&lt;![CDATA[&lt;B&gt;Pain intensity and postoperative functional assessment after heart surgery&lt;/B&gt;]]&gt;

Borges, Juliana B. C.; Ferreira, Daniele L. M. P.; Carvalho, Sebasti�o M. R.; Martins, Antônio Sérgio; Andrade, Rubens Ramos de; Silva, Marcos A. M.

doi:10.1590/s1678-97412006000400009

Cited by 4 publications

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“…In our study, the negative association between pain and functionality is in line with the results found in the literature (3)(4)(5)(6)(7) , which may indicate that patients avoid performing activities due to postoperative pain. This functional impairment may be relevant in the prognosis of discharge and satisfactory recovery of patients (7) .…”

Section: Level Of Pain and Functional Independence Of Patients Submitsupporting

confidence: 92%

“…In this sense, functional independence is inversely proportional to the painful condition ie, higher greater pain intensity leads to a reduction in functionality (7) .…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

“…Physical therapy follow-up is relevant in the recovery of postoperative functionality, bringing improvement in aspects that constitute the motor domain (7) . In our study, a good cognitive situation was verified and this is an indication that these patients have potential to receive orientations and to execute the physical therapy techniques, helping in their postoperative improvement.…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

“…In our study, a good cognitive situation was verified and this is an indication that these patients have potential to receive orientations and to execute the physical therapy techniques, helping in their postoperative improvement. Other studies (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) indicate that physical therapy integrates patient care with indication of cardiac surgery, both in the pre-and postoperative periods, using active and educative techniques in collaborative patients.…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

“…Pain measurement aims to identify its occurrence and allow multidisciplinary teams to create strategies that improve the condition of the individual (5)(6) , since it negatively affects the evolution of the patient, inflicting functional and organic damage. Thus, the approach to pain in the studies has great relevance because it involves the overall condition and includes the functional capacity of the patient (7) . Considering that functional decline is a key factor for the to ten, where zero means no pain and ten, the worst pain imaginable (10) .…”

Section: Introductionmentioning

confidence: 99%

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Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

Chiapinotto

Dallazen

Bodnar

et al. 2017

Rev. baiana enferm.

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How to cite this article: Chiapinotto S, Dallazen F, Bodnar ET, Winkelman ER. Level of pain and functional independence of patients submitted to cardiac surgery. Rev Baiana Enferm. 2017;31(4):e21388.Objective: to evaluate the correlation of pain and functional independence in the pre and postoperative period of patients submitted to cardiac surgery. Methods: A prospective, noninterventional study of 24 patients submitted to elective cardiac surgery. Clinical data was collected in patients' charts and a direct interview was done both in the preoperative and in the postoperative period. The pain intensity was rated according to the Numerical Visual Scale. Functionality was measured with the Functional Independence Measure. Results: in the first evaluation, the patients did not report pain. In the postoperative evaluation, patients presented an average of 4.75 ± 1.91 points on the pain scale. The functionality increased from 124.29 ± 6.38 in the preoperative period to 97.42 ± 12.73 in the postoperative. There was a significant correlation between pain and functionality. Conclusion: there was an increase in pain and reduced functionality in the postoperative period of cardiac surgery, in addition to a correlation between the variables, demonstrating that the higher the intensity of the pain, the lower the functional independence of the patient.Descriptors: Thoracic surgery. Pain measurement. Physical therapy. Rehabilitation. Objetivo: avaliar a correlação da dor e independência funcional no período pré e pós-operatório dos

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Section: Level Of Pain and Functional Independence Of Patients Submitsupporting

confidence: 92%

“…In this sense, functional independence is inversely proportional to the painful condition ie, higher greater pain intensity leads to a reduction in functionality (7) .…”

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

Section: Level Of Pain and Functional Independence Of Patients Submitmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

Chiapinotto

Dallazen

Bodnar

et al. 2017

Rev. baiana enferm.

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Determinants of distance walked during the six-minute walk test in patients undergoing cardiac surgery at hospital discharge

Oliveira

Carvalho

Cacau

et al. 2014

J Cardiothorac Surg

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IntroductionThe aim of this study was to identify the determinants of distance walked in six-minute walk test (6MWD) in patients undergoing cardiac surgery at hospital discharge.MethodsThe assessment was performed preoperatively and at discharge. Data from patient records were collected and measurement of the Functional Independence Measure (FIM) and the Nottingham Health Profile (NHP) were performed. The six-minute walk test (6MWT) was performed at discharge. Patients undergoing elective cardiac surgery, coronary artery bypass grafting or valve replacement were eligible. Patients older than 75 years who presented arrhythmia during the protocol, with psychiatric disorders, muscular or neurological disorders were excluded from the study.ResultsSixty patients (44.26% male, mean age 51.53 ± 13 years) were assessed. In multivariate analysis the following variables were selected: type of surgery (P = 0.001), duration of cardiopulmonary bypass (CPB) (P = 0.001), Functional Independence Measure - FIM (0.004) and body mass index - BMI (0.007) with r = 0.91 and r2 = 0.83 with P < 0.001. The equation derived from multivariate analysis: 6MWD = Surgery (89.42) + CPB (1.60) + MIF (2.79 ) - BMI (7.53) - 127.90.ConclusionIn this study, the determinants of 6MWD in patients undergoing cardiac surgery were: the type of surgery, CPB time, functional capacity and body mass index.

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Peripheral muscular strength and functionality as predictors of extubation success after myocardial revascularization

Cordeiro,

Mascarenhas,

Soares

et al. 2024

Rev Bras Fisiol Exerc

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Introduction: Maximum inspiratory pressure (MIP) and the rapid and shallow breathing index are predictors for successful extubation. Peripheral muscle strength and functionality appear as possible predictors of success for extubation in other patient profiles, however, there is little evidence in patients undergoing to Coronary Artery Bypass Grafting (CABG). Objective: To assess peripheral muscle strength and functionality as predictors of success for extubation in patients undergoing to CABG. Methods: Prospective cohort study. At the time of hospital admission, patients were assessed for MIP, maximum expiratory pressure (MEP), Medical Research Council (MRC), peak of expiratory flow (PEF) and Functional Independence Measure (FIM). Patients were divided into two groups: Success Group (SG), which remained on spontaneous ventilation for more than 48 hours, and failure group (FG) that required invasive support in less than 48 hours. We compared the influence of muscle strength, cough and functionality variables between these groups. Results: 74 patients, Success Group (n = 59) and Failure Group (n = 15), were evaluated. The CI 95% was -1 (-5.33 to 3.33) in MIP, 4 (2.14 to 5.86) in MEP, 13 (-35.31 to 61.31) in PEF, 7 (6.27 to 7.73) in the MRC and 9 (8.08 to 9.92) in the FIM. Conclusion: Peripheral, expiratory muscle strength and functionality demonstrated a statistically significant influence on the success of extubation in patients after CABG.

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<![CDATA[<B>Pain intensity and postoperative functional assessment after heart surgery</B>]]>

Abstract: Avaliação da intensidade de dor e da funcionalidade no pós-operatório recente de cirurgia cardíaca

Cited by 4 publications

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Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

Nível De Dor E Grau De Independência Funcional De Pacientes Submetidos À Cirurgia Cardíaca

Determinants of distance walked during the six-minute walk test in patients undergoing cardiac surgery at hospital discharge

Peripheral muscular strength and functionality as predictors of extubation success after myocardial revascularization

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