| Инд. авторы: | Grishin O.V., Gultyaeva V.V., Zinchenko M.I., Uryumtsev D.Y., Zhilina I.G., Grishin V.G. |
| Заглавие: | Feasibility of a capnometry device for respiratory biofeedback in patients undergoing coronary artery bypass graft surgery |
| Библ. ссылка: | Grishin O.V., Gultyaeva V.V., Zinchenko M.I., Uryumtsev D.Y., Zhilina I.G., Grishin V.G. Feasibility of a capnometry device for respiratory biofeedback in patients undergoing coronary artery bypass graft surgery // Proceedings - 2015 International Conference on Biomedical Engineering and Computational Technologies, SIBIRCON 2015. - 2015: Institute of Electrical and Electronics Engineers Inc. - P.22-26. - ISBN: 978-1-4673-9109-2. |
| Внешние системы: | DOI: 10.1109/SIBIRCON.2015.7361843; РИНЦ: 27160501; РИНЦ: 25046022; SCOPUS: 2-s2.0-84969190303; |
| Реферат: | eng: Background: Psychophysiological patient's state during hospital stay influences coronary arterial bypass graft (CABG) surgery outcomes. Biofeedback is used in the treatment of posttraumatic stress disorder and anxiety disorders. The aim of the current study was to evaluate feasibility of respiratory biofeedback (RB) in patients undergoing CABG surgery during hospital stay. Methods: Before CABG surgery all patients (n=93, aged 40 to 77 years) were divided into three groups after performing capnography and trial course of RB. The first group (usual care or USU group, n=48) consisted of patients who refused additional psychological support and RB, the second group consisted of patients who agreed to get psychological support (PSY group, n=25), and the third group were patients who accepted RB with psychological support (RB group, n=20). The task of the RB training for the participants was to maintain end-tidal partial pressure of carbon dioxide 10-20 % above the initial level. Results: RB was chosen by 21.5 % of the patients, psychological support was chosen by 26.9 % of the patients. Half of the patients (51.6 %) refused the offered additional programs. There were breathing frequency reduction and expiratory time increment in the RB group in contrast to other two groups at discharge. The RB group demonstrated a significantly shorter length of postoperative hospital stay (mean 9.5 [SE 1.0] days) than the USU group (13.9 [0.7]) and the PSY group (12.4 [0.8]). Conclusion: RB appears to be a feasible method of rehabilitation of the patients undergoing CABG surgery during hospital stay. Future randomized research is needed to examine effectiveness of the method. |
| Ключевые слова: | respiratory biofeedback; Length of postoperative hospital stay; coronary artery bypass grafting; capnography; |
| Издано: | 2015 |
| Физ. характеристика: | с.22-26 |
| Конференция: | Название: 2015 International Conference on Biomedical Engineering and Computational Technologies Аббревиатура: SIBIRCON / SibMedInfo Город: Новосибирск Страна: Россия Даты проведения: 2015-10-28 - 2015-10-30 Ссылка: http://soramn.org/sibmedinfo/ |
| Цитирование: | 1. Taggart D.P., Lees B., Gray A., Altman D.G., Flather M. and Channon K., "ART Investigators. Protocol for the Arterial Revascularisation Trial (ART). A randomised trial to compare survival following bilateral versus single internal mammary grafting in coronary revascularization," Trials, vol. 7, p. 7, March 2006. 2. Gallagher R. and McKinley S. "Stressors and Anxiety in Patients Undergoing Coronary Artery Bypass Surgery," Am. J. Crit. Care, vol. 16 (3), pp. 248-257, May 2007. 3. Tully P.J. and Baker R.A., "Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review," J. Geriatr. Cardiol., vol. 9 (2), pp. 197-208, June 4. Székely J., Kertai M.D., Horkay F., Kopp M.S. and Thayer J.F., "Anxiety predicts mortality and morbidity after coronary artery and valve surgery a 4-year follow-up study," Psychosom. Med., vol. 69 (7), pp. 625-631, September-October 2007. 