目的:通气需求护理干预措施的变化适当适应了所述障碍的管理和儿童/父母的适应性。此修订旨在调查对通气受损儿童进行干预的证据。\'
方法:英文文献系统综述,西班牙语,法语,和葡萄牙语来自临床实践中与通气受损儿童相关的护理干预研究。遵循了乔安娜·布里格斯研究所的建议。
方法:我们在2022年1月进行了全面搜索,并在2023年6月进行了更新。搜索了以下电子数据库:SCOPUS,WebofScience,乔安娜·布里格斯研究所系统审查和实施报告数据库,MEDLINE(通过PubMed),CINAHL(通过EBSCO),MedicLatina(通过EBSCO),Cochrane系统评论数据库(通过EBSCO),和效果评论摘要数据库(DARE)。本综述包括2012年至2022年发表的19篇文章。
结果:19项研究调查了呼吸锻炼的功效(呼吸控制-放松呼吸,皱起嘴唇的呼吸,膈肌呼吸练习,呼吸扩张运动-深呼吸运动,胸部扩张练习(带装置),练习呼吸肌加强和位置优化通风。在大多数研究中,无法单独评估干预措施.13项研究证明了呼吸锻炼的功效,BIPAP,和氧疗。七篇文章展示了呼吸肌强化练习的有效性,只有三个人提到了定位对通气受损的疗效。基于呼吸锻炼和呼吸肌训练的干预是最常见的干预措施。
结论:结果表明,优化通气的护理干预措施是有效的。然而,同样的证据程度是低到中等,由人口特征(小而异)证明是合理的。
结论:有证据证明所研究的干预措施。然而,缺乏方法论的稳健性,这表明未来的研究需要适当描述干预措施,数据,和可比的结果,使用可靠的样本,其中研究的重点是明确的。
OBJECTIVE: Changes in the ventilation demand nursing interventions duly adapted to the management of said impairment and to the adaptability of the child/parents. This revision aimed to investigate the evidence behind the interventions performed on children with impaired ventilation.\'
METHODS: Systematic reviews of literature in English, Spanish, French, and Portuguese from studies on nursing interventions related to children with impaired ventilation in all contexts of the clinical practice. The Joanna Briggs Institute recommendations were followed.
METHODS: We conducted a comprehensive search as of January 2022 and updated as of June 2023. The following electronic databases were searched: SCOPUS, Web of Science, Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports, MEDLINE (via PubMed), CINAHL (via EBSCO), MedicLatina (via EBSCO), The Cochrane Database of Systematic Reviews (via EBSCO), and Database of Abstracts of Reviews of Effects (DARE). Nineteen articles published between 2012 and 2022 were included in this review.
RESULTS: Nineteen studies investigated the efficacy of respiratory exercises (Breathing Control - relaxed breathing, pursed lip breathing, Diaphragmatic breathing exercises, respiratory expansion exercise - deep breathing exercise, thoracic expansion exercises (with device), exercises for respiratory muscle strengthening and position to optimize ventilation. In the majority of the studies, it was not possible to evaluate the interventions separately. Thirteen studies evidenced the efficacy of respiratory exercises, BIPAP, and oxygen therapy. Seven articles demonstrated the effectiveness of respiratory muscle-strengthening exercises, and only three mentioned the efficacy of positioning regarding impaired ventilation. Interventions based on respiratory exercises and respiratory muscle training were the most common ones.
CONCLUSIONS: The results suggest that nursing interventions to optimize ventilation are efficient. Nevertheless, the same present a low to moderate evidence degree, justified by the population characteristics (small and heterogeneous).
CONCLUSIONS: There is proof of evidence for the studied interventions. However, the lack of methodological robustness points to future research to duly describe interventions, data, and comparable results, using reliable samples in which the focus of the study is clear.