胸腔物理治療對囊狀纖維化病人痰液排除成效之文獻評讀

囊性纖維化病人常因痰液增多導致換氣障礙影響氧合作用，進而危害生命。臨床上常採用胸腔物理治療幫助病人排除痰液，然而此法之運用容易造成病人感到不舒適，導致病人質疑此法對痰液排除之成效，加重了落實照護的困難度。因此，為確定胸腔物理治療對於痰液排除之成效，本文依據實證文獻評析步驟，透過提出問題、搜尋文獻、嚴格評讀文獻等方式進行實證文獻資料統整。文獻評讀結果顯示，胸腔物理治療確實能有效協助囊性纖維化病人排除痰液，因此建議執行此治療前應向病人充分解釋，使病人了解執行胸腔物理治療對病程改善的重要性及有效性。藉此，期望此結果能做為支持臨床執行胸腔物理治療之參考依據，以期能提高病患執行之意願配合治療，達到療護成效。

關鍵字

文獻評讀；姿位引流；氣道分泌物清除；胸腔物理治療；囊性纖維化

並列摘要

Patients with cystic fibrosis are often having increasing sputum leads to ventilation disorders, which affect oxygenation and thus life-threatening. Clinical use of chest physiotherapy often helps patients to exclude sputum, but the use of this method is likely to cause patients feel uncomfortable, resulting in patients questioned the effectiveness of this method for the exclusion of sputum, making it more difficult in implementing nursing activities. Therefore, to ensure the result what chest physiotherapy can do to expectoration, this article based on empirical analysis of the steps, through questioning, search the literature, strict evaluation of literature and other means of empirical literature integration. The outcome of appraise shows that chest physiotherapy is effective to expectoration for patients with cystic fibrosis. Thus, it is recommended that the implementation of this treatment should be fully explained to the patient, so that patients understand the implementation of thoracic physiotherapy to improve the importance of the course and effectiveness. We hope that this result can serve as a reference to support the clinical implementation of thoracic physiotherapy, with a view to improving the patient's willingness to cooperate with the treatment to achieve the therapeutic effect.

並列關鍵字

critical appraisal ； postural drainage ； expectoration ； chest physiotherapy ； cystic fibrosis

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胸腔物理治療對囊狀纖維化病人痰液排除成效之文獻評讀

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