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By: Jyoti Panchal Rajpati, Rajpati ., and Dinesh Kumar.
1Student, Department of Medical-Surgical Nursing, College of Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
2Lecturer, College of Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
3Assistant Professor, Department of Medical-Surgical Nursing, Pt. B.D. Sharma University of Health Sciences, Rohtak, India.
Introduction: Incidence data indicates that 17% to 88% of patients may experience decreased lung volume after surgery. Post-operative care aims to manage patients after surgery to prevent complications such as atelectasis and infection. An incentive spirometer is commonly included in perioperative respiratory therapy strategies to help prevent or address these complications and enhance lung function. Utilizing an incentive spirometer starting on the first postoperative day can effectively address the issue of decreased lung volume. Aim: The main aim of the study was to evaluate the effect of incentive spirometry exercise on respiratory status of postoperative abdominal surgeries patients. Objectives of the study: (1)To assess pre and post respiratory status of postoperative abdominal surgeries patients.(2)To evaluate the effectiveness of spirometry exercise on respiratory status of postoperative abdominal surgeries patients.(3)To assess the relationship between the pre-respiratory status score and the chosen socio-demographic variables of patients. Material and Method: The researcher carried out the study using a quantitative approach and a pre-experimental design with a one-group pre-test and post-test format, involving 60 patients selected through convenient sampling. The study was conducted on postoperative patients at PGIMS Rohtak. Socio demographic variable and observation performance scale were used to evaluate the effect of incentive spirometry exercise on respiratory status of postoperative abdominal surgeries patient. Result: On day 1, only 3% of the patients performed moderately adequate while 84% were inadequate and 13% were not able to perform. On day 5, 50% were moderately adequate,35% were adequate performance while15%still had inadequate in performance. Conclusion: The study showed that incentive spirometry is effective in enhancing pulmonary function in post-operative patients, which also improves blood circulation and speeds up the recovery of surgical wounds. Nurses in post-operative units should consistently motivate patients to use the spirometer regularly.
Keywords: Incentive spirometry, Incentive spirometry exercise, respiratory status, postoperative abdominal surgery patients, lung volume.
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Refrences:
1. Gehem M, Diaz PS. Shades of graying: research tackling the grand challenges of aging for Europe. The Hague:The Hague Centre for Strategic Studies and TNO; 2013. Available online at: https://hcss.nl/report/shades-of-graying-research-tackling-the-grand-challenge-of-aging-for-europe/
2. Gollin D, Jedwab R, Vollrath D. Urbanization with and without industrialization. Journal of Economic Growth. 2016 Mar;21:35-70.
3. Smith AK, Walter LC, Miao Y, Boscardin WJ, Covinsky KE. Disability during the last two years of life. JAMA Intern Med. 2013 Sep 9;173(16):1506-13. doi: 10.1001/jamainternmed.2013.8738. PMID: 23836120; PMCID: PMC3773297.
4. Brown CJ, Flood KL. Mobility limitation in the older patient: a clinical review. JAMA. 2013 Sep 18;310(11):1168-77. doi: 10.1001/jama.2013.276566. PMID: 24045741.
5. Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U; Lancet Physical Activity Series Working Group. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012 Jul 21;380(9838):247-57. doi: 10.1016/S0140-6736(12)60646-1. PMID: 22818937.
6. Boyd CM, Landefeld CS, Counsell SR, Palmer RM, Fortinsky RH, Kresevic D, Burant C, Covinsky KE. Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc. 2008 Dec;56(12):2171-9. doi: 10.1111/j.1532-5415.2008.02023.x. PMID: 19093915; PMCID: PMC2717728.
7. Rimmer JH, Marques AC. Physical activity for people with disabilities. Lancet. 2012 Jul 21;380(9838):193-5. doi: 10.1016/S0140-6736(12)61028-9. PMID: 22818934.
8. Allvin R, Berg K, Idvall E, Nilsson U. Postoperative recovery: a concept analysis. J Adv Nurs. 2007 Mar;57(5):552-8. doi: 10.1111/j.1365-2648.2006.04156.x. PMID: 17284272.
9. Soares SM, Jannuzzi HP, Kassab MF, Nucci LB, Paschoal MA. Investigation of the immediate pre-operative physical capacity of patients scheduled for elective abdominal surgery using the 6-minute walk test. Physiotherapy. 2015 Sep;101(3):292-7. doi: 10.1016/j.physio.2014.11.004. Epub 2014 Dec 17. PMID: 25721252.
10. Pasquina P, Tramèr MR, Granier JM, Walder B. Respiratory physiotherapy to prevent pulmonary complications after abdominal surgery: a systematic review. Chest. 2006 Dec;130(6):1887-99. doi: 10.1378/chest.130.6.1887. PMID: 17167013.
11. Serejo LG, da Silva-Júnior FP, Bastos JP, de Bruin GS, Mota RM, de Bruin PF. Risk factors for pulmonary complications after emergency abdominal surgery. Respir Med. 2007 Apr;101(4):808-13. doi: 10.1016/j.rmed.2006.07.015. Epub 2006 Sep 8. PMID: 16963245.
12. Warner DO. Preventing postoperative pulmonary complications: the role of the anesthesiologist. Anesthesiology. 2000 May;92(5):1467-72. doi: 10.1097/00000542-200005000-00037. PMID: 10781293.
13. Paisani DD, Chiavegato LD, Faresin SM. Lung volumes, lung capacities and respiratory muscle strength following gastroplasty. Jornal Brasileiro de Pneumologia. 2005;31(2):125-32.
14. Canet J, Gallart L, Gomar C, Paluzie G, Valles J, Castillo J, et al., ARISCAT group. Prediction of postoperative pulmonary complications in a population-based surgical cohort. The Journal of the American Society of Anesthesiologists.2010;113(6):1338-50
15. Nandi B, Mishra S, Yeole U, Gawali P, Adkitte R. Effectiveness of incentive spirometry in improving peak expiratory flow rate in post abdominal surgery: An experimental study. Journal Medical Thesis. 2015 Jan;3(1):15-8.
16. Maniarasi PS. Effectiveness of incentive spirometry and Breathing Exercise with Active Cycle of Breathing Technique and Autogenic Drainage on Peak Expiratory Flow Rate in Participants Following Upper Abdominal Surgery.
17. Batra A, Kalyani CV, Kusum K. Effect of Incentive Spirometry on Recovery of Post-Operative Patients: Pre Experimental Study. International Journal of Nursing Education. 2020 Jul;12(3):1.
