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- Berthelsen, Ole, et al.
(författare)
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An evaluation of two different methods for preoperative physical therapy information before abdominal surgery
- 2020
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Ingår i: Journal of Communication in Healthcare. - : Informa UK Limited. - 1753-8068 .- 1753-8076. ; 13:2, s. 102-110
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Tidskriftsartikel (refereegranskat)abstract
- © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. Introduction: Patients are often given preoperative information by a physical therapist with the aim of decreasing the risk of developing postoperative pulmonary complications and to facilitate recovery after major abdominal surgery. Studies are scarce about the effect. The aim of this study was to evaluate two different approaches for preoperative information. Design: Randomized controlled trial. Setting: University Hospital. Methods: This is a study comparing information by the Teach-Back Method (TBM) with traditional information. Fifty patients were included. They were randomized to either of the groups when attending the preoperative visit. A follow up by telephone was conducted a few days after. The patients were asked to recall the information received. A list of 29 statements was used to record whether participants recalled the given information. Results: The number of correct answers for the 29 statements was, in average 30.0% after TBM compared to 25.4% after traditional information (P = 0.179). In total, the patients recalled 27% of the information given. There were no significant differences between those who spontaneously gave positive feed-back regarding the information or not, those younger or older than 65 years of age, or for those who had read the written information. Conclusion: The patients recalled no more than 27% of the preoperative information and there were only minor and non-significant differences between the groups given information by TBM or traditionally. It is of importance to further discuss and evaluate when to inform the patients and which information to give when preparing patients prior to abdominal surgery.
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| 2. |
- Carlsson, Maria, 1959, et al.
(författare)
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Effects of a prolonged intervention of breathing exercises after cardiac surgery - a randomised controlled trial
- 2019
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 21:4, s. 233-239
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To evaluate the effect of a prolonged intervention of breathing exercises with Inspiratory Resistance Positive Expiratory Pressure for one month after open cardiac surgery concerning lung function, respiratory movements and postoperative pulmonary complications. Methods: A randomised controlled trial comparing the effect of home-based breathing exercise after discharge from the hospital or stop at discharge. Eighty patients were randomly assigned to an intervention group or control group. Forced vital capacity, forced expiratory volume in the first second, peak expiratory flow, respratory movements and saturation were measured at discharge and after the intervention. At follow-up self-reported pulmonary complications were also recorded. Results: A significant increase in forced vital capacity (p =.04) was found in the intervention group compared with the control group, and there were a tendency towards significant differences also in forced expiratory volume in the first second and saturation (p =.06). Respiratory movements increased significantly after one month but there were no significant differences between groups. None of the patients reported being treated for pneumonia. Conclusion: A prolonged intervention of breathing exercise for one month after open cardiac surgery significantly increases forced vital capacity and may accelerate recovery after cardiac surgery. Clinical registration number: FoU in Sweden no 76141.
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