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Major Abdominal Surgery, Incidence of Pulmonary Complications, ICOUGH Care Program.

Major Abdominal Surgery Clinical Trial

Official title:
The Effectiveness of The "I Cough" Care Program of Avoid Incidence of Pulmonary Complications Post Major Abdominal Surgery.

Clinical Trial Summary

This study aims to determine the efficacy of a suite of interventions for reducing postoperative pulmonary complications (PPCs) after major abdominal surgery (MAS), participants were subjected to the "I COUGH" care program designed to support their health condition and reduce complications. The study aimed to investigate a simple and inexpensive pulmonary care program that can be easily understood and remembered by patients, their families, and medical staff. To achieve this goal, we chose to implement the I COUGH care program and determine the effectiveness of a range of interventions to reduce PCs after MAS. Two hypotheses identified in the study: H0: The ICOUGH care program reduces the incidence of PPCs after MAS. H1: The ICOUGH care program after MAS does not affect the incidence of PPCs.

Clinical Trial Description

Surgery can result in several complications within the lungs, including respiratory infections, respiratory failure, pneumothorax, bronchospasm, pleural effusion, atelectasis, and aspiration pneumonitis. These postoperative pulmonary complications (PPCs) can make it difficult for patients to breathe and recover following surgery and can also increase the risk of death and disability. In this study, 60 adult patients between the ages of 30 and 60 (mean 39.9; SD±8.82) (M/F: 13/47) underwent major abdominal surgery requiring general anesthesia and hospitalization, such as hernia repair, gall bladder removal, exploratory laparotomy, or other abdominal cavity procedures performed by laparoscopy or conventional laparotomy with a 5 cm or less incision above or extending above the umbilicus. The participants were randomly assigned to either the control group (n=30) or the experimental group using the block randomization method. The Statistical Package for the Social Sciences (SPSS) version 26 Win 64 was utilized for statistical analysis. A Paired samples T-test was conducted to compare pre- and post-treatment variables, while an Independent samples T-test was carried out to examine the difference between groups. The level of significance was set at p<0.05. The current study findings demonstrate that patients who underwent MAS were less prone to PCs after being treated with the I COUGH care program following surgery. This program comprised a flow-incentive spirometer, oral care, coughing and breathing exercises, patient, and family education, getting out of bed, and elevating the head of the bed more than 30 degrees. The results of the study revealed that I COUGH was effective in decreasing the incidence of PCs, with statistically significant differences found between the experimental and control groups (P<0.05). ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT06255327
Study type Interventional
Source Yeditepe University
Contact
Status Completed
Phase N/A
Start date December 26, 2023
Completion date January 10, 2024
View Details
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