among the groups. Mean arterial blood gases and oxygen saturation improved significantly over time in both four-phase early mobilization protocol and three-phase early mobilization protocol groups compared to control (p < 0.05). There were observed trends for greater improvements in the study outcomes with three-phase early mobilization protocol than four-phase early mobilization protocol; however, did not reach statistically significant levels. The incidence of pulmonary complications was significantly in both intervention groups compared to control (odds ratio: 0.48, 95 % CI 0.007-0.537; p < 0.001). Both four-phase early mobilization and the three-phase early mobilization protocols improved respiratory parameters and reduced pulmonary complications. Statistically insignificant trends were found trends in the three-phase early mobilization protocol, focusing on chest physiotherapy and breathing exercises.

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http://hdl.handle.net/10453/168900