在慢性性肺病中个性化气道清除:一个范围审查
Lynne M Schofield1,2, Sally J Singh3, Zarah Yousaf4
1Faculty of Medicine Dentistry and Health, IICD, University of Sheffield, Sheffield, UK.
ERJ open research
|June 21, 2023
概括
针对慢性肺部疾病的个性化气道清除技术 (ACT) 得到了广泛讨论,并确定了七个关键因素来定制治疗方案. 本综述提出了一个模型来指导物理治疗师在个性化ACT更好的粘液清除.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 物理治疗 物理治疗
- 肺部康复治疗 肺部康复治疗
背景情况:
- 个性化气道清除技术 (ACT) 对于在慢性支性肺部疾病中管理粘液清除至关重要.
- 目前的文献缺乏关于个性化ACT治疗方案的具体指导方针的明确性.
- 本范围审查通过探索关于ACT个性化的研究来解决这个差距.
研究的目的:
- 探索当前关于慢性支性肺部疾病中呼吸道清除技术的研究.
- 确定ACT个性化可用的指导的范围和类型.
- 识别知识缺口和物理治疗师在ACT个性化中需要考虑的因素.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,PEDro,Cochrane,Web of Science) 进行系统的文献搜索,寻找过去25年的出版物.
- 利用并修改了TIDieR数据图表框架,开发了一个"最适合"的框架.
- 将发现转化为个性化模型.
主要成果:
- 审查了各种各样的出版物,最常见的是一般性审查论文 (44%).
- 确定了七个关键的个性化因素:身体,心理社会,ACT类型,程序,剂量,反应和提供者.
- 基于已识别的因素,针对物理治疗师开发了一个个性化模型,因为现有的模型有限.
结论:
- 气道清理方案的个性化在当前文献中得到了广泛的讨论.
- 已经确定了影响ACT个性化的一系列因素.
- 本综述将这些发现综合到一个拟议的气道清除个性化模型中,以提高清晰度和指导实践.
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