The FAFA (FAn on FAce) trial: A randomized clinical trial on the effect of a fan blowing air on the face to relieve dyspnea in Filipino patients with terminal cancer

Ting, Frederic Ivan; Barbon, Carla Emille; Estreller, Sachiko; Strebel, Heinrik Martin Jude S.

doi:10.1093/annonc/mdz430

Cited by 3 publications

(19 citation statements)

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“…Patients in 15 studies were in terminal phases of cancer [12,13,[18][19][20][21][22]24,29,30], such as lung, pancreatic, and breast cancers, or chronic phase of chronic obstructive pulmonary disease (COPD) [12,18,19,[25][26][27][28], interstitial lung disease (ILD) [24], asthma [5], or heart disease [19,20]. Studies have been conducted on fan therapy in the palliative care unit [13,[20][21][22]24,29], ward [12,18,19,23,28,30], home [19], outpatient [12,25,27] and clinic [19,26] (Table 1). There were no intervention studies using fan therapy in the critical care phase.…”

Section: Results Of Individual Sources Of Evidencementioning

confidence: 99%

“…The fan therapy interventions in the studies consisted of seven handheld fans [12,18,19,[23][24][25]28], six standing fans [20][21][22]26,27,30], and two table fans [13,29], and were administered at rest [12,13,18,[20][21][22]28,30] or during exercise (Table 1) [23,[25][26][27]. Seven studies reported the proportion of patients on oxygen therapy [20][21][22][23]26,27,30], of which five [20][21][22][23]26] found that the proportion of patients on oxygen therapy ranged from 13 to 67%. In two studies, the proportion was 0% [27,30].…”

Section: Results Of Individual Sources Of Evidencementioning

confidence: 99%

“…Of the 685 articles identified, 15 studies (18 reports) were included in this scoping review (505 patients; Figure 2) [12,13,[18][19][20][21][22][23][24][25][26][27][28][29][30].…”

Section: Selection Of Sources Of Evidencementioning

confidence: 99%

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Safety and Feasibility of Fan Therapy for Dyspnea: A Scoping Review

Sato,

Taito,

Nakashima

et al. 2023

Cureus

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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 2 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.

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Section: Results Of Individual Sources Of Evidencementioning

confidence: 99%

Section: Results Of Individual Sources Of Evidencementioning

confidence: 99%

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Safety and Feasibility of Fan Therapy for Dyspnea: A Scoping Review

Sato,

Taito,

Nakashima

et al. 2023

Cureus

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“…Bukti menunjukkan bahwa adanya perubahan rata-rata skor NRS yang lebih besar pada kelompok intervensi dibadingkan dengan kelompok kontrol (-1,35 vs -0,1; P <0,001). (Ting et al, 2019)…”

Section: Randomized Control Trialunclassified

“…Selain itu, penelitian RCT yang dilakukan oleh menemukan bahwa terapi kipas efektif dalam menurunkan perubahan intesitas dispnea (Numerical Rating Scale) pada pasien kanker terminal. Sejalan dengan temuan tersebut, Ting et al, (2019) juga melakukan penelitian RCT dengan crossover design pada pasien kanker terminal dan menemukan bahwa terapi kipas dapat memberikan perubahan rata-rata pada skor dispnea (Modified Borg Scale).…”

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Terapi Kipas untuk Meredakan Sesak Napas

Fitria

Maria²,

Waluyo³

et al. 2021

JOTING

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This study aims to provide evidence-based information to support nursing care with clinical expertise in relieving dyspnea. The method used is a literature review on the Pubmed, EBSCO Host, Google Scholar and ClinicalKey databases with predetermined keywords. The results showed that the fan therapy intervention had a beneficial effect in relieving dyspnea experienced by terminal cancer patients. In conclusion, fan therapy intervention proved to be effective in reducing dyspnea. Keywords: Dyspnea, Fan-on-Face Therapy, Terminal Cancer

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