Aplikasi Evidence Based Nursing Hand-Held Fan Therapy pada Pasien Kanker Paru
Abstract
This study aims to prove the application of evidence-based nursing hand-held fan therapy for dyspnea in lung cancer patients. The method used was pre-experimental, with a sample size of 10 lung cancer patients. The results of the study showed that there was a significant effect of the application of hand-held fan therapy on dyspnea, respiratory rate, and SpO2 in lung cancer patients (p<0.05). In conclusion, hand-held fan therapy can reduce shortness of breath, reduce respiratory rate, and increase oxygen saturation in lung cancer patients.
Keywords: Dyspnea, Hand-Held Fan Therapy, Nursing Intervention, Lung Cancer
References
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Feliciano, J. L., Waldfogel, J. M., Sharma, R., Zhang, A., Gupta, A., Sedhom, R., Day, J., Bass, E. B., & Dy, S. M. (2021). Pharmacologic Interventions for Breathlessness in Patients With Advanced Cancer: A Systematic Review and Meta-Analysis. JAMA Network Open, 4(2), e2037632. https://doi.org/10.1001/jamanetworkopen.2020.37632
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Kako, J., Morikawa, M., Kobayashi, M., Kanno, Y., Kajiwara, K., Nakano, K., Matsuda, Y., Shimizu, Y., Hori, M., Niino, M., Suzuki, M., & Shimazu, T. (2023). Nursing Support for Breathlessness in Patients with Cancer: A Scoping Review. BMJ Open, 13(10), e075024. https://doi.org/10.1136/bmjopen-2023-075024
Khor, Y. H., Saravanan, K., Holland, A. E., Lee, J. Y. T., Ryerson, C. J., McDonald, C. F., & Goh, N. S. L. (2021). A Mixed-Methods Pilot Study of Handheld Fan for Breathlessness in Interstitial Lung Disease. Scientific Reports, 11(1), 6874. https://doi.org/10.1038/s41598-021-86326-8
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Mendoza, M. J., Ting, F. I., Vergara, J., Sacdalan, D. B., & Sandoval-Tan, J. (2020). Fan-on-Face Therapy in Relieving Dyspnea of Adult Terminally Ill Cancer Patients: A Meta-Analysis. Asian Journal of Oncology, 6. https://doi.org/10.1055/s-0040-1713332
Nemoto, Y., Suzuki, S., Okauchi, S., Kagohashi, K., & Satoh, H. (2020). Terminological Usage Related to Dyspnea by Nursing Staff: A Cross-Sectional Questionnaire Survey. Asian/Pacific Island Nursing Journal, 4(4), 144–150. https://doi.org/10.31372/20190404.1065
Sato, T., Taito, S., Nakashima, Y., Sakai, K., & Kako, J. (2023). Safety and Feasibility of Fan Therapy for Dyspnea: A Scoping Review. Cureus, 15(8), e43668. https://doi.org/10.7759/cureus.43668
Tsai, J. J., Chen, K. H., Fang, H. F., & Huang, T. W. (2022). Relieving from Breathlessness in the Wind: A Meta-Analysis and Subjective Report of Effectiveness of Fan Blowing in Patients with Cardiorespiratory Diseases or Cancer. The American Journal of Hospice & Palliative Care, 39(8), 977–985. https://doi.org/10.1177/10499091211056327
WHO. (2022). Cancer: Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/cancer
Yorke, J., Johnson, M. J., Punnett, G., Smith, J., Blackhall, F., Lloyd Williams, M., Mackereth, P., Haines, J., Ryder, D., Krishan, A., Davies, L., Khan, A., & Molassiotis, A. (2022). Respiratory Distress Symptom Intervention for Non-Pharmacological Management of the Lung Cancer Breathlessness-Cough-Fatigue Symptom Cluster: Randomised Controlled Trial. BMJ Supportive & Palliative Care. https://doi.org/10.1136/spcare-2022-003924
Ekström, M. (2020). Fan Therapy is a Treatment Option for Relieving of Chronic Breathlessness. Evidence-Based Nursing, 23(3), 73. https://doi.org/10.1136/ebnurs-2019-103118
Feliciano, J. L., Waldfogel, J. M., Sharma, R., Zhang, A., Gupta, A., Sedhom, R., Day, J., Bass, E. B., & Dy, S. M. (2021). Pharmacologic Interventions for Breathlessness in Patients With Advanced Cancer: A Systematic Review and Meta-Analysis. JAMA Network Open, 4(2), e2037632. https://doi.org/10.1001/jamanetworkopen.2020.37632
Gupta, A., Sedhom, R., Sharma, R., Zhang, A., Waldfogel, J. M., Feliciano, J. L., Day, J., Gersten, R. A., Davidson, P. M., Bass, E. B., & Dy, S. M. (2021). Nonpharmacological Interventions for Managing Breathlessness in Patients with Advanced Cancer: A Systematic Review. JAMA Oncology, 7(2), 290–298. https://doi.org/10.1001/jamaoncol.2020.5184
Howell, D. (2021). Enabling Patients in Effective Self-Management of Breathlessness in Lung Cancer: The Neglected Pillar of Personalized Medicine. Lung Cancer Management, 10(4), LMT52. https://doi.org/10.2217/lmt-2020-0017
