Research Article

The Effect of Pulmonary Rehabilitation on Respiratory Functions, and the Quality of Life, following Coronary Artery Bypass Grafting: A Randomised Controlled Study

Table 1

Standard care and PR program.

Standart Care Program (Control Group)
Preoperative training
(1 day before surgery)
(i) Deep breathing exercise
(ii) Coughing exercise
(iii) Tapotement
(iv) Incentive spirometer
(v) Mobilization
Postoperative
(ICU and Clinic)
(i) Deep breathing exercises 10 repetition / 4 sessions
(ii) Coughing exercises 10 repetition / 4 sessions
(iii) Tapotement 10 repetition / 4 sessions
(iv) Incentive spirometer 10 repetition / 10 sessions
(v) Mobilization (increasing distance each time)

Pulmonary Rehabilitation Program (Intervention Group)
Preoperative training
(1 day before surgery)
(i) Active Cycle of Breathing Techniques
(ii) Postural drainage
(iii) Lower-upper extremity exercises
(iv) Mobilization
ICU(i) Active Cycle of Breathing Techniques 10 repetition/ 2 sessions
(ii) Postural drainage 1 repetition / 2 sessions
(iii) Lower-upper extremity exercises 10 repetition/ 2 sessions
(iv) Active extremity exercises; actively turning the patient in bed, mobilizing the patient out of bed with a portable ventilator, sitting by the bed, moving to the chair after sitting at the bedside, standing, standing on the side of the bed and standing upright, transferring to the chair) (37)
(v) Mobilization (stood up and walked 30 meters and gradually increased walking distance)
Clinic(i) Active Cycle of Breathing Techniques 10 repetition/ 3sessions
(ii) Postural drainage 1/3 sessions
(iii) Lower-upper extremity exercises 10 repetition/ 3 sessions
Day 1: extremity exercises, sitting at the bedside-sitting on the chair
Day 2: extremity exercises, sitting at the bedside-sitting on the chair, shoulder-neck exercises,
Day3: extremity exercises, sitting at the bedside-sitting on the chair, shoulder-neck exercises, standing hip and knee exercises, light squatting exercises
Day4: extremity exercises, sitting at the bedside-sitting on the chair, shoulder-neck exercises, standing hip and knee exercises, light squatting exercises, climbing stairs
(iv) Mobilization (walking distance increased gradually everyday)