成年人呼吸功能障碍的非药物干预:系统性审查
Janet Bondarenko Bpt1, Angela T Burge2, Jean Bremner Bpt3
1Respiratory Research@Alfred, Monash University, Melbourne, Australia; Physiotherapy, Alfred Health, Melbourne, Australia.
概括
非药物干预措施,包括呼吸再培训,可能有助于功能障碍呼吸. 然而,证据质量较低,需要更详细的研究才能获得可靠的疗效.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 康复科学 康复科学 康复科学
- 基于证据的实践.
背景情况:
- 功能障碍的呼吸是普遍存在的,并对喘结果产生负面影响.
- 识别有效的非药物治疗方法对于管理这种情况至关重要.
研究的目的:
- 针对功能障碍呼吸的非药物干预的特征.
- 评估它们有效性的证据.
主要方法:
- 在多个电子数据库中系统搜索相关研究.
- 使用干预描述和复制检查清单模板对干预协议特征的评估.
- 评估研究质量和偏差风险.
主要成果:
- 纳入了68项涉及219名参与者的试验,其中大多数具有高或不清楚的偏差风险.
- 确定了五种干预类别:呼吸再训练,心理治疗,针治疗,手动治疗和运动治疗.
- 呼吸再训练在生物化学,生物机械和心理生理学领域显示出积极的影响,尽管研究异质和证据质量低.
结论:
- 对于功能障碍呼吸,存在各种非药物干预措施.
- 呼吸再训练是最受研究的,但证据质量仍然很低.
- 未来的研究需要对干预措施的详细报告和一致的客观结果指标.
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