5. Oxlad M., Stubberfield J., Stuklis R., Edwards J. and Wade T.D., "Psychological risk factors for increased post-operative length of hospital stay following coronary artery bypass graft surgery," J. Behav. Med., vol. 29 (2), pp. 179-190, April 2006. 6. Patron E., Messerotti Benvenuti S., Favretto G., Valfrè C., Bonfà C., Gasparotto R. and Palomba D., "Association between depression and heart rate variability in patients after cardiac surgery: a pilot study," J. Psychosom. Res., vol. 73 (1), pp. 42-46, .July 2012. 7. Sharif F., Shoul A., Janati M., Kojuri J. and Zare N., "The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran," BMC Cardiovasc. Disord., vol. 12, pp. 40, June 2012. 8. Raghuram N., Parachuri V.R., Swarnagowri M.V., Babu S., Chaku R., Kulkarni R, Bhuyan B., Bhargav H. and Nagendra H.R., "Yoga based cardiac rehabilitation after coronary artery bypass surgery: one-year results on LVEF, lipid profile and psychological states - a randomized controlled study," Indian Heart J., vol. 66 (5), pp. 490-502, September-October 2014. 9. Savci S., Degirmenci B., Saglam M., Arikan H., Inal-Ince D., Turan H.N. and Demircin M., "Short-term effects of inspiratory muscle training in coronary artery bypass graft surgery: a randomized controlled trial", Scand. Cardiovasc. J., vol. 45 (5), pp. 286-293, October 2011. 10. Giggins O.M., Persson U.M. and Caulfield B., "Biofeedback in rehabilitation," J. Neuroeng. Rehabil., vol.18 (10), pp. 60, June 2013. 11. Meuret A.E., Wilhelm F.H. and Roth W.T., "Respiratory biofeedback-assisted therapy in panic disorder," Behav. Modif., vol. 25 (4), pp. 584-605, September 2001. 12. Rosaura Polak A., Witteveen A.B., Denys D. and Olff M., "Breathing biofeedback as an adjunct to exposure in cognitive behavioral therapy hastens the reduction of PTSD symptoms: a pilot study," Appl. Psychophysiol. Biofeedback, vol. 40 (1), pp. 25-31, March 2015. 13. Moravec C.S. and McKee M.G., "Biofeedback in the treatment of heart disease," Cleve. Clin. J. Med., vol. 78 (Suppl 1), pp. 20-23, August 2011. 14. Grishin O.V., Grishin V.G. and Uriumtsev D.Y., "The capnography parameters in healthy adults and patients with psychogenic dyspnea," Fiziol. Cheloveka, Vol. 38 (4), pp. 59-66, July - August 2012, [Article in Russian: Fiziol. Cheloveka, Vol. 38 (4), pp. 389-395, July - August 2012]. 15. Grassi M., Caldirola D., Di Chiaro N.V., Riva A., Daccò S., Pompili M. and Perna G., "Are respiratory abnormalities specific for panic disorder? A meta-analysis," Neuropsychobiology, vol. 70 (1), pp. 52- 60, September 2014. 16. Roth W.T., "Physiological markers for anxiety: panic disorder and phobias," Int. J. Psychophysiol., vol. 58 (2-3), pp. 190-198, November - December 2005. 17. Sardinha A., Freire R.C., Zin W.A. and Nardi A.E., "Respiratory manifestations of panic disorder: causes, consequences and therapeutic implications," J. Bras. Pneumol., vol. 35 (7), pp. 698-708, July 2009. 18. Gardner W.N., "The pathophysiology of hyperventilation disorders," Chest, vol. 109 (2), pp. 516-534, February 1996. 19. Szabo K., Lako E., Juhasz T., Rosengarten B., Csiba L. and Olah L., "Hypocapnia induced vasoconstriction significantly inhibits the neurovascular coupling in humans," J. Neurol. Sci., vol. 309 (1-2), pp. 58-62, October 2011. 20. Grishin O.V., Averko N.N., Zhilina I.G. and Kovalenko J.V., "Psychogenic dyspnoe and hypocapnia at CAD-patients before and after CABG," 21. [Article in Russian: Circulation Pathology and Cardiac Surgery, vol. 1, pp. 39-43, January 2012]. 22. Khairudin Z., "Determinants of Prolonged Stay after Coronary Artery Bypass Graft Surgery," Procedia Soc. Behav. Sci., vol. 36, pp. 87-95, June 2011 [ASEAN Conference on Environment-Behaviour Studies, Savoy Homann Bidakara Bandung Hotel, Bandung, Indonesia, 15-17 June 2011]. 23. Kavanagh B., "Normocapnia vs hypercapnia," Minerva Anestesiol., vol. 68 (5), pp. 346-350, May 2002. |
