Holsclaw D S, Tecklin J S
Pediatr Ann. 1977 Aug;6(8):550-6.
The variables inherent in analyzing the effectiveness of modalities used to achieve bronchial hygiene are numerous. Treatments may be given in a variety of settings, including intensive-care units, pediatric wards, respiratiory therapy departments, physical therapy departments, chronic-care hospitals, special education centers, and patient homes. Treatments are administered by a variety of medical professionals, allied health personnel, and lay volunteers. Motivation of the care providers as well as of the patients may vary greatly. Also, efforts are needed to study patients at comparable stages in their growth and development and in the progression of their particular diseases. Rather than perpetuating the unquestioning use of these various treatments, a series of carfully constructed and controlled studies done in collaborative fashion need to be performed. Until that time, the recommendations we have outlined dealing with each of the various segments of bronchial hygiene may serve as useful guidelines.
分析用于实现支气管卫生的治疗方法有效性时所固有的变量众多。治疗可在多种环境中进行，包括重症监护病房、儿科病房、呼吸治疗科、物理治疗科、慢性病医院、特殊教育中心和患者家中。治疗由多种医疗专业人员、专职医护人员和非专业志愿者实施。护理提供者以及患者的积极性可能差异很大。此外，还需要努力研究处于生长发育和特定疾病进展相当阶段的患者。与其不加质疑地持续使用这些各种治疗方法，不如以协作方式进行一系列精心构建和控制的研究。在此之前，我们概述的针对支气管卫生各个不同部分的建议可作为有用的指导方针。
