Airway Clearance and Mucoactive Therapies in Bronchiectasis

O’Donnell, Anne E.

doi:10.1016/j.ccm.2021.12.004

Cited by 5 publications

(3 citation statements)

References 40 publications

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“…Nursing practice in this case study is designed to address the problem of ineffective airway clearance. Ineffective airway clearance therapy uses effective coughing (O'Donnell, 2022). Effective coughing is a nursing action to remove airway secretions.…”

Section: Nursing Evaluationmentioning

confidence: 99%

Nursing Care for Oxygenation Needs Disorder in Patients Diagnosed with Bronchitis in the Jimbaran Lama Ward

Komariyah,

Dwi Hikmatun,

Sari

et al. 2024

hij

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Ineffective airway clearance is one of the oxygenation disorders in patients with respiratory disorders (bronchitis). One of the practical nursing actions is to cough effectively to remove mucus in the respiratory tract. This study aimed to determine and analyze nursing care for impaired oxygenation needs in patients with a medical diagnosis of bronchitis in the old Jimbaran room. This research method uses a descriptive design as a nursing practice case study approach. The case study examines the respiratory rate (RR) of patients with respiratory disorders (bronchitis) after giving effective coughing measures for 3x24 hours. The results showed that the patient's RR before implementation was 24 x/min. In comparison, after being given an effective cough implementation for 3x24 hours, the RR was 20 x/min. In conclusion, nursing actions that need to be taken in patients with respiratory disorders (bronchitis) include assessing sputum production, effective coughing techniques, counseling regarding positioning, and collaborative oxygen or nebulizer administration. The implication of this study is the importance of effective coughing measures in managing bronchitis patients, including evaluation of sputum production, training in proper coughing techniques, education on proper positioning, and collaboration with oxygen or nebulizer administration as needed. Synchronization between research objectives and research conclusions. Present the research subject, research criteria, data collection methods, and data analysis.

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Section: Nursing Evaluationmentioning

confidence: 99%

Nursing Care for Oxygenation Needs Disorder in Patients Diagnosed with Bronchitis in the Jimbaran Lama Ward

Komariyah,

Dwi Hikmatun,

Sari

et al. 2024

hij

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“…Compounding the time requirement towards therapy, proper maintenance of airway clearance devices is critical to attenuate risk of infection [14]. As disease progression occurs, additional airway clearance interventions may need to be included [14].…”

Section: Current Approach To Bronchiectasis Managementmentioning

confidence: 99%

Assessment of factors and interventions towards therapeutic adherence among persons with non-cystic fibrosis bronchiectasis

Thornton

Somayaji²,

Lim³

2022

ERJ Open Res

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Non-cystic fibrosis bronchiectasis (NCFB) is a highly prevalent chronic respiratory disease with substantial burden to both patients and health care systems. Persons with NCFB (pwNCFB) are often given complex acute and chronic treatment regimens consisting of medications, airway clearance techniques and exercise. Accordingly, the high burden in NCFB has contributed to lower therapy adherence with estimates of 53% to medications, 41% to airway clearance and only 16% to all prescribed therapy. Consequent clinical outcomes from lower adherence include reduced quality of life, accelerated lung function decline and recurrent pulmonary exacerbations. In this narrative review, we explore the impact of multifactorial mechanisms underpinning adherence in NCFB and evaluate the available evidence towards interventions to improve uptake of therapy as demonstrated in other chronic respiratory diseases. A holistic approach, starting with a careful review of patient adherence at regular intervals, may increase the success of multidimensional therapeutic interventions in pwNCFB, but robust ongoing studies are an area of need in this population.

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“…A Cochrane Review found ACTs were safe and may account for improvements in lung function, sputum expectoration, and health-related quality of life ( 10 ). Recommendations from experts suggest that the choice of ACT be individualized for patients based on disease state, severity, and preference ( 11 – 13 ). However, patients are not often aware of the variety of ACTs that are available, and thus individualization of prescribed therapies is limited.…”

mentioning

confidence: 99%

Pilot Evaluation of a Management Toolkit for Airway Clearance Therapy in Bronchiectasis (IMPACT BE)

et al. 2023

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Background Airway clearance therapies (ACTs) are recommended as an integral part of the management of non–cystic fibrosis bronchiectasis (BE) to prevent inflammation, mucus accumulation, and infection that occur because of ineffective secretion clearance. Adherence to ACTs is low, in part because of perceived burden and a lack of standardization of education and training programs for patients. Poor adherence is associated with more frequent exacerbations, worse health outcomes, and worse quality of life. Structured educational programs increase adherence to ACT among people with cystic fibrosis and may show similar results for people with BE. Objective This pilot study evaluated the feasibility, clinical utility, sustainability, and expert opinions of this educational program addressing gaps in ACT knowledge and skills in people with BE. Methods The Individual Management of Patient Airway Clearance Therapy– Bronchiectasis (IMPACT BE) was implemented in nine BE centers with 100 patients. Qualitative and quantitative data were collected from patients and providers. Results The IMPACT BE program demonstrated good uptake in a clinic setting by multidisciplinary team members, with improvements in medical teams’ evaluation of their ability to provide education to patients. All healthcare teams indicated that this program could become a sustainable part of their clinic. Qualitative responses from patients indicated the program was comprehensive and easy to use. Conclusion In this pilot study, IMPACT BE was found to be useful in teaching airway clearance to people with BE. The open-access toolkit was well received by both patients and a diverse array of providers in a clinic setting.

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Airway Clearance and Mucoactive Therapies in Bronchiectasis

Cited by 5 publications

References 40 publications

Nursing Care for Oxygenation Needs Disorder in Patients Diagnosed with Bronchitis in the Jimbaran Lama Ward

Nursing Care for Oxygenation Needs Disorder in Patients Diagnosed with Bronchitis in the Jimbaran Lama Ward

Assessment of factors and interventions towards therapeutic adherence among persons with non-cystic fibrosis bronchiectasis

Pilot Evaluation of a Management Toolkit for Airway Clearance Therapy in Bronchiectasis (IMPACT BE)

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