Sato Tomoo, Taito Shunsuke, Nakashima Yuki, Sakai Kotomi, Kako Jun
Acute Care Nursing Division, Kobe City College of Nursing, Kobe, JPN.
Division of Rehabilitation, Hiroshima University Hospital, Hiroshima, JPN.
Cureus. 2023 Aug 17;15(8):e43668. doi: 10.7759/cureus.43668. eCollection 2023 Aug.
Fan therapy is a non-pharmacological approach useful in terminally ill patients that relieves dyspnea by directing a fan to blow air on one side of the patient's face. To date, there has been no systematic review of fan therapy for critically ill patients in the intensive care unit. This scoping review aimed to provide a comprehensive overview of fan therapy studies published to date, clarify the therapeutic intervention methods of fan therapy, evaluate its safety according to existing literature, and explore its potential use in critically ill patients. A scoping review was conducted using the Joanna Briggs Institute methodology. This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension of the scoping reviews statement. All published studies conducted on patients who received fan therapy regardless of age, disease, setting, phase, country, or follow-up duration were included. The data sources included Medical Literature Analysis and Retrieval System Online, Embase, Cochrane Central Register of Controlled Trials, and Cumulative Index to Nursing and Allied Literature databases. Of the 685 studies obtained, 15 were included, comprising patients with terminal cancer and chronic lung diseases. The most common intervention was a single five-minute intervention for dyspnea at rest. The studies on patients receiving oxygen therapy did not report adverse events or worsening of blood pressure, pulse rate, respiratory rate, or SpO levels. However, there are no studies in the literature on the use of fan therapy for critically ill patients. Nevertheless, previous studies suggest that fan therapy is safe.
风扇疗法是一种对晚期患者有用的非药物治疗方法，通过将风扇对准患者面部一侧吹气来缓解呼吸困难。迄今为止，尚未对重症监护病房中的重症患者进行过风扇疗法的系统评价。本范围综述旨在全面概述迄今发表的风扇疗法研究，阐明风扇疗法的治疗干预方法，根据现有文献评估其安全性，并探讨其在重症患者中的潜在用途。使用乔安娜·布里格斯研究所的方法进行了范围综述。本范围综述遵循系统评价和Meta分析扩展的范围综述声明的首选报告项目。纳入了所有对接受风扇疗法的患者进行的已发表研究，无论患者的年龄、疾病、环境、阶段、国家或随访时间长短。数据来源包括医学文献分析和检索系统在线数据库、Embase数据库、Cochrane对照试验中央注册库以及护理学与健康相关文献累积索引数据库。在获取的685项研究中，纳入了15项，包括终末期癌症和慢性肺病患者。最常见的干预措施是针对静息时呼吸困难进行一次五分钟的干预。关于接受氧疗患者的研究未报告不良事件或血压、脉搏率、呼吸频率或血氧饱和度水平恶化的情况。然而，文献中没有关于在重症患者中使用风扇疗法的研究。尽管如此，先前的研究表明风扇疗法是安全的。
