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RMJ. 2019; 44(1): 99-105


Effect of chest physical therapy with early mobilization on post-operative pulmonary complications in upper abdominal surgeries

Sana Bashir, Furqan Ahmed Siddiqi, Mehreen Baig, Eitazaz Ahmed Bashir, Muhammad Ehab Azim, Muhammad Iqbal Tariq.

Abstract
Objective: To determine the effect of early postoperative mobilization combined with chest physical therapy in preventing post-op pulmonary complications after upper abdominal surgeries.
Methodology: This randomized control trial was conducted in Fauji Foundation Hospital Rawalpindi, Pakistan from August 2016 to February 2017. Study consisted sample of 30 patients, between the ages of 11-60 years undergoing upper abdominal surgeries who were selected via non-probability purposive sampling technique. They were randomized via coin toss method into interventional group (n=15) receiving early mobilization with breathing exercises and spirometery and control group (n=15) receiving mobilization after 6 hours of surgery. Data was collected for arterial blood gases, pain via numeric pain rating scale and quality of life through SF-36 questionnaire. Mann -Whitney u test was used for between group analyses.
Results: Mean age of patients was 46.8313.49 years; 3.34% were males and 96.6% females. No significant difference (P>0.05) was observed between groups on heart rate (HR) and oxygen saturation (SPO2) but there was better improvement in interventional group compared to control group. Significant difference (P

Key words: Arterial Blood Gases (ABGs), Chest Physical Therapy (CPT), Early Mobilization (EM), Post Pulmonary Complications (PPCs), Upper Abdominal Surgeries (UAS)


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