Using the theory of planned behavior to predict the use of incentive spirometry among cardiac surgery patients in Taiwan

Tung, Heng Hsin; Jan, Ming Shan; Huang, Chun‐Kai; Shih, Chun Che; Chang, Chung Yi; Liau, Cheu Ye

doi:10.1016/j.hrtlng.2010.09.006

Cited by 2 publications

(2 citation statements)

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“…[33][34][35][36][37] The difficulty in monitoring adherence relates to the variability and fluctuations in individual patient behavior. [38][39][40][41] Nevertheless, the findings of this investigation further delineate specific factors that likely hinder patient adherence. In particular, the data suggest that patients forgetting to use their IS could be a principle focus for future work on improving adherence.…”

Section: Discussionmentioning

confidence: 79%

Incentive Spirometry Adherence: A National Survey of Provider Perspectives

et al. 2018

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Section: Discussionmentioning

confidence: 79%

Incentive Spirometry Adherence: A National Survey of Provider Perspectives

et al. 2018

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“…Most complications are associated with respiratory infections [ 8 ]. The risk of death is increased by 50% in patients with prolonged ventilation or repeated use of mechanical ventilation [ 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Inpatient vs. Home-Based Physiotherapy Following Coronary Artery Bypass Grafting

Szylińska

Listewnik

Rotter

et al. 2018

IJERPH

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Background: Intensive post-operative physiotherapy after cardiac surgery helps to reduce the number of complications, accelerating convalescence and decreasing peri-operative mortality. Cardiac rehabilitation is aimed at regaining lost function and sustaining the effect of cardiac surgery. The aim of this study was to compare the efficacy of inpatient and home-based phase II physiotherapy following coronary artery bypass grafting, and inpatient phase II post-operative physiotherapy based on the analysis of the spirometry results. Methods: A prospective observational study included 104 adult patients of both sexes undergoing planned coronary artery bypass grafting and were randomized to one of the two groups—inpatients (InPhysio) and home-based (HomePhysio) at a 1:1 ratio. All patients had undergone spirometry testing prior to surgery (S1) and on the fifth day after the operation (S2), i.e., on the day of completion of the first phase (PI) of physiotherapy. Both the study group (InPhysio) and the control group (HomePhysio) performed the same set of exercises in the second phase (PII) of cardiac physiotherapy, either in the hospital or at home, respectively, according to the program obtained in the hospital. Both groups have undergone spirometry testing (S3) at 30 days after the operation. Results: The demographic and peri-operative data for both groups were comparable and showed no statistically significant differences. An analysis of gradients between the results of spirometry tests before surgery and at 30 days after the surgery showed a smaller decrease in forced vital capacity (FVC) in the study group than in the control group (p < 0.001). The results at five and 30 days after the surgery showed a greater increase in FVC in the study group than in the control group (680 mL vs. 450 mL, p = 0.009). There were no statistically significant differences in other parameters studied. Conclusions: The advantage of inpatient over home-based physiotherapy was evidenced by much smaller decreases in FVC between the initial and final tests, and greater increases between the fifth day after surgery and the final test. Our analysis showed greater efficacy of inpatient physiotherapy as compared with home-based exercises and raises concerns about patient adherence.

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Using the theory of planned behavior to predict the use of incentive spirometry among cardiac surgery patients in Taiwan

Cited by 2 publications

References 28 publications

Incentive Spirometry Adherence: A National Survey of Provider Perspectives

Incentive Spirometry Adherence: A National Survey of Provider Perspectives

The Efficacy of Inpatient vs. Home-Based Physiotherapy Following Coronary Artery Bypass Grafting

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