Effect of Early Mobilization on Pulmonary Functions Post Upper Abdominal Surgeries
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- Category: Vol. 85, March 2017
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Effect of Early Mobilization on Pulmonary Functions Post Upper Abdominal Surgeries, AHMED M. ABD EL-RAUF, WAFAA H. BORHAN, WALID A. ABOU EL-NAGA and ASSEM F. EL-ESSAWY
Abstract
Background: Upper abdominal surgery induces a sharp postoperative decrease in respiratory function, a decrease which can lead to the development of post-operative pulmonary complications which remain the most significant cause of morbidity following open upper abdominal surgery.
Aim of Work: The purpose of this study was to determine the efficacy of early mobilization on pulmonary functions in individuals who had elective open upper abdominal surgery.
Subjects and Methods: Forty patients of both sexes (31 men and 9 women) who underwent elective open upper abdominal surgery were enrolled in that study for ten days. Their ages ranged from 45-65 years. They were randomly assigned into two groups, twenty in each group. Group I (intervention group) received early mobilization and routine chest physiotherapy; and Group II (control group) received only routine chest physiotherapy. The frequency and duration of treatment was two sessions for the first two post-operative day and once per day on the third and up to the tenth post-operative day. All of them underwent evaluation of pulmonary functions with measurement of Forced Vital Capacity (FVC), forced expiratory volume in the first second (FEV1) and Peak Expiratory Flow (PEF) on first Post-Operative Day (POD) and after ten days post-operatively.
Results: There was no significant difference were recorded between the two groups in the pretreatment measured variables FVC, FEV1 and PEF (p>0.05), while there was a significant difference when comparing pre and post-treatment mean values of all measured variables FVC, FEV 1 and PEF in each group (p<0.01). When comparing post mean values between both groups, the results revealed a significant improvement in favor to Group I (p<0.01).
Conclusions: Early mobilization is effective in improving pulmonary functions after elective open upper abdominal surgery.