Respiratory Physiotherapy and PMR After Cardiac Surgery
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorIstanbul Aydın University
About this trial
This study aims to evaluate the effects of respiratory physiotherapy combined with progressive muscle relaxation exercises on dyspnea, anxiety, hemodynamic status, and delirium symptoms in patients after cardiac surgery. This randomized controlled trial will include 116 patients who will be randomly assigned to an intervention group or a control group. The intervention group will receive respiratory physiotherapy and progressive muscle relaxation exercises in addition to routine postoperative care for 30 minutes per day over three consecutive days, while the control group will receive routine care only. Outcome measures will include dyspnea assessed by the Modified Borg Scale, anxiety assessed by the State-Trait Anxiety Inventory, hemodynamic parameters obtained from vital signs, and delirium symptoms assessed using the Nursing Delirium Screening Scale. It is hypothesized that the combined intervention will reduce dyspnea and anxiety levels, improve hemodynamic stability, and decrease delirium symptoms. The findings are expected to contribute to improved postoperative recovery and reduced complication risks following cardiac surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged 18-80 years who have undergone cardiac surgery
Hemodynamically stable patients
Patients able to cooperate and follow instructions
Patients with postoperative dyspnea
Disqualifiers
Patients with severe cognitive impairment or inability to cooperate
Patients with neurological or psychiatric disorders affecting participation
Patients requiring mechanical ventilation for prolonged periods
Patients with unstable hemodynamic status
Trial design
Design model
Parallel
Treatments tested in this trial
Respiratory Physiotherapy
Other interventionRespiratory physiotherapy includes breathing exercises, postural drainage, percussion, and vibration techniques aimed at improving pulmonary function, facilitating secretion clearance, and enhancing oxygenation in postoperative cardiac surgery patients.
Progressive Muscle Relaxation
Other interventionProgressive muscle relaxation is a systematic technique involving sequential contraction and relaxation of muscle groups combined with controlled breathing, aimed at reducing anxiety, improving psychological well-being, and promoting physiological relaxation.
Routine Care
Other interventionStandard postoperative care and routine cardiac rehabilitation without additional respiratory physiotherapy or progressive muscle relaxation exercises.
Treatment groups
116 Participants
are divided into 2 treatment groupsGroup A: Routine CareActive comparator 1 intervention
Group B: Respiratory Physiotherapy + PMRExperimental treatment 2 interventions
Trial outcomes
Primary outcomes
1
Dyspnea (Modified Borg Scale)
Dyspnea severity will be assessed using the Modified Borg Scale (MBS). The scale ranges from 0 (no dyspnea) to 10 (maximal dyspnea). Higher scores indicate greater perceived breathlessness. Measurements will be performed by a trained assessor under standardized conditions.
Time frame
Within the first 24 hours after cardiac surgery (pre-intervention) and immediately after the intervention (post-intervention, same day)Locations
Sponsors and contacts
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Source ClinicalTrials.gov
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