Florence Nightingale Journal of Nursing
Research Article

The Effect of Breathing Exercises on Preventing Postoperative Atelectasis: A Randomized Controlled Trial



Florence Nightingale J Nurs 2018; 26: 159-167
DOI: 10.26650/FNJN387185
Read: 986 Downloads: 496 Published: 26 October 2018

Aim: This study aims to assess the effect of pre-operative breathing exercises provided to patients undergoing open-heart operation on atelectasis development during the post-operative period.

Method: This randomized controlled study was conducted with 48 patients hospitalized for open-heart surgery. Training was provided to the patients in the experimental group in the form of breathing exercises and spirometry and the instructed exercises were performed by the patients for 7 days before the operation. The patients in both groups were assessed in terms of atelectasis during post-operative days. 

Results: The proportion of atelectasis development on the post-op 0th day was 71% in the experimental group and 92% in the control group. In terms of average peripheral oxygen saturation, the patients in the experimental group had higher oxygen saturation than the patients in the control group (p<0.05). 

Conclusion: Though not at significant levels, this study found that, performing breathing exercises before the operation decreased atelectasis development, duration of extubation, length of time in intensive care and hospital discharge; thus, pre-operative breathing exercises were found to have a positive effect on patients during the post-operative period.

EISSN 2687-6442