In this study, providing access to physiotherapy applications by telerehabilitationmethod and the effectiveness of this application will be examined for patients who haveundergone lung surgery in the early postoperative period during the pandemic process inwhich social isolation continues.
- Patients who meet the inclusion criteria and agree to participate in the study will
be included in the study.
- Patients diagnosed with lung cancer and underwent thoracotomy will be randomly
divided into Telerehabilitation Group (TGR) and Control (KG) groups.
- Before the operation, enlightened and signed consent will be obtained from the
cases, the first evaluations of the patients in both groups will be made and the
first exercise training will be given to the telerehabilitation group.
- The study group will be followed up every day during their hospitalizations and the
final tests of both groups will be made before discharge. Long-term follow-up will
be carried out in the 1st month and 3rd month after discharge.
Other: Breathing exercise, intensive spirometry use, supported cough, progressive mobilisation and ambulation
The exercise program includes breathing exercises (chest-abdominal-lateral basal
breathing; 10 repetitions), use of intensive spirometry (20 repetitions) and assisted
coughing. Apart from this, a progressive mobilization program will be applied considering
patient tolerance and hemodynamic parameters, starting after the patient is taken to the
service room. The teleconference exercise call will be continued from the postop 1st day
until discharge, twice a day.
Other: Exercise booklet
Patients will be interviewed by videoconferencing method at least 1 day before the
operation, their first evaluation will be taken and an exercise booklet will be given.
Inclusion Criteria:
- Having a smart phone and capable of making video calls,
- Planned to be operated with thoracotomy or videothoracoscope,
- Staged between IA and IIIB with clinical staging,
- With proven lung tumor (If AC diagnosis is not confirmed after frozen or wedge, the
patient will be excluded from the study),
- Patients with no cardiac disease (ASA II or better) that affects their quality of
life.
Exclusion Criteria:
- Having a cardiac disease that affects the quality of life,
- Serious cognitive problems and presence of psychiatric diseases,
- Presence of physical limitations (vision, hearing impairment, orthopedic problems).
Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine Thoracic Surgery Clinic
İstanbul, Turkey
Investigator: Akif Turna, Prof.Dr.
akif.turna@gmail.com
Esra Pehlivan, Assoc.Prof.
fztesrakambur@yahoo.com
Akif Turna, Prof.Dr.
+90 212 414 24 24
akif.turna@gmail.com