In this study, providing access to physiotherapy applications by telerehabilitation method and the effectiveness of this application will be examined for patients who have undergone lung surgery in the early postoperative period during the pandemic process in which 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