关键词: critical ill dyspnea fan therapy icu( intensive care unit ) intensive care intensive respiratory care respiratory care

来  源:   DOI:10.7759/cureus.43668   PDF(Pubmed)

Abstract:
Fan therapy is a non-pharmacological approach useful in terminally ill patients that relieves dyspnea by directing a fan to blow air on one side of the patient\'s face. To date, there has been no systematic review of fan therapy for critically ill patients in the intensive care unit. This scoping review aimed to provide a comprehensive overview of fan therapy studies published to date, clarify the therapeutic intervention methods of fan therapy, evaluate its safety according to existing literature, and explore its potential use in critically ill patients. A scoping review was conducted using the Joanna Briggs Institute methodology. This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension of the scoping reviews statement. All published studies conducted on patients who received fan therapy regardless of age, disease, setting, phase, country, or follow-up duration were included. The data sources included Medical Literature Analysis and Retrieval System Online, Embase, Cochrane Central Register of Controlled Trials, and Cumulative Index to Nursing and Allied Literature databases. Of the 685 studies obtained, 15 were included, comprising patients with terminal cancer and chronic lung diseases. The most common intervention was a single five-minute intervention for dyspnea at rest. The studies on patients receiving oxygen therapy did not report adverse events or worsening of blood pressure, pulse rate, respiratory rate, or SpO2 levels. However, there are no studies in the literature on the use of fan therapy for critically ill patients. Nevertheless, previous studies suggest that fan therapy is safe.
摘要:
风扇疗法是一种非药物方法,适用于绝症患者,通过引导风扇在患者面部一侧吹气来缓解呼吸困难。迄今为止,尚未对重症监护病房危重患者的风扇治疗进行系统评价.这项范围审查旨在提供迄今为止发表的风扇治疗研究的全面概述,阐明风扇疗法的治疗干预方法,根据现有文献评估其安全性,并探讨其在危重患者中的潜在用途。使用乔安娜·布里格斯研究所的方法进行了范围审查。此范围审查遵循范围审查声明的系统审查和荟萃分析的首选报告项目扩展。所有已发表的研究都是针对接受粉丝治疗的患者进行的,无论年龄大小,疾病,设置,阶段,国家,或随访时间包括在内。数据来源包括在线医学文献分析和检索系统,Embase,Cochrane中央控制试验登记册,护理和相关文献数据库的累积索引。在获得的685项研究中,包括15个,包括晚期癌症和慢性肺病患者。最常见的干预是在休息时对呼吸困难进行一次五分钟的干预。对接受氧疗的患者的研究没有报告不良事件或血压恶化,脉搏率,呼吸频率,或SpO2水平。然而,文献中没有关于危重患者使用风扇疗法的研究.然而,以前的研究表明,风扇治疗是安全的。
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