The Effect of Fan Therapy for Dyspnea in Patients with Chronic Progressive Disease: Systematic Review and Meta-analysis

Jun Kako; Yoichi Nakamura; Tomohiro Nishi; Yusuke Takagi; Yoshinobu Matsuda; Hiroaki Watanabe; Yoko Kasahara; Sho Goya; Hiroyuki Kohara; Masanori Mori; Takashi Yamaguchi

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The Effect of Fan Therapy for Dyspnea in Patients with Chronic Progressive Disease: Systematic Review and Meta-analysis

VernacularTitle:呼吸困難を有する慢性進行性疾患患者に対する送風療法の有効性：システマティックレビュー・メタ解析
Author: Jun KAKO ¹ ; Yoichi NAKAMURA ² ; Tomohiro NISHI ³ ; Yusuke TAKAGI ⁴ ; Yoshinobu MATSUDA ⁵ ; Hiroaki WATANABE ⁶ ; Yoko KASAHARA ⁷ ; Sho GOYA ⁸ ; Hiroyuki KOHARA ⁹ ; Masanori MORI ¹⁰ ; Takashi YAMAGUCHI ¹¹
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1. College of Nursing Art and Science, University of Hyogo
2. Palliative Care Center, Toho University Omori Medical Center
3. Kawasaki Comprehensive Care Center, Kawasaki Municipal Ida Hospital
4. Department of Palliative Medicine, Teikyo University School of Medicine Graduate School of Medicine
5. Department of Psychosomatic Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center
6. Home Palliative Care Asunaro Clinic
7. Department of Pharmacy, Hiroshima Prefectural Hospital
8. Department of Respiratory Medicine, Kinki Central Hospital of the Japan Mutual Aid Association of Public School Teachers
9. Department of Internal Medicine, Hatsukaichi Memorial Hospital
10. Palliative and Supportive Care Division, Seirei Mikatahara General Hospital
11. Department of Palliative Medicine, Kobe University Graduate School of Medicine
Keywords: chronic progressive disease; dyspnea; fan therapy; systematic review
From:Palliative Care Research 2022;17(1):33-42
CountryJapan
Language:Japanese
Abstract: Objective: To evaluate the efficacy of fan therapy for the relief of dyspnea in patients with chronic progressive disease. Methods: A systematic electronic database search of all available articles published before October 23, 2019 was conducted using Ichushi-Web of the Japan Medical Abstract Society databases, CENTRAL, EMBASE, and MEDLINE. In addition, a hand-search for updates was performed using PubMed on June 30, 2020 and December 7, 2021. The inclusion criteria were: 1) any RCTs comparing the effect of fan therapy with any other intervention, and 2) patients aged ≥18 years. Exclusion criteria were: 1) duplicate references, and 2) conference presentations. Results: We identified 110 studies, of which 10 met our criteria for inclusion. Finally, five studies were used in the meta-analysis. Fan therapy significantly improved dyspnea in patients with chronic progressive disease compared to control groups with a standardized mean difference of −1.43 (95% confidence interval: −2.70 to −0.17, I2=94%, p<0.0001). Conclusion: Fan therapy was found to be effective in reducing dyspnea in chronic progressive disease.