Influence of obstructive disorders of external respiration function on the life quality of cardiac surgery patients before surgery and physical therapy

Authors

DOI:

https://doi.org/10.14739/2409-2932.2020.3.216231

Keywords:

cardiac surgery, rehabilitation, exercise therapy, respiratory system

Abstract

 

Aim. To investigate the impact of obstructive disorders of external respiratory function on the life quality of cardiac surgery patients at the beginning of an inpatient physical therapy program.

Materials and methods. The study involved 106 patients who were hospitalized for cardiac surgery. Patients were divided into two groups according to the values of the Tiffno index. The study of external respiratory function was performed using a Spirodoc MIR spirograph and Winspiro PRO software. Quality of life was assessed using the International Standardized Health Status Survey (SF-36).

Results. A study of external respiration function among cardiac surgery patients found that 18 % of those surveyed had a Tiffno index of less than 70 %. This proportion of patients was characterized by significantly lower rates of vital capacity, forced vital capacity (expiratory and inspiratory), peak expiratory flow, and forced expiratory flow at 25–75 % of forced vital capacity. However, the comparison of quality of life indicators did not establish statistical differences in any domain between the groups of patients who were formed according to the level of the Tiffno index. These results confirm the priority of the impact of the cardiovascular system on the quality of life of cardiac surgery patients. The NYHA functional class had a number of correlations with the quality of life of almost all domains. External respiratory function was less closely related to the quality of life domains. Among all domains of quality of life, the statistical indicators of the domain “the role of physical problems in the limitation of life” were the lowest in both groups of patients. The best indicators were obtained in the domain “social functioning”.

Conclusions. Decreased respiratory function did not affect the quality of life of cardiac surgery patients. A possible explanation for this may be that the decrease in the Tiffno index was not large enough or critical in groups of patients with low levels of this index, as well as the presence of a more significant impact of cardiac indicators on quality of life.

 

References

Dzhygalyuk, O. V., Stepaniuk, G. I., & Lysenko, D. A. (2018). Hemodynamika pry eksperymentalnii hostrii ishemii miokarda na tli zastosuvannia substantsii PK-66 u porivnianni z kordaronom [Hemodynamics in experimental acute myocardial ischemia against the background of the use of substance PK-66 in comparison with the cordarone]. Aktualni pytannia farmatsevtychnoi i medychnoi nauky ta praktyky - Current issues in pharmacy and medicine: science and practice, 11(2), 210-214. [in Ukrainian]. https://doi.org/10.14739/2409-2932.2018.2.133510

Boytsov, S. A. (2012). Struktura faktorov serdechno-sosudistogo riska i kachestvo mer ikh profilaktiki v pervichnom zvene zdravookhraneniya v Rossii i v Evropeiskikh stranakh (po rezul'tatam issledovaniya EURIKA) [Prevalence of cardiovascular risk factors and cardiovascular prevention quality in primary healthcare in Russia and European countries: EURIKA Study results). Kardiovaskulyarnaya terapiya i profilaktika - Cardiovascular Therapy and Prevention, 11(1), 11-16. [in Russian]. https://doi.org/10.15829/1728-8800-2012-1-11-16

Bazdyrev, E. D. (2017). Disfunktsiya respiratornoi sistemy u patsientov s ishemicheskoi bolezn'yu serdtsa posle planovogo provedeniya koronarnogo shuntirovaniya [Dysunction of respiratory system in patients with coronary artery disease after planned coronary artery bypass grafting]. Kompleksnye problemy serdechno-sosudistyh zabolevaniy - Complex Issues of Cardiovascular Diseases, (2), 65-78. [in Russian]. https://doi.org/10.17802/2306-1278-2017-2-65-78

Hulzebos, E. H., Helders, P. J., Favié, N. J., De Bie, R. A., de la Riviere, A. B., & Van Meeteren, N. L. (2006). Preoperative intensive inspiratory muscle training to prevent postoperative pulmonary complications in high-risk patients undergoing CABG surgery: a randomized clinical trial. JAMA, 296(15), 1851-1857. https://doi:10.1001/jama.296.15.1851

