Cardiopulmonary Rehabilitation In Heart Valve Surgery

"Postoperative Mobilization and Bottle-P.E.P. in Heart Valve Surgery:A Prospective Randomized Controlled Study "

The aim of this study was to investigate the effects of postoperative early mobilization and Bottle-P.E.P. application on respiratory parameters and functional capacity in patients undergoing heart valve surgery.

After all patients were informed about the study and potential risks, patients who gave informed consent will be evaluated preoperatively and 5-7 days after surgery by the same investigator. Patients will be randomly divided into 3 groups: Group I (n=20, control) - conventional cardiopulmonary rehabilitation, Group II (n=20), conventional cardiopulmonary rehabilitation and Bottle P.E.P. application, Group III (n=20) will be included in the study as conventional cardiopulmonary rehabilitation and early mobilization group. The respiratory parameters of the patients will be determined by a pulmonary function test and their functional capacities will be determined by a 6-minute walk test. The preoperative and postoperative periods will be compared with statistical methods in the light of these evaluations on days 5-7.

Inclusion Criteria:

• After heart valve surgery: Patients undergoing valvular surgery via sternotomy
• Same surgical technique (from med-sternum)
• Age group (25-75 Y)
• Stable hemodynamic values (stable vital signs, normal temperature, etc.)
• Full awareness of time and space

Exclusion Criteria:

• Ejection Fraction 35 %
• Any Male/female patient <25 or >75
• Body Mass Index (BMI) ≥ 38 kg/m2
• Intubation time >6 hours after surgery
• Uncontrolled arrhythmias
• Rheumatoid arthritis, other inflammatory and autoimmune diseases
• Active malignancy
• Cardiac pacemaker or defibrillator
• Mental health disorders
• Any postoperative complication (general muscle weakness, wound infection of the sternum or leg, stroke.)
• Refusal to assist in data collection