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Battery operated fan and chronic breathlessness: does it help?
Matilda Barnes-Harris1, Victoria Allgar2, Sara Booth3
1Wolfson Palliative Care, Hull York Medical School, Hull, UK hymb13@hyms.ac.uk.
BMJ Supportive & Palliative Care
|May 10, 2019
Summary
A hand-held fan appears to help most people with chronic breathlessness and may increase physical activity. Further research is suggested for potential benefits in individuals with chronic obstructive pulmonary disease (COPD).
Area of Science:
- Respiratory Medicine
- Pulmonary Rehabilitation
Background:
- Chronic breathlessness significantly impacts quality of life.
- Interventions to alleviate breathlessness and improve activity are crucial.
Purpose of the Study:
- To investigate if a hand-held fan improves breathlessness and increases physical activity.
- To explore patient characteristics associated with fan-induced benefits.
Main Methods:
- Secondary analysis of pooled data from two randomized controlled trials.
- Explored fan use versus activity advice, with or without other interventions.
- Descriptive statistics and regression analysis were employed.
Main Results:
- 85% of participants reported the fan helped their breathing; 54% reported increased physical activity.
- Older individuals, those with COPD, and those with a carer showed trends towards greater benefit.
- No statistically significant findings due to small sample size, but COPD patients were more likely to use the fan.
Conclusions:
- Exploratory data suggest fans benefit most individuals with chronic breathlessness and are perceived to increase physical activity.
- A potential benefit signal for people with chronic obstructive pulmonary disease warrants further investigation.
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