Programa de Pós-graduação em Distúrbios da Comunicação Humana, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.
Departamento de Fonoaudiologia, Universidade Federal da Paraíba - UFPB - João Pessoa (PB), Brasil.
Codas. 2021 May 31;33(3):e20200057. doi: 10.1590/2317-1782/20202020057. eCollection 2021.
To present a proposal for speech-language pathology rehabilitation called the Therapy Program for Management of Chronic Cough (TMCC) for the treatment of refractory chronic cough.
TMCC was developed based on two stages: literature and clinical analysis. The literature analysis stage was carried out through the following procedures: electronic and manual search for articles and books published until June 2019 that included adult participants with chronic cough and intervention with speech-language pathology therapy; selection of sources; analysis of articles and books included; and, preparation of the initial version of the therapy program. The initial version of the therapy program resulting from literature analysis stage was submitted to clinical analysis stage through the following procedures: analysis by three judges; revision of the proposal by the authors; judges' re-analysis; elaboration of the final version called the Therapy Program for Management of Chronic Cough (TMCC).
TMCC synthesizes scientific knowledge and current clinical experience on the behavioral management of refractory chronic cough into a program with three main components, each one with specific objectives and strategies. TMCC consists of four sessions, with weekly frequency and duration between 30-45 minutes per session, executed in hierarchical phases, with specific objectives and strategies per session.
TMCC is a program structured to offer global cough rehabilitation. To obtain scientific evidence about its effectiveness is necessary, so that it can be used in clinical practice.
提出一种名为“慢性咳嗽管理治疗方案（TMCC）”的言语病理学康复方案，用于治疗难治性慢性咳嗽。
TMCC 基于两个阶段开发：文献和临床分析。文献分析阶段通过以下步骤进行：电子和手动搜索截至 2019 年 6 月发表的包含成人慢性咳嗽参与者和言语病理学治疗干预的文章和书籍；选择来源；分析纳入的文章和书籍；准备治疗方案的初始版本。从文献分析阶段得出的治疗方案的初始版本通过以下步骤提交给临床分析阶段：由三位评委进行分析；作者对提案进行修订；评委重新分析；制定最终版本的慢性咳嗽管理治疗方案（TMCC）。
TMCC 将关于难治性慢性咳嗽的行为管理的科学知识和当前临床经验综合到一个方案中，该方案有三个主要组成部分，每个部分都有特定的目标和策略。TMCC 由四个疗程组成，每周进行一次，每次疗程时长 30-45 分钟，按层次进行，每个疗程都有特定的目标和策略。
TMCC 是一个旨在提供全面咳嗽康复的方案。需要获得其有效性的科学证据，以便将其用于临床实践。
