Abstract
The purpose of the study was to evaluate the effect of chest physiotherapy along with early mobility after abdominal surgery. The study was investigating the effect of chest physiotherapy along with early mobility and only chest physiotherapy after major abdominal surgeries on respiratory function, length of hospital stays, pain intensity, oxygen saturation level and status of functional independency (FIM).
 Methodology: This was a quasi-experimental study where sixty patients with Lower abdominal surgery conveniently selected from the post-operative unit of the tertiary level specialized hospitals in Dhaka and simple random sampling was used for differentiating the groups. Thirty patients in chest physiotherapy group (control) and thirty in chest physiotherapy along with early mobility group (Experimental). It was measured the respiratory function, length of hospital stays, pain intensity, oxygen saturation level and status of functional independence.
 Results: Regarding this study the mean age of the experimental group were 46.7 (±18.12) years and mean age of control group were 43.4 (±15.66) years. Mean length of hospital stay was 7.90 (± 2.078) days in experimental group and 11.50 (±3.75) in control group, and the p value was 0.0016 in experimental group and 0.019 in control group so it was proved that the chest physiotherapy along with early mobilization significantly reduce the duration of hospital stay and chest physiotherapy was also effective. However it was showed that post-operative day-05 experimental group treatment was significantly effective where the p value was ≤0.05 (p=0.0378). So it was absolute showed that the treatment of experimental group was much effective. Study was showed that the effect on improving functional independency level was significantly effective of experimental group of FIM score in all parameters and also in control group also but in comparison it was showed that the experimental group was more effective than control group.
 Conclusion: It was identified the significant effectiveness of chest physiotherapy (CPT) along with early mobility rather than only chest physiotherapy after abdominal surgeries. But both groups of participants were showed significant effectiveness. Participants in the CPT along with early mobility exercise after abdominal surgeries showed that it significantly reduces the duration of hospital stay and as well as increase the peripheral oxygen saturation level and also improved functional independence rather than the control group who got only chest physiotherapy.
Highlights
Abdominal surgeries are performed for the diagnosis and treatment of many diseases [1] besides that could be remove cancerous tissue, to resolve visceral tissue perforations or to remove inflammatory bowel segments, benign growths, or vascular aneurysms [2]
Mean length of hospital stay was 7.90 (± 2.078) days in experimental group and 11.50 (±3.75) in control group, and the p value was 0.0016 in experimental group and 0.019 in control group so it was proved that the chest physiotherapy along with early mobilization significantly reduce the duration of hospital stay and chest physiotherapy was effective
It was identified the significant effectiveness of chest physiotherapy (CPT) along with early mobility rather than only chest physiotherapy after abdominal surgeries
Summary
Abdominal surgeries are performed for the diagnosis and treatment of many diseases [1] besides that could be remove cancerous tissue, to resolve visceral tissue perforations or to remove inflammatory bowel segments, benign growths, or vascular aneurysms [2]. Postoperative pulmonary complications (PPCs) following abdominal surgery are very common and are responsible for increased morbidity and mortality as well as the length of hospital stay and healthrelated cost of care [1], [3]. Common postoperative pulmonary complications include atelectasis, hypoxemia, pneumonia, respiratory dysfunction, and pleural effusion [4], [1]. PPCs can lead to delayed patient recovery, prolonged hospitalization as well as increased morbidity and mortality [6]. Health care costs associated with the treatment of PPCs are 50% greater than the treating postoperative cardiac complications [7]. Different kinds of breathing exercises aim to improve the patient’s breathing pattern and increase lung expansion, respiratory muscle strength, functional residual capacity, and inspiratory reserve volume, preventing or treating PPCs [11]
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