The efficacy of physiotherapy techniques used for patients following uncomplicated coronary artery bypass surgery (CABG) is well documented. Previous research showed that some of this evidence was not rapidly adopted into practice by cardiothoracic physiotherapists; however, there has been no recent evaluation of the uptake of evidence. Our aim was to identify current physiotherapy interventions in use for patients following uncomplicated CABG surgery. A survey was sent to senior cardiothoracic physiotherapists from all Australian and New Zealand hospitals that perform CABG surgery. Fifty-four surveys were returned (response rate 88%). The most common treatments used were mobilisation (94% of hospitals), range of motion exercises (79%), deep breathing and/or cough (77%), cardiovascular exercise (42%), and incentive spirometry (40%). Respondents with a bachelor or diploma in physiotherapy were more likely to implement deep breathing exercises or coughing than those who obtained a postgraduate degree (p = 0.045). Respondents perceived personal experience as the most influential factor on postoperative treatment choices. Physiotherapists treating patients following uncomplicated CABG surgery continue to use interventions such as deep breathing exercises that are not supported by best available evidence. Standardised guidelines may be required to better match clinical practice with current literature.

译文

:对于无并发症冠状动脉搭桥手术(CABG)后的患者,理疗技术的功效已得到充分证明。先前的研究表明,某些证据并未被心胸物理治疗师迅速采用。但是,最近没有证据的评估。我们的目标是确定简单CABG手术后患者当前正在使用的理疗干预措施。来自澳大利亚和新西兰所有进行CABG手术的医院的高级心胸物理治疗师进行了调查。返回了五十四份调查问卷(答复率为88%)。最常用的治疗方法是动员(94%的医院),运动范围(79%),深呼吸和/或咳嗽(77%),心血管运动(42%)和肺活量测定(40%)。拥有物理治疗学士学位或文凭的受访者比获得研究生学位的受访者更有可能进行深呼吸练习或咳嗽(p = 0.045)。受访者认为个人经历是影响术后治疗选择的最重要因素。在简单的CABG手术后治疗患者的物理治疗师继续使用诸如深呼吸练习之类的干预措施,但没有最好的现有证据支持。可能需要标准化的指南才能更好地将临床实践与当前文献相匹配。

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