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首页> 外文期刊>Bangladesh Journal of Medical Science >Phase-I cardiac rehabilitation practices among physiotherapists in INDIA - A survey
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Phase-I cardiac rehabilitation practices among physiotherapists in INDIA - A survey

机译：印度物理治疗师的阶段I心脏康复实践 - 调查

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Objective : To find out the current practice patterns of Physiotherapists in Phase I Cardiac Rehabilitation of patients following Cardiac Surgery (CABG/Valve Surgery). Materials and Methods : The cross sectional survey included 600 cardio-pulmonary physiotherapists working in Cardiac Care Unit, who filled questionnaires sent to them through e-mail. Results : 252 completed questionnaires were received back, the response rate being of 42 %, with a major portion of responses coming from Maharashtra, Karnataka and Andhra Pradesh. More than 80 % of physiotherapists assess and treat the patient Pre- Operatively. More than 90% of physiotherapists performed Cardiac Rehabilitation Post-Operatively. Cardiac Rehabilitation Treatment Techniques predominantly focused on Breathing Exercises (96.7%), Incentive Spirometry (91.1%), Coughing and Huffing (83.3%), Thoracic Expansion Exercises (82.13%), Positioning (71.16%), Percussion and Vibration (63.6%), Modified Postural Drainage (41.2%), active exercises of the upper limb (89.13%), and lower limb exercises (89.3%). Dangling the lower limb (69%) was started on Post –Operative day 2. Room and corridor mobilisation (73.8%) began on third Post-Operative day. 29.4% Stair case climbing was started on fourth post-operative day. 73.8% of patients practiced 6-minute walk test prior to discharge. Most commonly used sternal precautions were Supported Coughing (96.0%) and Lifting Restrictions (82.5%). Conclusion: Phase I cardiac rehabilitation adopted by physiotherapists for cardiac surgery patients involves treatment which mainly focused on cough and huff techniques, breathing exercises and thoracic expansion exercises. On Post-Operative day 2, dangling the lower limb and room ambulation started on third post-Operative day 3. The training for climbing stairs started on fourthpost-operative day. The most commonly used sternal precautions were supported coughing and lifting restrictions whereas 6-minute walk test was use to assess exercise tolerance,prior to discharge.
机译：目的：了解心脏手术（CABG /瓣膜手术）患者的I期心脏康复中的当前练习模式。材料和方法：横断面调查包括600个心脏肺部物理治疗师，在心脏护理单位工作，他通过电子邮件填写了向他们发送给他们的问卷。结果：252份完成的问卷收到了回报，响应率为42％，其中来自马哈拉施特拉，卡纳塔克卡和安德拉邦的主要部分响应。超过80％的物理治疗师可操作地评估和治疗患者。超过90％的物理治疗师可操作地进行心脏康复。心脏康复治疗技术主要集中在呼吸锻炼（96.7％），激励肺活量测定（91.1％），咳嗽和呼吸（83.3％），胸部膨胀锻炼（82.13％），定位（71.16％），打击乐和振动（63.6％） ，改性姿态排水（41.2％），上肢的积极锻炼（89.13％），下肢锻炼（89.3％）。悬挂下肢（69％）开始在岗位上的第2.房间和走廊动员（73.8％）开始于第三次术后日。 29.4％的阶梯案例攀登于第四天开始。 73.8％的患者在放电之前练习6分钟的步行测试。最常用的班际预防措施被支持咳嗽（96.0％）和提升限制（82.5％）。结论：心脏手术患者物理治疗师采用的阶段康复涉及主要专注于咳嗽和沟槽技术，呼吸锻炼和胸部扩张锻炼的治疗。在术后第2天，悬挂下肢和室内行动开始于第三次操作日第三天3.攀登楼梯的培训始于第四阶段工作日。最常用的班际预防措施得到了咳嗽和提升限制，而在放电之前，使用6分钟的步行试验来评估运动耐受性。

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