Hui, D., Maddocks, M., Johnson, M. J., Ekström, M., Simon, S. T., Ogliari, A. C., Booth, S., & Ripamonti, C. (2020). Management of Breathlessness in Patients with Cancer: ESMO Clinical Practice Guidelines(†). ESMO Open, 5(6), e001038. https://doi.org/10.1136/esmoopen-2020-001038
Kako, J., Kobayashi, M., Oosono, Y., Kajiwara, K., & Miyashita, M. (2020). Immediate Effect of Fan Therapy in Terminal Cancer with Dyspnea at Rest: A Meta-Analysis. The American Journal of Hospice & Palliative Care, 37(4), 294–299. https://doi.org/10.1177/1049909119873626
Kako, J., Morikawa, M., Kobayashi, M., Kanno, Y., Kajiwara, K., Nakano, K., Matsuda, Y., Shimizu, Y., Hori, M., Niino, M., Suzuki, M., & Shimazu, T. (2023). Nursing Support for Breathlessness in Patients with Cancer: A Scoping Review. BMJ Open, 13(10), e075024. https://doi.org/10.1136/bmjopen-2023-075024
Khor, Y. H., Saravanan, K., Holland, A. E., Lee, J. Y. T., Ryerson, C. J., McDonald, C. F., & Goh, N. S. L. (2021). A Mixed-Methods Pilot Study of Handheld Fan for Breathlessness in Interstitial Lung Disease. Scientific Reports, 11(1), 6874. https://doi.org/10.1038/s41598-021-86326-8
Kim, J., Lee, H., & Huang, B. W. (2022). Lung Cancer: Diagnosis, Treatment Principles, and Screening. American Family Physician, 105(5), 487–494. https://pubmed.ncbi.nlm.nih.gov/35559635/
Kocatepe, V., Can, G., & Oruç, Ö. (2021). Lung Cancer-Related Dyspnea: The Effects of a Handheld Fan on Management of Symptoms. Clinical Journal of Oncology Nursing, 25(6), 655–661. https://doi.org/10.1188/21.CJON.655-661
Lambert, T., El Husseini, K., Zysman, M., Duchemann, B., Gillibert, A., Campedel, L., Dantoing, E., Rolland-Debord, C., & Patout, M. (2023). Incidence, Management, and Outcome of Lung Cancer in Patients with Long-Term Oxygen Therapy. Thoracic Cancer, 14(1), 36–43. https://doi.org/10.1111/1759-7714.14692
Long, A., Cartwright, M., & Reilly, C. C. (2021). Impact of Fan Therapy During Exercise on Breathlessness and Recovery Time in Patients with COPD: A Pilot Randomised Controlled Crossover Trial. ERJ Open Research, 7(4). https://doi.org/10.1183/23120541.00211-2021
Luckett, T., Roberts, M., Smith, T., Garcia, M., Dunn, S., Swan, F., Ferguson, C., Kochovska, S., Phillips, J. L., Pearson, M., Currow, D. C., & Johnson, M. J. (2022). Implementing the Battery-Operated Hand-Held Fan as an Evidence-Based, Non-Pharmacological Intervention for Chronic Breathlessness in Patients with Chronic Obstructive Pulmonary Disease (COPD): A Qualitative Study of the Views of Specialist Respiratory Clinicians. BMC Pulmonary Medicine, 22(1), 129. https://doi.org/10.1186/s12890-022-01925-z
Marasingha-Arachchige, S. U., Rubio-Arias, J. Á., Alcaraz, P. E., & Chung, L. H. (2022). Factors That Affect Heart Rate Variability Following Acute Resistance Exercise: A Aystematic Review and Meta-analysis. Journal of Sport and Health Science, 11(3), 376–392. https://doi.org/10.1016/j.jshs.2020.11.008
Mendoza, M. J., Ting, F. I., Vergara, J., Sacdalan, D. B., & Sandoval-Tan, J. (2020). Fan-on-Face Therapy in Relieving Dyspnea of Adult Terminally Ill Cancer Patients: A Meta-Analysis. Asian Journal of Oncology, 6. https://doi.org/10.1055/s-0040-1713332
Nemoto, Y., Suzuki, S., Okauchi, S., Kagohashi, K., & Satoh, H. (2020). Terminological Usage Related to Dyspnea by Nursing Staff: A Cross-Sectional Questionnaire Survey. Asian/Pacific Island Nursing Journal, 4(4), 144–150. https://doi.org/10.31372/20190404.1065
Sato, T., Taito, S., Nakashima, Y., Sakai, K., & Kako, J. (2023). Safety and Feasibility of Fan Therapy for Dyspnea: A Scoping Review. Cureus, 15(8), e43668. https://doi.org/10.7759/cureus.43668
Tsai, J. J., Chen, K. H., Fang, H. F., & Huang, T. W. (2022). Relieving from Breathlessness in the Wind: A Meta-Analysis and Subjective Report of Effectiveness of Fan Blowing in Patients with Cardiorespiratory Diseases or Cancer. The American Journal of Hospice & Palliative Care, 39(8), 977–985. https://doi.org/10.1177/10499091211056327
WHO. (2022). Cancer: Fact Sheet. https://www.who.int/news-room/fact-sheets/detail/cancer
Yorke, J., Johnson, M. J., Punnett, G., Smith, J., Blackhall, F., Lloyd Williams, M., Mackereth, P., Haines, J., Ryder, D., Krishan, A., Davies, L., Khan, A., & Molassiotis, A. (2022). Respiratory Distress Symptom Intervention for Non-Pharmacological Management of the Lung Cancer Breathlessness-Cough-Fatigue Symptom Cluster: Randomised Controlled Trial. BMJ Supportive & Palliative Care. https://doi.org/10.1136/spcare-2022-003924
