Article

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.

Langue : ANGLAIS