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IRCT20251101067852N1 IRCT 2025-11-13 College of Nursing /University of Baghdad The Effect of Acapella and Incentive Spirometry on Blood Gases and Peak Expiratory Flow Rate after Coronary Artery Bypass Graft. A Randomized controlled trial (ARCT),Coronary Artery Bypass Graft (CABG). The Effect of Acapella and Incentive Spirometry on Blood Gases and Peak Expiratory Flow Rate after Coronary Artery Bypass Graft: A Randomized Controlled Trial 2025-11-10 anticipated 100 Recruiting https://irct.ir/trial/87234 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: A Randomized Controlled Trial. RCT is a quantitative, true experimental, and comparative study executed under controlled conditions, in which interventions are randomly allocated to different groups in order to minimize bias and determine a cause-effect relationship between an intervention and an outcome. the population was patients from two cardiac centers selected based on eligibility criteria the. This was achieved through a simple random sampling probability method using two cards. The white card represents the participant included in the study group, and the black card represents patients control the study sample. This method provides researchers with the opportunity to select participants for the study randomly and without bias, Blinding description: The person measuring blood gases. N/A patient undergoing Coronary Artery Bypass Graft Surgery. Intervention 1: Intervention group: Acapella (oscilatory PEP) Experimental group will take Acapella for 10-15 minutes per session, two times per a day for 1 days before surgery and 3 days after CABG operation. Intervention 2: Intervention group: Incentive Spirometry Experimental group will not be exposed to Acapella and take only Incentive Spirometry for 10-15 minutes per session, 2 times per a day for 1 days before surgery and three consecutive days after CABG Surgery. Yes - There is a plan to make this available What will be shared: The researcher is acknowledging the scientific community to have verifiable findings of the study. Sharing plan includes making all the related data available through publishing the study report in peer-reviewed reputable journals. When: once finishing the process of data collection, analysis, and successful publishing of the manuscript, all the related files will become available for 6 months after the publications, after you are approved to register on the Iranian clinical trials website To whom: All the related files will be shared with any scientific interested parties Conditions: All the related files will be shared with any scientific interested parties Where to obtain: The author's professional e-mail that will be available with the published manuscipt can be used to contact the author.E-mail bassima.a@conursing.uobaghdad.edu.iq How to obtain: The processes involved in accessing this documentation are possible via email :bassima.a@conursing.uobaghdad.edu.iq, the first and last name of authors, trial' title variable and the trial Id. Comments: Profound appreciations are due to the IRCT members for their genuine efforts in helping researchers fulfilling their academic endeavors. The three groups were added individually in each field. We hope that the modifications will be appropriate to the design of the experiment. With many thanks and appreciation for your patience.
public Bassima Amir Naji
Baghdad, zayona,al Rubaie street
Baghdad Iraq 10091 +964 790 188 2421 bassima.a@conursing.uobaghdad.edu.iq University of Baghdad/College of Nursing scientific Bassima Amir Naji
Baghdad, zayona,al Rubaie street
Baghdad Iraq 10091 +964 790 188 2421 bassima.a@conursing.uobaghdad.edu.iq University of Baghdad/College of Nursing Iraq Iraq A patient who is an adult admitted to the hospital for coronary artery bypass graft surgery after receiving a diagnosis of coronary artery disease.-Been between 33 years and 60 years old.-being open to taking part in the research and giving informed permission. 33 years 60 years Both -individuals having a body mass index (BMI) between 16 and 28 kg/m2. -patients who have asthma or COPD. patients that need reintubation. patients who have history of respiratory tract infection. I25.10 + Z This code indicates chronic ischemic heart disease caused by atherosclerosis (plaque buildup) in one or more native coronary arteries.The patient does not experience angina pectoris (chest pain) at the time of diagnosis. Treatment - Devices Treatment - Devices Intervention group: Acapella (oscilatory PEP) Experimental group will take Acapella for 10-15 minutes per session, two times per a day for 1 days before surgery and 3 days after CABG operation. Intervention group: Incentive Spirometry Experimental group will not be exposed to Acapella and take only Incentive Spirometry for 10-15 minutes per session, 2 times per a day for 1 days before surgery and three consecutive days after CABG Surgery. Peak Expiratory Flow Rate (PEFR) For improvement in expiratory airflow indicating lung function recovery. Timepoint: as baseline one day before surgery (pre-intervention) and post intervention in three consecutive days after surgery. Method of measurement: Peak flow meter. Arterial Blood Gases (ABG) we see the change in Arterial Blood Gases value before and after intervention. Timepoint: as a baseline (pre-intervention) one day before surgery and three consecutive days after surgery and post-intervention. Method of measurement: Blood Gas Analyzer. Peripheral Oxygen Saturation. Timepoint: as baseline one day before surgery (pre-intervention) and post intervention in three consecutive days after surgery. Method of measurement: Pulse oximetey before and after breathing exercises. The authors of the trial are the funding source Approved 2025-03-25 Research Ethical Approval Committee College of Nursing/University of Baghdad Bab Al Mua'adham-Baghdad-Iraq P.O.Box:(14149) Baghdad Baghdad Iraq