PAIN AFTER LUNG TRANSPLANT: HIGH-FREQUENCY CHEST WALL OSCILLATION VS CHEST PHYSIOTHERAPY.
| Autor: | Esguerra-Gonzalez, Angeli, Ilagan-Honorio, Monina, Fraschilla, Stephanie, Kehoe, Priscilla, Lee, Ai Jin, Marcarian, Taline, Mayol-Ngo, Kristina, Miller, Pamela S., Onga, Jay, Rodman, Betty, Ross, David, Sommer, Susan, Takayanagi, Sumiko, Toyama, Joy, Villamor, Filma, Weigt, S. Samuel, Gawlinski, Anna |
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| Předmět: |
MEDICAL rehabilitation
ACADEMIC medical centers ANALYSIS of variance BREATHING exercises THERAPEUTIC use of breathing exercises CHI-squared test COUGH LUNG diseases LUNG transplantation MUCOCILIARY system HEALTH outcome assessment PERCUSSION (Medicine) POSTOPERATIVE pain QUESTIONNAIRES RESEARCH funding STATISTICAL hypothesis testing T-test (Statistics) TRANSPLANTATION of organs tissues etc. JUDGMENT sampling STATISTICAL power analysis EFFECT sizes (Statistics) PAIN measurement THEMATIC analysis RANDOMIZED controlled trials TREATMENT effectiveness CONTINUING education units REPEATED measures design PATIENTS' attitudes DESCRIPTIVE statistics EQUIPMENT & supplies |
| Zdroj: | American Journal of Critical Care; Mar2013, Vol. 22 Issue 2, p115-125, 11p, 1 Diagram, 6 Charts, 3 Graphs |
| Abstrakt: | Background Chest physiotherapy and high-frequency chest wall oscillation (HFCWO) are routinely used after lung transplant to facilitate removal of secretions. To date, no studies have been done to investigate which therapy is more comfortable and preferred by lung transplant recipients. Patients who have less pain may mobilize secretions, heal, and recover faster. Objectives To compare effects of HFCWO versus chest physiotherapy on pain and preference in lung transplant recipients. Methods In a 2-group experimental, repeated-measures design, 45 lung transplant recipients (27 single lung, 18 bilateral) were randomized to chest physiotherapy (10 AM, 2 PM) followed by HFCWO (6 PM, 10 PM; group 1, n = 22) or vice versa (group 2, n = 23) on postoperative day 3. A verbal numeric rating scale was used to measure pain before and after treatment. At the end of the treatment sequence, a 4-item patient survey was administered to assess treatment preference, pain, and effectiveness. Data were analyzed with x2 and t tests and repeated-measures analysis of variance. Results A significant interaction was found between mean difference in pain scores from before to after treatment and treatment method; pain scores decreased more when HFCWO was done at 10 AM and 6 PM (P = .04). Bilateral transplant recipients showed a significant preference for HFCWO over chest physiotherapy (11 [85%] vs 2 [15%], P = .01). However, single lung recipients showed no significant difference in preference between the 2 treatments (11 [42%] vs 14 [54%]). Conclusions HFCWO seems to provide greater decreases in pain scores than does chest physiotherapy. Bilateral lung transplant recipients preferred HFCWO to chest physiotherapy. HFCWO may be an effective, feasible alternative to chest physiotherapy. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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