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The purpose of breathing exercises or the use of assistive devices is to provide deep breathing after surgery and to obtain a normal breathing pattern. The purpose of choosing the method to be applied is to obtain the best result. The results of the few studies conducted on this subject are contradictory and insufficient. In this context, the purpose of this study is to compare the effects of using only triflow and using triflow together with deep breathing and cough exercises on postoperative respiratory functions in patients who underwent simultaneous tricuspid valve surgery for mitral valve.
Mitral valve disease is one of the most common causes of heart failure and death. Although heart valve diseases are not as common as heart failure, coronary artery disease or hypertension in developed countries, they are important because they are common and usually require intervention. In addition, rheumatic valve diseases are still an important public health problem in developing countries, and they mostly affect young patients. Since mitral valve diseases can progress without symptoms for a long time, when they are noticed, the damage to the valve may have reached a moderate or severe level. Therefore, it is necessary to carefully decide whether medical or surgical treatment is appropriate. The most common complications after mitral valve replacement are bleeding due to anticoagulant use, thromboembolism and deterioration in the valve structure, and some complications can be seen after surgery. The most common complications encountered are lung complications. The visibility of lung complications usually varies between 8-79%. The aim of this study is to compare the effects of using Triflow alone and using Triflow with deep breathing and cough exercises on postoperative respiratory functions in patients undergoing coronary artery bypass surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| triflow group | Experimental | Before the operation, the experimental group will be taught the use of triflow and cough breathing exercises. On the first day after the operation, patients will be given triflow application 10 times every hour they are awake and cough and breathing exercises at other hours. Forms will be filled in before the application. After the application is completed at the end of the day, the forms will be filled in again. The application will continue until the patient is discharged. |
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| control group | No Intervention | After the surgery, patients will not be taught cough breathing exercises. Only the triflo application will be performed. The process will continue until discharge. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| triflow application | Other | After we have exhaled, we will try to hold the balls up as long as possible by pulling them inward with all our strength. After repeating this five times, we will turn them over. |
| Measure | Description | Time Frame |
|---|---|---|
| The Visual Analog Scale (VAS) | VAS is a one-dimensional scale used to measure subjective parameters. It consists of a 10-cm- long line drawn vertically or horizontally. At either end of this line are the two extreme descriptive words of the subjective category (0 = "no pain at all", 10 = worst/unbearable pain"). The patient is asked to indicate the point which matches his/her situation by placing a dot or drawing a line on this 10-cm-long line. It has been widely accepted in the world literature as a valid and reliable measurement tool in the evaluation of postoperative acute pain intensity. | perioperative 1 hour |
| The Visual Analog Scale (VAS) | VAS is a one-dimensional scale used to measure subjective parameters. It consists of a 10-cm- long line drawn vertically or horizontally. At either end of this line are the two extreme descriptive words of the subjective category (0 = "no pain at all", 10 = worst/unbearable pain"). The patient is asked to indicate the point which matches his/her situation by placing a dot or drawing a line on this 10-cm-long line. It has been widely accepted in the world literature as a valid and reliable measurement tool in the evaluation of postoperative acute pain intensity. | postoperative evening |
| Postoperative Patient Follow-Up and Evaluation Form | It was created by researchers to evaluate cardiovascular and respiratory parameters, time to first mobilization, pain and complications. | postoperative evening |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| çağla toprak, dr | Contact | 532 799 78 14 | caykinn@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medipol Hospital | Recruiting | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41668083 | Derived | Akinci N, Eren E. Effects of combined Triflow, deep breathing and coughing exercises on postoperative pulmonary function after mitral valve replacement: a randomized controlled trial. BMC Surg. 2026 Feb 10;26(1):164. doi: 10.1186/s12893-026-03542-7. |
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| Medipol Hospital | Recruiting | Istanbul | Turkey (Türkiye) |
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