%0 Journal Article
%T Hemodynamic Effects of Early Physiotherapy in Intensive Care Unit after Chest Surgery
%A Esra Pehlivan
%J -
%D 2019
%X Aim: To determine the haemodynamic effects of early physiotherapy programme in intensive care unit after thoracotomy. Materials and Methods: The patients who underwent torocotomy and completed 24 hours in surgical intensive care unit were included in the study. The physiotherapy program consisted of breathing exercises, incentive spirometer tarining, assisted coughing and mobilization were applied in surgical intensive care unit. The systolic (SBP) and diastolic blood pressure (DBP), heart rate (HR) and oxygen saturation (SpO2) were recorded before, during and after the treatment for 5 minutes. Pain level was assessed with Visual Analogue Scale (VAS, 0¨C10). Results: Seventy-two patients who were 22 (30%) of female, 50 (70%) of male and mean age was 72 (mean age 59) were included in the study. The increase in DBP (p = .006) in the comparison of before and after treatment, the decrease in HR in the comparasion of after treatment and 5-minutes recovery (p = .008), the decrease in HR (p = .026) and increase in DBP (p = .014) in the comparasion of pre-treatment and 5-minute recovery were statistically significant. The hemodynamic changes were within the physiological limits. Discussion and Conclusion: According to the results of our study, early physiotherapy applied in surgical intensive care unit is safe. Hemodynamic parameters should be monitored continuously during physiotherapy to monitor physiological responses and ensure patient safety
%K g£¿£¿¨¹s fizyoterapisi
%K torokotomi
%K hemodinamik cevap
%K yo£¿un bak£¿m ¨¹nitesi
%U http://dergipark.org.tr/anadoluklin/issue/45751/495671