The impact of positive expiratory pressure vs airway clearance techniques other therapy on quality of life and hospitalization rates in bronchiectasis patients: A systematic review
1 Nursing Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
2 Anesthesia technologist, Anesthesia Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
3 Staff nurse 1, Out Patient department, Nursing Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
4 Respiratory Therapist (PFT), Respiratory Care Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
5 Respiratory Therapist, Respiratory Care Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
6 Echocardiographer, Cardiac science unit, Cardiology Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
7 Staff Nurse, Nursing Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
8 Respiratory Therapist, Respiratory Care services, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
9 Staff Nurse 1, Registered Nurse, Hemodialysis Unit, Nursing Department, King Abdulaziz National Guard Hospital. Al-Ahsa, Saudi Arabia.
10 Staff Nurse 1, Nursing Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
11 Registered nurse, Nursing Department, Imam Abdulrahman bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
Review Article
GSC Biological and Pharmaceutical Sciences, 2017, 01(02), 049–055.
Article DOI: 10.30574/gscbps.2017.1.2.0018
Publication history:
Received on 15 September 2017; revised on 21 October 2017; accepted on 24 November 2017
Abstract:
Background: As per global guidelines, the present approach to treating bronchiectasis is to reduce additional harm to the airways by reducing inflammation and infection and enhancing airway clearance. The aim of this study was to compare the quality of life and hospitalization rates of individuals with bronchiectasis between positive expiratory pressure and other methods for airway clearance.
Method: Following the PRISMA guideline (9), this systematic review investigation was carried out. We looked through the electronic databases of PubMed, Google Scholar, and Cochrane for randomized controlled studies comparing the use of prescription PEP therapy to alternative ACTs for patients with stable or acute exacerbations of bronchiectasis. We focused on English-language publications that were released between 2003 and 2016.
Result: Included in this systematic review were four studies that were published between 2003 and 2015. Three studies involved individuals in clinical stability, while one study included adults experiencing a sudden exacerbation of bronchiectasis. According to the inclusion criteria, bronchiectasis was determined by HRCT in two investigations and by medical diagnosis in the other two studies.
Conclusion: PEP therapy appears to have comparable effects to other ACTs on dyspnea symptoms, health-related Qol, and sputum expectoration when administered in a stable clinical state or during an acute exacerbation.
Keywords:
Airway Clearance Techniques; Positive Expiratory Pressure; Bronchiectasis; Quality of Life; Hospitalization.
Full text article in PDF:
Copyright information:
Copyright © 2017 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
