tailieunhanh - Báo cáo y học: " Physiotherapy-supervised mobilization and exercise following cardiac surgery: a national questionnaire survey in Sweden"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Physiotherapy-supervised mobilization and exercise following cardiac surgery: a national questionnaire survey in Sweden. | Westerdahl and Moller Journal of Cardiothoracic Surgery 2010 5 67 http content 5 1 67 JOTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Physiotherapy-supervised mobilization and exercise following cardiac surgery a national questionnaire survey in Sweden Elisabeth Westerdahl1 2 3 Margareta Moller4 5t Abstract Background Limited published data are available on how patients are mobilized and exercised during the postoperative hospital stay following cardiac surgery. The aim of this survey was to determine current practice of physiotherapy-supervised mobilization and exercise following cardiac surgery in Sweden. Methods A prospective survey was carried out among physiotherapists treating adult cardiac surgery patients. A total population sample was identified and postal questionnaires were sent to the 33 physiotherapists currently working at the departments of thoracic surgery in Sweden. In total 29 physiotherapists response rate 88 from eight hospitals completed the survey. Results The majority 90 of the physiotherapists offered preoperative information. The main rationale of physiotherapy treatment after cardiac surgery was to prevent and treat postoperative complications improve pulmonary function and promote physical activity. In general one to three treatment sessions were given by a physiotherapist on postoperative day 1 and one to two treatment sessions were given during postoperative days 2 and 3. During weekends physiotherapy was given to a lesser degree 59 on Saturdays and 31 on Sundays to patients on postoperative day 1 . No physiotherapy treatment was given in the evenings. The routine use of early mobilization and shoulder range of motion exercises was common during the first postoperative days but the choice of exercises and duration of treatment varied. Patients were reminded to adhere to sternal precautions. There were great variations of instructions to the patients concerning weight bearing and .