在息和支持性护理中呼吸障碍的风扇治疗:随机对照试验的系统审查和元分析
Rafael Alvim Pereira1, Gabriel Barcellos2, Gabriel Lenz3
1Dr. Pereira is affiliated with the Department of Medicine, Hospital Santa Casa, São José dos Campos, SP, Brazil.
风扇疗法在晚期疾病中提供快速,安全的缓解呼吸困难. 虽然它对立即减轻症状有效,但其长期益处需要在息治疗中进一步研究.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
- 呼吸系统医学 呼吸系统医学
背景情况:
- 呼吸障碍影响到70%的患有晚期疾病的患者.
- 风扇治疗是一种非药物干预,用于缓解症状.
- 之前的风扇治疗试验结果一直不一致.
研究的目的:
- 系统地审查和元分析随机对照试验 (RCT).
- 评估面部导向风扇治疗在患有晚期疾病的成年人中的疗效.
- 为了解决关于风扇治疗有效性的不确定性.
主要方法:
- 在PubMed,Embase和Cochrane CENTRAL中搜索了RCT.
- 包括面向风扇治疗的并行组和交叉试验.
- 使用随机效应元分析来计算标准化平均差异 (SMD).
主要成果:
- 分析了12个RCT,其中有463名参与者.
- 风扇治疗显著减少了即时呼吸不良 (SMD = -1.33,P = .001).
- 对于累积性呼吸不良,呼吸频率或氧气和没有发现显著的益处.
结论:
- 风扇治疗是安全的,负担得起的,并且可以很好地容忍快速缓解呼吸障碍.
- 它在支持性和息性护理中尤其有益.
- 需要更大的RCT来确定长期影响.
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