Al-Hawamdeh K. Еffectiveness of basic respiratory physical therapy of cardiosurgical patients at the inpatient stage

Українська версія

Thesis for the degree of Doctor of Philosophy (PhD)

State registration number

0824U000836

Applicant for

Specialization

  • 227 - Фізична терапія, ерготерапія.

16-08-2022

Specialized Academic Board

ДФ 24.227.02; ID 95

National University of Ukraine on Physical Education and Sport

Essay

Taking into account the growing interest in studying the biopsychological approach in physical therapy and its components, it is necessary to study the severity of anxiety and depression in cardiac patients, their dynamics within the inpatient physical therapy program and the impact of breathing exercises on their degree. The aim of the research is to study and compare the impact of incentive spirometry and deep breathing exercises on the dynamics of pulmonary function, anxiety and depression among cardiac surgery patients within the inpatient phase of physical therapy. Research methods include scientific literature review, content analysis of medical documentation, spirography, the Hospital Anxiety and Depression Scale, methods of mathematical statistics. Academic novelty of the research is determined by the fact that: – it was the first to obtain data confirming the lack of impact of deep breathing exercises and flow-oriented stimulating spirometry on the values of inspiratory capacity, reserve expiratory volume, forced inspiration, tidal volume, respiratory rate and their dynamics within the inpatient phase of physical therapy following cardiac surgery; – it was the first to obtain data confirming the lack of impact of deep breathing exercises and flow-oriented stimulating spirometry on anxiety and depression values in postoperative physical therapy of cardiac surgery patients; – it was the first to obtain data on preoperative and postoperative values of inspiratory capacity, reserve expiratory volume, forced inspiration, tidal volume, respiratory rate, as well as specificities of their dynamics after cardiac surgery while implementing basic guidelines for physical therapy; – it was the first to obtain data on temporal specificities of deep breathing phase and its ratio among cardiac surgery patients before and after surgery, as well as on the impact of deep breathing exercises and stimulating spirometry on the patients in the postoperative period. In its practical aspect, the research contributes to the development of physical therapy as a part of a comprehensive approach to cardiac rehabilitation of patients following cardiac surgery in Ukraine.

Research papers

Аль-Хавамдех ХМ, Вітомський ВВ, Вітомська МВ, Гаврелюк СВ. Вплив дихальних вправ на тривогу та депресію кардіохірургічних пацієнтів у рамках стаціонарної програми фізичної терапії. Art of Medicine. 2020;4(16):13-20.

Вітомський ВВ, Аль-Хавамдех ХМ. Роль респіраторної фізичної терапії у відновному лікуванні пацієнтів після кардіохірургічних втручань. Український журнал медицини, біології та спорту. 2020;5(4):17-25.

Вітомський ВВ, Аль-Хавамдех ХМ. Вплив обструктивних порушень функції зовнішнього дихання на якість життя кардіохірургічних пацієнтів перед операцією та фізичною терапією. Актуальні питання фармацевтичної і медичної науки та практики. 2020;13(3):421-6.

Vitomskyi V, Al-Hawamdeh K, Vitomska M, Lazarіeva O, Haidai O. The effect of incentive spirometry on pulmonary function recovery and satisfaction with physical therapy of cardiac surgery patients. Adv Rehab. 2021;35(1):9-16. (Scopus, Q 3)

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