Apostolakis, E., Filos, K. S., Koletsis, E., & Dougenis, D. (2010). Lung dysfunction following cardiopulmonary bypass. Journal of cardiac surgery, 25(1), 47-55. https://doi.org/10.1111/j.1540-8191.2009.00823.x

Stephens, R. S., Shah, A. S., & Whitman, G. J. (2013). Lung injury and acute respiratory distress syndrome after cardiac surgery. The Annals of thoracic surgery, 95(3), 1122-1129. https://doi.org/10.1016/j.athoracsur.2012.10.024

Vitomskyi, V. V., & Al-Hawamdeh, K. M. (2020). Rol respiratornoi fizychnoi terapii u vidnovnomu likuvanni patsiientiv pislia kardiokhirurhichnykh vtruchan [The Role of Respiratory Physical Therapy in the Rehabilitation of Patients after Cardiac Surgery]. Ukrainian Journal of Medicine, Biology and Sport, 5(4), 17-25. [in Ukrainian]. https://doi.org/10.26693/jmbs05.04.017

Vitomskyi, V. (2020). The impact of mobilization and other factors on pleural effusion in patients undergoing cardiac surgical procedures. Journal of Physical Education and Sport, 20(3), 2167-2173. https://doi.org/10.7752/jpes.2020.s3291

Androne, D., Puvogel, U., Rohrbach, S., Simm, A., Böning, A., & Niemann, B. (2020). Reachability of Improved Quality of Life after Cardiac Surgery as an Important Marker of Decision Making in Young and Elderly Patients. The Thoracic and Cardiovascular Surgeon, 68(S01), S1-S72. https://doi.org/10.1055/s-0040-1705462

de Heer, F., Gökalp, A. L., Kluin, J., & Takkenberg, J. J. (2019). Measuring what matters to the patient: health related quality of life after aortic valve and thoracic aortic surgery. General thoracic and cardiovascular surgery, 67(1), 37-43. https://doi.org/10.1007/s11748-017-0830-9

Huber, C. H., Goeber, V., Berdat, P., Carrel, T., & Eckstein, F. (2007). Benefits of cardiac surgery in octogenarians--a postoperative quality of life assessment. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 31(6), 1099-1105. https://doi.org/10.1016/j.ejcts.2007.01.055

Van Belle, A. F., Wesseling, G. J., Penn, O. C., & Wouters, E. F. (1992). Postoperative pulmonary function abnormalities after coronary artery bypass surgery. Respiratory medicine, 86(3), 195-199. https://doi.org/10.1016/s0954-6111(06)80054-5

Shenkman, Z., Shir, Y., Weiss, Y. G., Bleiberg, B., & Gross, D. (1997). The effects of cardiac surgery on early and late pulmonary functions. Acta Anaesthesiologica Scandinavica, 41(9), 1193-1199. https://doi.org/10.1111/j.l 399-6576.1997.tb04865.x

Feshchenko, Y. I., Mostovoy, Y. M., & Babichuk, Y. V. (2002). Protsedura adaptatsii mizhnarodnoho opytuvalnyka otsinky yakosti zhyttia MOSSF-36 v Ukraini. Dosvid zastosuvannia u khvorykh bronkhialnoiu astmoiu [Adaptation procedure of the international MOS SF-36 quality of life questionnaire in Ukraine. Experience in the use of patients with bronchial asthma]. Ukrainian Pulmonary Journal, (3), 9-11.

Lebid, I. H., Rudenko, N. M., Sydorenko, A. Y., Khanenova, V. A., Liebied, Ye. I., & Stohova, O. V. (2016). Yakist zhyttia u patsiientiv iz vrodzhenymy vadamy sertsia [Quality of life in patients with congenital heart disease: a practice]. Kyiv: Center for pediatric cardiology and cardiac surgery.

How to Cite

1.
Vitomskyi VV, Al-Hawamdeh KM. Influence of obstructive disorders of external respiration function on the life quality of cardiac surgery patients before surgery and physical therapy. Current issues in pharmacy and medicine: science and practice [Internet]. 2020Nov.16 [cited 2024Nov.23];13(3). Available from: http://pharmed.zsmu.edu.ua/article/view/216231

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Original research