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S Kottaras

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E Varsamidou
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International Research Journal of Public and Environmental Health
Vol.5 (2),pp. 13-19, February 2018
ISSN 2360-8803
Available online at https://www.journalissues.org/IRJPEH/
DOI:https://doi.org/10.15739/irjpeh.18.003
Article 18/ID/JPRH005/ 07 pages
Author(s) retain the copyright of this article. Author(s) agree that this article remain permanently open access under the terms of the Creative Commons Attribution License 4.0 International License.



Original Research Article

Outcomes of parent education programme in regular respiratory physiotherapy in prolonged mechanical ventilated child via tracheostomy after home- discharge

1Diomou Georgia, 1Varsamidou Efterpi, 1Hristara-Papadopoulou Alexandra, 1Varsamidis Konstantinos,1Apostolou Thomas, 2*Chatziprodromidou Ioanna P and 1Kottaras Stavros

1Physiotherapy Department of ATEI Thessaloniki,Greece
2Department of Public Health, School of Medicine, University of Patras, Greece.

*Corresponding Author Email: ioannachatzi(at)msn.com



date Received: January 4, 2018     date Accepted: February 1, 2018     date Published: February 26, 2018


 Abstract

The purpose of this research is to investigate the results of parental education and the systematic application of respiratory physiotherapy in the case of a child with tracheostomy and prolonged mechanical ventilation at home. Physiotherapy intervention included parent training in the application of physiotherapy techniques and the application of systematic respiratory physiotherapy for a period of 5 months. The child was evaluated before and after the intervention by completing a questionnaire. The measurements made are pulse oximetry before and after each physiotherapy session, arterial blood gases and nocturnal oximetry at the end of each month. An improvement in oxygen saturation (SaO2) was observed, with statistically significant differences between pre-post physiotherapy measurements (p<0.05). Throughout the intervention, blood PO2, PCO2, HCO3– was improved, but there was no statistically significant difference between the measurements (p>0.05). Also, statistically significant differences (p<0.05) occurred in nighttime oximetry throughout the intervention, which augmented the interruption of oxygen delivery during sleep. Completing the assessment questionnaire showed improvement in the family’s psychological profile and quality of life. The contribution of respiratory physiotherapy to children with tracheostomy and prolonged mechanical ventilation is considered to be very important both in the Intensive Care Unit of Children and after hospital discharge. Further research is needed to clarify its effects on improving pulmonary function, preventing respiratory infections, reducing hospital admission, releasing children from the ventilator and / or tracheostomy, and improving their quality of life.


Key words: Pediatric tracheostomy, mechanical ventilation, tracheostomy parental education, chest physiotherapy.


Diomou et al