补充疗法对慢性阻塞性肺病患者治疗非侵入性通风的结果的影响:系统性审查
Dilara Ülke Çelik1, Meral Gün1
1Faculty of Nursing, Department of Internal Medicine Nursing, Mersin University, Mersin, Turkey.
补充疗法可能有助于减少患有慢性阻塞性肺病 (COPD) 的患者接受非侵入性通风 (NIV) 的焦虑和呼吸障碍. 需要进一步的研究来证实这些益处临床实践.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 综合医学是一个整体医学.
- 关键的护理关键的护理
背景情况:
- 患有慢性阻塞性肺病 (COPD) 的患者接受非侵入性通风 (NIV) 经历了显著的生理和心理社会挑战.
- 补充疗法的作用在症状管理和改善COPD患者对NIV的坚持需要进一步调查.
研究的目的:
- 系统地审查补充疗法的有效性,以改善接受NIV的COPD患者的临床症状和健康结果.
主要方法:
- 根据PRISMA-P指南进行了系统审查.
- 在主要数据库 (PubMed,Cochrane,Scopus,Web of Science,Google Scholar) 进行了文学搜索.
- 研究的选择和评估使用了PICOT标准和Joanna Briggs Institute (JBI) 批判性评估工具.
主要成果:
- 包括5项随机对照试验,涉及338名接受NIV治疗的COPD患者.
- 补充疗法显著降低了焦虑和呼吸障碍水平.
- 在接受补充疗法的患者中,观察到身体能力和生活质量的改善.
结论:
- 补充疗法有望缓解焦虑,呼吸困难,并提高NIV的COPD患者的身体能力和生活质量.
- 然而,目前研究中的大量异质性和方法限制需要高质量,精心设计的临床试验来获得明确的证据.
- 目前的证据不足以将其常规纳入重症监护;进一步的研究对于指导护理实践和整体护理至关重要.
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