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Strategy nursing in children with compromised ventilation: Umbrella review

2023Journal article Restricted access
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dc.contributor.authorReis, Neuza
dc.contributor.authorGaspar, Luís Jorge
dc.contributor.authorPaiva, Abel
dc.contributor.authorPereira, Filipe Miguel Soares
dc.contributor.authorSousa, Paula Cristina
dc.contributor.authorMachado, Natália
dc.date.accessioned2023-10-09T14:19:51Z
dc.date.available2023-10-09T14:19:51Z
dc.date.issued2023
dc.description.abstractProblem: Changes in the ventilation demand nursing interventions duly adapted to the management of said impairment and to the adaptability of the child/parents. This revision aimed to investigate the evidence behind the interventions performed on children with impaired ventilation.’ Eligibility criteria: Systematic reviews of literature in English, Spanish, French, and Portuguese from studies on nursing interventions related to children with impaired ventilation in all contexts of the clinical practice. The Joanna Briggs Institute recommendations were followed. Sample: We conducted a comprehensive search as of January 2022 and updated as of June 2023. The following electronic databases were searched: SCOPUS, Web of Science, Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports, MEDLINE (via PubMed), CINAHL (via EBSCO), MedicLatina (via EBSCO), The Cochrane Database of Systematic Reviews (via EBSCO), and Database of Abstracts of Reviews of Effects (DARE). Nineteen articles published between 2012 and 2022 were included in this review. Results: Nineteen studies investigated the efficacy of respiratory exercises (Breathing Control - relaxed breathing, pursed lip breathing, Diaphragmatic breathing exercises, respiratory expansion exercise - deep breathing exercise, thoracic expansion exercises (with device), exercises for respiratory muscle strengthening and position to optimize ventilation. In the majority of the studies, it was not possible to evaluate the interventions separately. Thirteen studies evidenced the efficacy of respiratory exercises, BIPAP, and oxygen therapy. Seven articles demonstrated the effectiveness of respiratory muscle-strengthening exercises, and only three mentioned the efficacy of positioning regarding impaired ventilation. Interventions based on respiratory exercises and respiratory muscle training were the most common ones. Conclusions: The results suggest that nursing interventions to optimize ventilation are efficient. Nevertheless, the same present a low to moderate evidence degree, justified by the population characteristics (small and heterogeneous). Implications: There is proof of evidence for the studied interventions. However, the lack of methodological robustness points to future research to duly describe interventions, data, and comparable results, using reliable samples in which the focus of the study is clear.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationReis, N., Gaspar, L. J., Paiva, A., Pereira, F., Sousa, P., & Machado, N. (2023). Strategy nursing in children with compromised ventilation: Umbrella review. Journal of Pediatric Nursing, 73, 137-156. https://doi.org/10.1016/j.pedn.2023.08.027pt_PT
dc.identifier.doi10.1016/j.pedn.2023.08.027pt_PT
dc.identifier.issn0882-5963
dc.identifier.urihttp://hdl.handle.net/10400.26/47168
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectChildpt_PT
dc.subjectCritical thinkingpt_PT
dc.subjectNursing interventionspt_PT
dc.subjectThoracic expansionpt_PT
dc.subjectRespiratory controlpt_PT
dc.subjectRespiratory muscle strengtheningpt_PT
dc.titleStrategy nursing in children with compromised ventilation: Umbrella reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage156pt_PT
oaire.citation.startPage137pt_PT
oaire.citation.titleJournal of Pediatric Nursingpt_PT
oaire.citation.volume73pt_PT
person.familyNamePaiva
person.familyNamePereira
person.familyNameSousa
person.familyNameMachado
person.givenNameAbel
person.givenNameFilipe Miguel Soares
person.givenNamePaula Cristina
person.givenNameNatália
person.identifier.ciencia-idAD17-7F0A-EABC
person.identifier.ciencia-idBA12-AD39-8C1B
person.identifier.ciencia-idED19-396B-8D6F
person.identifier.orcid0000-0002-3362-4165
person.identifier.orcid0000-0002-3480-6243
person.identifier.orcid0000-0002-4695-0832
person.identifier.orcid0000-0002-0818-0777
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication604eb61a-e8f7-4914-84ce-91edda91d4e6
relation.isAuthorOfPublication0bd9e566-7097-4336-8c8e-43835ec18793
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relation.isAuthorOfPublicationf5c57d29-5030-478b-ace9-ef7e3df0ffa1
relation.isAuthorOfPublication.latestForDiscovery604eb61a-e8f7-4914-84ce-91edda91d4e6

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