Implementation of a guideline for physical therapy in the postoperative period of upper abdominal surgery reduces the incidence of atelectasis and length of hospital stay

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art_POSSA_Implementation_of_a_guideline_for_physical_therapy_in_2014.PDF (661.28 KB)
Citações na Scopus
19
Tipo de produção
article
Data de publicação
2014
Editora
ELSEVIER DOYMA SL
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
AMADOR, C. Braga
COSTA, A. Meira
SAKAMOTO, E. Takahama
KONDO, C. Seiko
VASCONCELLOS, A. L. Maida
BRITO, C. M. Moran de
YAMAGUTI, W. Pereira
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
REVISTA PORTUGUESA DE PNEUMOLOGIA, v.20, n.2, p.69-77, 2014
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: The aim of this study was to evaluate the effectiveness of implementing a physical therapy guideline for patients undergoing upper abdominal surgery (UAS) in reducing the incidence of atelectasis and length of hospital stay in the postoperative period. Materials and methods: A ""before and after"" study design with historical control was used. The ""before"" period included consecutive patients who underwent UAS before guideline implementation (intervention). The ""after"" period included consecutive patients after guideline implementation. Patients in the pre-intervention period were submitted to a program of physical therapy in which the treatment planning was based on the individual experience of each professional. On the other hand, patients who were included in the post-intervention period underwent a standardized program of physical therapy with a focus on the use of additional strategies (EPAP, incentive spirometry and early mobilization). Results: There was a significant increase in the use of incentive spirometry and positive expiratory airway pressure after guideline implementation. Moreover, it was observed that early ambulation occurred in all patients in the post-intervention period. No patient who adhered totally to the guideline in the post-intervention period developed atelectasis. Individuals in the post-intervention period presented a shorter length of hospital stay (9.2 +/- 4.1 days) compared to patients in the pre-intervention period (12.1 +/- 8.3 days) (p< 0.05).
Palavras-chave
Physical therapy modalities, Early ambulation, Guideline, Pulmonary atelectasis, Hospitalization, Postoperative care
URI
https://observatorio.fm.usp.br/handle/OPI/7729
Referências
  1. Bellinetti Laryssa Milenkovich, 2006, J Bras Pneumol, V32, P99, DOI 10.1590/S1806-37132006000200004
  2. Brasher PA, 2003, AUST J PHYSIOTHER, V49, P165
  3. BrooksBrunn JA, 1997, CHEST, V111, P564, DOI 10.1378/chest.111.3.564
  4. Browning L, 2007, AUST J PHYSIOTHER, V53, P47
  5. Carvalho CRF, 2011, REV BRAS FISIOTER, V15, P343
  6. Denehy L, 2001, Physiother Res Int, V6, P236, DOI 10.1002/pri.231
  7. Dimick JB, 2004, J AM COLL SURGEONS, V199, P531, DOI 10.1016/j.jamcollsurg.2004.05.276
  8. DUREUIL B, 1987, BRIT J ANAESTH, V59, P1230, DOI 10.1093/bja/59.10.1230
  9. Olsen MF, 2002, BRIT J SURG, V89, P1228
  10. Ferrer R, 2008, JAMA-J AM MED ASSOC, V299, P2294, DOI 10.1001/jama.299.19.2294
  11. Ferreyra GP, 2008, ANN SURG, V247, P617, DOI 10.1097/SLA.0b013e3181675829
  12. Grams ST, 2012, REV BRAS FISIOTER, V16, P345
  13. Guimaraes MMF, 2009, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD006058.pub2
  14. Hanekom SD, 2012, BMC MED INFORM DECIS, V12, DOI 10.1186/1472-6947-12-5
  15. INGWERSEN UM, 1993, INTENS CARE MED, V19, P294, DOI 10.1007/BF01690551
  16. Lawrence VA, 2006, ANN INTERN MED, V144, P596
  17. Manzano RM, 2008, SAO PAULO MED J, V126, P269, DOI 10.1590/S1516-31802008000500005
  18. Morris Alan H, 2003, Curr Opin Crit Care, V9, P236, DOI 10.1097/00075198-200306000-00012
  19. Nery P, 2011, CLINICS, V66, P759, DOI 10.1590/S1807-59322011000500009
  20. Paisani Denise de Moraes, 2005, J. bras. pneumol., V31, P125, DOI 10.1590/S1806-37132005000200007
  21. Pasquina P, 2006, CHEST, V130, P1887, DOI 10.1378/chest.130.6.1887
  22. Restrepo RD, 2011, RESP CARE, V56, P1600, DOI 10.4187/respcare.01471
  23. RICKSTEN SE, 1986, CHEST, V89, P774, DOI 10.1378/chest.89.6.774
  24. Santo CC, 2011, ACTA MEDICA PORT, V24, P1013
  25. Serejo LGG, 2007, RESP MED, V101, P808, DOI 10.1016/j.rmed.2006.07.015
  26. Silveira CD, 2012, J BRAS PNEUMOL, V38, P148, DOI 10.1590/S1806-37132012000200002
  27. STOCK MC, 1985, CHEST, V87, P151, DOI 10.1378/chest.87.2.151
  28. Vassilakopoulos T, 2000, AM J RESP CRIT CARE, V161, P1372
  29. Warner DO, 2000, ANESTHESIOLOGY, V92, P1467, DOI 10.1097/00000542-200005000-00037
  30. Yamaguti WPD, 2010, J BRAS PNEUMOL, V36, P738, DOI 10.1590/S1806-37132010000600011
  31. Zafiropoulos B, 2004, AUST J PHYSIOTHER, V50, P95

Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros