Influence of Preoperative Physiotherapy on Respiratory Muscle Function and Quality of Life in Laparotomy Patients
After abdominal surgery 35% of the patients experience postoperative complications of which 9% is due to pulmonary complications. Preoperative functional status appears to be an important predictor of morbidity and mortality in these patients. Preoperative physiotherapy training may influence the preoperative functional status of the patients. Objective is to find out the effectiveness of preoperative physical therapy program to improve respiratory muscle function and quality of life in abdominal surgeries. Study design was quasi experimental design. Study type was pre- and post-test type. 20 subjects were selected according to convenient sampling method. Duration of the study was 10 days and the study was done at SRM Medical College Hospital & Research Centre, Kattankulathur. The subjects were selected according to inclusion and exclusion criteria and Group A patients received preoperative physiotherapy training protocol and Group B patients undergoing emergency laparotomy did not undergo the training. Cough grading, Numerical Pain Rating Scale, incentive spirometry, WHO Quality of life questionnaire were assessed preoperatively and on postoperative day 1 and day 7 respectively. There is no statistically significant (P>0.05) reduction in cough grading between the posttest day 7 mean values of Group A (0.300) to posttest mean values of Group B (1.400). The posttest mean values of incentive spirometer of day 7 in Group A is (885) and Group B is (990) but it does not show statistically significant improvement (P>0.05). The posttest mean values of day 7 in WHO Quality Of Life in the Group A (53.34) shows statistically significantly improvement (P=0.000) from the posttest day 7 mean values of Group B (1.5200). The posttest of day 7 mean values of Numerical Pain Rating Scale of Group A is (5.000) and that of Group B is (3.700) and it is statistically significant (P<0.05). This study concludes that there is significant improvement in QOL than Cough grading, incentive spirometry and pain in the laparotomy patients, who underwent preoperative physiotherapy training when compared to the patients who did not undergo preoperative training.
Abdominal Surgery Patients, Preoperative Physiotherapy, Respiratory Function, Quality of Life
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