TY  - JOUR
T1  - Respiratory Fitness and Mental Health in Patients Who Had Undergoing
Open Heart Surgery: A Preliminary Observational Study
AU - Kulchanarat, Chitima AU - Pongpanit, Khajonsak AU - Buranapuntalug, Sasipa AU - Yuenyongchaiwat, Kornanong 
JO  - Research Journal of Applied Sciences
VL  - 13
IS  - 6
SP  - 363
EP  - 368
PY  - 2018
DA  - 2001/08/19
SN  - 1815-932x
DO  - rjasci.2018.363.368
UR  - https://makhillpublications.co/view-article.php?doi=rjasci.2018.363.368
KW  - Open heart surgery
KW  -pulmonary
KW  -pulmonary function
KW  -respiratory muscle strength
KW  -anxiety
KW  -depression
KW  -gender
AB  - Patients who had open heart surgery have been associated with adverse health problems including
decreases in physical (e.g., decreased pulmonary function, respiratory muscle weakness) and mental health
problems (e.g., depression and anxiety). However, little is known regarding the effect of median sternotomy on
respiratory fitness and mental health in Thai patients who had open heart surgery. Therefore, the study was
aimed to evaluate pulmonary function, respiratory muscle strength and mental health problems in patients
undergoing open heart surgery. The prospective observational cohort study was designed with patients who
undergoing open heart surgery, aged 35-70 years both males and females. Spirometry, respiratory muscle
strength and the hospital anxiety depression scales questionnaire were performed pre and post-operative open
heart surgery. A regression analysis was performed to determine whether mental health predicted pulmonary
function and respiratory muscle strength. The 57 patients were conducted at initial and follow-up study an
average age was 56.61±10.10 years old. Compare with pre-operative heart surgery, the mean respiratory
function, respiratory muscle strength and mental health (depression and anxiety) were dramatically decreased
after open heart surgery. In addition, post-operative Force Vital Capacity (FVC) value was related to age,
gender, initial FVC, initial thoracic cirtometry and anxiety scores (R<sup>2</sup> = 0.616, p&lt;0.001). Increasing chest wall and
decreased anxiety would be an intervention to prevent pulmonary function decline after open heart surgery.
ER  -