İlknur NAZ, Onur AKÇAY, Şeyda ÖRS KAYA, Onur SÜNEÇLİ

Toraks cerrahisi yapılan hastalarda ameliyat öncesi fizyoterapi eğitiminin hastanede yatış ve ameliyat sonrası akciğer komplikasyonları üzerine etkileri

Amaç: Bu çalışmada, toraks cerrahisi uygulanan hastalarda ameliyat öncesi fizyoterapi eğitiminin hastanede yatış ve ameliyat sonrası komplikasyonlar üzerine etkileri incelendi. Çalışma planı: Bu retrospektif çalışmaya Eylül 2012 - Eylül 2013 tarihleri arasında bronşiyal karsinom veya metastatik akciğer hastalığı nedeni ile lobektomi veya pnömonektomi yapılan toplam 96 hasta (84 erkek, 12 kadın; medyan yaş 60 yıl; çeyrekler arası aralık 55-67 yıl) alındı. Hastanemizin pulmoner rehabilitasyon birimi ve göğüs cerrahisi bölümü tarafından toraks cerrahisi yapılacak hastalar için yeni bir ameliyat öncesi fizyoterapi eğitim protokolü geliştirildi. Hastaların 49’una ameliyat öncesi fizyoterapi eğitimi uygulanır iken, 47’sine uygulanmadı. Ameliyat öncesi fizyoterapi eğitimi protokolü uygulanan ve uygulanmayan hastaların sonuçları altı aylık dönemde karşılaştırıldı. Bulgular: Hastanede yatış süresi ve ameliyat sonrası komplikasyon oranları gruplar arasında benzer idi (p>0.05). Ameliyat öncesi fizyoterapi eğitimi verilen grupta, eğitim tarihi ve ameliyat arasında geçen gün sayısı, hastanede yatış süresi ve ameliyat sonrası komplikasyon oranları ile negatif ilişkili bulundu (p

Effects of preoperative physiotherapy education on hospital stay and postoperative pulmonary complications in patients undergoing thoracic surgery

Background: This study aims to investigate the effects of preoperative physiotherapy education on hospital stay and postoperative complications in patients undergoing thoracic surgery.Methods: This retrospective study included a total of 96 patients who underwent lobectomy or pneumonectomy for a bronchial carcinoma or metastatic lung disease (84 males, 12 females; median age 60 years; interquartile range 55-67 years) between September 2012 and September 2013. A novel preoperative physiotherapy education protocol was developed by the pulmonary rehabilitation unit and thoracic surgery department of our hospital for patients undergoing thoracic surgery. Of the patients, 49 were applied preoperative physiotherapy education and 47 were not applied. Outcomes of patients who were applied or not preoperative physiotherapy education protocol during a six-month period were compared.Results: The length of hospital stay and postoperative complication rates were similar between the groups (p>0.05). In preoperative physiotherapy education group, the number of days between the date of education and operation was found to be negatively correlated with the length of hospital stay and the postoperative complication rates (p

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