Effect of planned exercises on tissue perfusion improvement post coronary artery bypass graft

Document Type : Original Article

Authors

1 Assistant professor, Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Egypt

2 Lecture of Critical care and emergency nursing Department, Faculty of Nursing, Assiut University, Egypt.

3 Assistant professor of Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt

Abstract

Abstract
Background: Organs and tissue perfusion are generally affected because of intraoperative, respiratory and cardiovascular frameworks after heart surgeries. Nursing activities has crucial benefits on hemodynamic and perfusion boundary. Aim: To determine the effects of planned exercise ontissue perfusion improvement  post coronary artery bypass graft.A quasi-experimental design was used within the present study. Setting: The study was carried out at the cardiothoracic intensive care unit at Assiut University Hospital. Sample: A convenience sample of 60 patients with open heart surgery from both sex assigned into two equal groups (control and study groups) from age 18 years and above. Tools: Patients assessment sheet that include, part one is concerned with the patient’s basic health data and part two involved the hemodynamic indices and tissue perfusion parameters in preoperative and 1st,  ,3rd and 5th days post-operative.Results:It was revealed that there was a statistically significant difference between the two groups after the surgery as regards to capillary refill  on 3rd and 5th day(p=0.002) and also as regards to mean blood pressure on the 3rd  day (p=0.017). Conclusion: exercise as a part of nursing intervention had a significant impact on tissue perfusion parameter of postoperative cardiac patients. Recommendation: planned exercises for postoperative cardiac patients should be offered on a regular basis.

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