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Study aim
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Investigating the effect of different exercise regimens of the first phase of cardiac rehabilitation on the discharge day performance of open heart surgery patients
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Design
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Clinical trial with a control group, with parallel groups, single-blind, randomized, on 32 patients.Simple randomization was used.
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Settings and conduct
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This study will be conducted in Erfan Niayesh Hospital.First, teaching patients about the effects of surgery on cardiopulmonary function, general cases after surgery one day before surgery and the cardiac rehabilitation program, which generally includes mobilization of the patient as soon as possible, teaching breathing exercises, personal care will be given from the day before the surgery to discharge.The patient and the therapist know the study groups and only the evaluator (examiner) is blind.before surgery and discharge day, spirometry and 6-minute walking test were taken by an evaluator.
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Participants/Inclusion and exclusion criteria
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People who candidates for open heart surgery (coronary artery bypass graft, valve replacement, or both) based on:
- Age over 18 years and less than 70 years
- Independent walking
- No history of surgery in the past
- Non-emergency surgery
- No history of recent myocardial infarction (past 6 months)
- Not having a pacemaker
- Not having chronic obstructive pulmonary disease
- Absence of severe non-cardiac disease
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Intervention groups
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The cardiac rehabilitation program, which generally includes: mobilization of the patient as soon as possible, teaching breathing exercises and personal care, once or twice daily (one group, once and the other group twice a day), from the day before the operation until the day of discharge will be given.
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Main outcome variables
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distance walked in six minute walk tes؛ forced vital capacity ؛Forced expiratory volume in first second؛forced expiratory volume in first second/forced vital capacity ratio