Investigating the Effect of Respiratory Exercise Diary on Pain in Cardiovascular Surgery

Marmara University

Status: Completed

Conditions: Cardiovascular Surgery

Treatments: Other: Exercise diary

Study type: Interventional

Funder types: Other

Identifiers

NCT06889935

MARU-SBF-MKT-01

Details and patient eligibility

About

The study was carried out to evaluate the effect of respiratory exercise diary use on postoperative pain in patients undergoing elective cardiovascular surgery in a training and research hospital in Istanbul.

Full description

The randomised controlled experimental study was conducted between 11 July 2024 and 11 January 2025 in the cardiovascular surgery inpatient wards of a training and research hospital in Istanbul. The study was conducted with a total of 74 patients, 37 in the control group and 37 in the intervention group. Data were collected by the researcher through face-to-face interviews with the patients. 'Patient Identification Form', "Visual Analogue Scale (VAS)", "Respiratory Exercise Diary" were used.

Enrollment: 74 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• No barriers to verbal communication (mental, physiological and psychological)
• Patients undergoing elective cardiovascular surgery,
• Individuals who agreed to participate in the study,
• Patients whose haemodynamics are suitable for respiratory exercise

Exclusion criteria

• Being in the intensive care unit after surgical intervention,
• Patients undergoing re-operation after surgical intervention,
• Those who do not accept the study or who want to leave during the study.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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74 participants in 2 patient groups

Group using a respiratory exercise diary (intervention group)

Active Comparator group

Description:

All of the patients included in the group were asked to fill in the 'Patient Identification Form' and pain assessment was performed with 'Visual Analogue Scale (VAS)'. Information was given about respiratory exercises and spirometry, which is routinely used in the postoperative period in patients undergoing cardiovascular surgery in the hospital where the study was conducted. Respiratory Exercise Diary was introduced to this group and its use was demonstrated practically. They were asked to record the exercises performed in this diary. Pain assessment was performed with Visual Analogue Scale for the first 3 days after surgery. On the 1st postoperative day, this group was informed again about respiratory exercises, spirometer and its daily use, and the first exercises and records were made together with the researcher. They were asked to continue the exercises and recordings themselves for the first 3 days.

Treatment:

Other: Exercise diary

Group not using a respiratory exercise diary (control group)

No Intervention group

Description:

'Patient Identification Form' was filled out for all patients and pain assessment was performed with 'Visual Analogue Scale (VAS)'. Information was given about respiratory exercises and spirometry, which is routinely used in the postoperative period in patients undergoing cardiovascular surgery in the hospital where the study was conducted. This group was asked to note the exercises on a piece of paper. Pain assessment was performed with Visual Analogue Scale in the first 3 days postoperatively. On the 1st postoperative day, the information about breathing exercises and recording procedures was repeated and the practices continued in the routine functioning of the clinic.