INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I

Coronary artery bypass graft (CABG) is a procedure to remove the blood vessels from internal mammary artery, radial artery or vein saphenus and to the surface of the heart to create a bypass in coronary artery narrowing. Data taken from the patients with heart disease from medical department of reha...

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Main Authors: Sabirin Berampu, Indra Alamsyah
Format: Article
Language:English
Published: Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam 2018-10-01
Series:Jurnal Keperawatan dan Fisioterapi
Subjects:
Online Access:https://ejournal.medistra.ac.id/index.php/JKF/article/view/50
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author Sabirin Berampu
Indra Alamsyah
author_facet Sabirin Berampu
Indra Alamsyah
author_sort Sabirin Berampu
collection DOAJ
description Coronary artery bypass graft (CABG) is a procedure to remove the blood vessels from internal mammary artery, radial artery or vein saphenus and to the surface of the heart to create a bypass in coronary artery narrowing. Data taken from the patients with heart disease from medical department of rehabilitation H.Adam Malik Medan who undergoing coronary bypass graft surgery. From 73 patients with post-cardiac surgery who were referred to the Medical Rehabilitation, 49 people were post-CABG (in 2010), and 57 people in 2011. General anesthesia, diaphragmatic dysfunction, abdominal distension, changes in chest wall, surgical wound, pleural effusion, pain and dysfunction of the respiratory muscles, may lead to reduction in lung vital capasity of up to 55% post operative. Intervention were incentive spirometry and breathing exercise. The purposes of this study is knowing whether the intervention incentive spirometry and breathing exercise  can  more minimize the decline in lung capasity than  breathing exercise intervention only on post-CABG in phase I. Experimental research with non-probability sampling two group pre test and post test design . Subjects of group I (n = 9) receive incentive spirometry (IS) and deep breathing exercises (DBE), while group II (n=9) receive only a deep breathing exercise. Data analysis with paired samples t-test suggested the mean value of vital capasity (VC) from group I (IS and DBE) was 73.78% (pre op) after 6 days postoperatively decreased to 59.56, average decline in 14.22, P = 0.002. While the VC on group II (DBE) was 74.11 after 6 days postoperatively decreased to 55.78. Average reduction was 18, 33, p value = 0.0001. There was no significantly differences between group I and group II from statistical analysis Independent t-test, with p-value = 0.512 (p>0.05). Conclusions of this study: There was a significant effect of incentives spirometry and deep breathing exercises in preventing the decrease of lung vital capasity in post-CABG patients, There was a significant influence provision of deep breathing exercises in preventing the decrease of  lung vital capasity, There were no significant differences between treatment combinations of incentive spirometry and deep breathing exercises with deep breathing exercises only in preventing the decrease of lung vital capasity in post-CABG, with a p-value = 0.512
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spelling doaj.art-7f35d782660645df8e54222f9061557e2024-02-29T05:39:37ZengFakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk PakamJurnal Keperawatan dan Fisioterapi2655-08302018-10-0111364610.35451/jkf.v1i1.507INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE ISabirin Berampu0Indra Alamsyah1Institut Kesehatan Medistra Lubuk PakamInstitut Kesehatan Medistra Lubuk PakamCoronary artery bypass graft (CABG) is a procedure to remove the blood vessels from internal mammary artery, radial artery or vein saphenus and to the surface of the heart to create a bypass in coronary artery narrowing. Data taken from the patients with heart disease from medical department of rehabilitation H.Adam Malik Medan who undergoing coronary bypass graft surgery. From 73 patients with post-cardiac surgery who were referred to the Medical Rehabilitation, 49 people were post-CABG (in 2010), and 57 people in 2011. General anesthesia, diaphragmatic dysfunction, abdominal distension, changes in chest wall, surgical wound, pleural effusion, pain and dysfunction of the respiratory muscles, may lead to reduction in lung vital capasity of up to 55% post operative. Intervention were incentive spirometry and breathing exercise. The purposes of this study is knowing whether the intervention incentive spirometry and breathing exercise  can  more minimize the decline in lung capasity than  breathing exercise intervention only on post-CABG in phase I. Experimental research with non-probability sampling two group pre test and post test design . Subjects of group I (n = 9) receive incentive spirometry (IS) and deep breathing exercises (DBE), while group II (n=9) receive only a deep breathing exercise. Data analysis with paired samples t-test suggested the mean value of vital capasity (VC) from group I (IS and DBE) was 73.78% (pre op) after 6 days postoperatively decreased to 59.56, average decline in 14.22, P = 0.002. While the VC on group II (DBE) was 74.11 after 6 days postoperatively decreased to 55.78. Average reduction was 18, 33, p value = 0.0001. There was no significantly differences between group I and group II from statistical analysis Independent t-test, with p-value = 0.512 (p>0.05). Conclusions of this study: There was a significant effect of incentives spirometry and deep breathing exercises in preventing the decrease of lung vital capasity in post-CABG patients, There was a significant influence provision of deep breathing exercises in preventing the decrease of  lung vital capasity, There were no significant differences between treatment combinations of incentive spirometry and deep breathing exercises with deep breathing exercises only in preventing the decrease of lung vital capasity in post-CABG, with a p-value = 0.512https://ejournal.medistra.ac.id/index.php/JKF/article/view/50deep breathing exercisesincentive spirometrylung vital capasity
spellingShingle Sabirin Berampu
Indra Alamsyah
INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I
Jurnal Keperawatan dan Fisioterapi
deep breathing exercises
incentive spirometry
lung vital capasity
title INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I
title_full INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I
title_fullStr INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I
title_full_unstemmed INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I
title_short INCENTIVE SPIROMETRY AND DEEP BREATHING EXERCISE PREFER TO PREVENT DECREASED OF LUNG VITAL CAPASITY AS GOOD AS DEEP BREATHING EXERCISE POST CORONARY ARTERY BYPASS GRAFT PHASE I
title_sort incentive spirometry and deep breathing exercise prefer to prevent decreased of lung vital capasity as good as deep breathing exercise post coronary artery bypass graft phase i
topic deep breathing exercises
incentive spirometry
lung vital capasity
url https://ejournal.medistra.ac.id/index.php/JKF/article/view/50
work_keys_str_mv AT sabirinberampu incentivespirometryanddeepbreathingexerciseprefertopreventdecreasedoflungvitalcapasityasgoodasdeepbreathingexercisepostcoronaryarterybypassgraftphasei
AT indraalamsyah incentivespirometryanddeepbreathingexerciseprefertopreventdecreasedoflungvitalcapasityasgoodasdeepbreathingexercisepostcoronaryarterybypassgraftphasei