Effects of Triflow and Deep Breathing and Cough Exercises on Respiration in Patients Undergoing Mitral Valve Replacement

Официальное название

Comparison of the Effects of Triflow and Deep Breathing and Cough Exercises on Postoperative Respiratory Functions in Patients Undergoing Mitral Valve Replacement: A Randomized Controlled Trial

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое triflow application
  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.

Первичные конечные точки

• The Visual Analog Scale (VAS) [Срок оценки: perioperative 1 hour]
• The Visual Analog Scale (VAS) [Срок оценки: postoperative evening]
• Postoperative Patient Follow-Up and Evaluation Form [Срок оценки: postoperative evening]

Критерии участия

Критерии включения

• Volunteering to participate in the study Literate and knowing the native language

Критерии исключения

• Hemodynamically unstable patients, Patients who develop postoperative respiratory complications, Lip or palate anomalies

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Turkey (Türkiye) · 2 центра

• Medipol Hospital — Istanbul
• Medipol Hospital — Istanbul

Публикации

• 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. PMID 41668083

Идентификаторы

NCT: NCT06997224 · 2024-11

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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