Investigating the Efficacy of a Handheld Fan Intervention in Children With Dyspnea: A Randomized Controlled Study
Dyspnea associated with acute respiratory tract infections is a common cause of emergency admissions and can be distressing for children. This study aimed to evaluate the impact of a handheld fan intervention on physiological parameters in pediatric patients with dyspnea. A total of 59 children aged...
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Veröffentlicht in: | Journal of emergency nursing 2024-11, Vol.50 (6), p.773-779 |
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description | Dyspnea associated with acute respiratory tract infections is a common cause of emergency admissions and can be distressing for children. This study aimed to evaluate the impact of a handheld fan intervention on physiological parameters in pediatric patients with dyspnea.
A total of 59 children aged 2 to 12 years presenting to an emergency department for upper respiratory tract infection between March 2022 and March 2023 were assigned to the experimental group (n = 32) or control group (n = 27) by urn randomization. Both groups received the hospital’s standard care, including 3 doses of inhaled bronchodilator at 20-minute intervals. The fan intervention consisted of parents applying a handheld electric fan to the child’s face at a distance of 15 cm for 5 minutes after each inhaler treatment. Oxygen saturation, heart rate, and respiratory rate were recorded before treatment and after the 3 inhaler treatments.
There were no statistical differences in descriptive characteristics between the experimental and control groups (P > .05). Oxygen saturation values were significantly higher in the control group before treatment but showed greater increases in the intervention group after treatment (P < .001). The intervention group also exhibited greater reductions than the control group in both heart rate and respiratory rate after the third treatment than pretreatment values (P |
doi_str_mv | 10.1016/j.jen.2024.06.009 |
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A total of 59 children aged 2 to 12 years presenting to an emergency department for upper respiratory tract infection between March 2022 and March 2023 were assigned to the experimental group (n = 32) or control group (n = 27) by urn randomization. Both groups received the hospital’s standard care, including 3 doses of inhaled bronchodilator at 20-minute intervals. The fan intervention consisted of parents applying a handheld electric fan to the child’s face at a distance of 15 cm for 5 minutes after each inhaler treatment. Oxygen saturation, heart rate, and respiratory rate were recorded before treatment and after the 3 inhaler treatments.
There were no statistical differences in descriptive characteristics between the experimental and control groups (P > .05). Oxygen saturation values were significantly higher in the control group before treatment but showed greater increases in the intervention group after treatment (P < .001). The intervention group also exhibited greater reductions than the control group in both heart rate and respiratory rate after the third treatment than pretreatment values (P < .05).
The handheld fan intervention effectively supports inhaler treatment for children with dyspnea. Further studies are recommended to assess its impact across different age groups and clinical conditions.</description><identifier>ISSN: 0099-1767</identifier><identifier>ISSN: 1527-2966</identifier><identifier>EISSN: 1527-2966</identifier><identifier>DOI: 10.1016/j.jen.2024.06.009</identifier><identifier>PMID: 39033447</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age differences ; Bronchodilator Agents - administration & dosage ; Bronchodilator Agents - therapeutic use ; Bronchodilators ; Child ; Child, Preschool ; Children ; Consent ; Control groups ; Dosage ; Dyspnea ; Dyspnea - therapy ; Efficacy ; Emergency admissions ; Emergency medical care ; Emergency Service, Hospital ; Emergency services ; Female ; Handheld fan ; Heart rate ; Heart Rate - physiology ; Hospitalization ; Hospitals ; Humans ; Inhalers ; Intervention ; Male ; Nebulizers and Vaporizers ; Oxygen ; Oxygen saturation ; Parents & parenting ; Pediatric nursing ; Pediatrics ; Physiology ; Pulse oximetry ; Respiratory diseases ; Respiratory tract infections ; Respiratory Tract Infections - drug therapy ; Saturation</subject><ispartof>Journal of emergency nursing, 2024-11, Vol.50 (6), p.773-779</ispartof><rights>2024 Emergency Nurses Association</rights><rights>Copyright © 2024 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.</rights><rights>2024. Emergency Nurses Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c333t-606671a925f00a8b5433b6504ff86c7e5d49210c91678aae7a4910042e9c6ac83</cites><orcidid>0000-0001-5063-4907 ; 0000-0001-9272-3561 ; 0000-0002-6078-2505 ; 0000-0002-0056-4063</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0099176724001697$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,12825,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39033447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aytemiz, Özge Eda Karadağ</creatorcontrib><creatorcontrib>Dinç, Sermin</creatorcontrib><creatorcontrib>Gözen, Duygu</creatorcontrib><creatorcontrib>Çiçek, Gökçe</creatorcontrib><title>Investigating the Efficacy of a Handheld Fan Intervention in Children With Dyspnea: A Randomized Controlled Study</title><title>Journal of emergency nursing</title><addtitle>J Emerg Nurs</addtitle><description>Dyspnea associated with acute respiratory tract infections is a common cause of emergency admissions and can be distressing for children. This study aimed to evaluate the impact of a handheld fan intervention on physiological parameters in pediatric patients with dyspnea.
A total of 59 children aged 2 to 12 years presenting to an emergency department for upper respiratory tract infection between March 2022 and March 2023 were assigned to the experimental group (n = 32) or control group (n = 27) by urn randomization. Both groups received the hospital’s standard care, including 3 doses of inhaled bronchodilator at 20-minute intervals. The fan intervention consisted of parents applying a handheld electric fan to the child’s face at a distance of 15 cm for 5 minutes after each inhaler treatment. Oxygen saturation, heart rate, and respiratory rate were recorded before treatment and after the 3 inhaler treatments.
There were no statistical differences in descriptive characteristics between the experimental and control groups (P > .05). Oxygen saturation values were significantly higher in the control group before treatment but showed greater increases in the intervention group after treatment (P < .001). The intervention group also exhibited greater reductions than the control group in both heart rate and respiratory rate after the third treatment than pretreatment values (P < .05).
The handheld fan intervention effectively supports inhaler treatment for children with dyspnea. Further studies are recommended to assess its impact across different age groups and clinical conditions.</description><subject>Age differences</subject><subject>Bronchodilator Agents - administration & dosage</subject><subject>Bronchodilator Agents - therapeutic use</subject><subject>Bronchodilators</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Consent</subject><subject>Control groups</subject><subject>Dosage</subject><subject>Dyspnea</subject><subject>Dyspnea - therapy</subject><subject>Efficacy</subject><subject>Emergency admissions</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital</subject><subject>Emergency services</subject><subject>Female</subject><subject>Handheld fan</subject><subject>Heart rate</subject><subject>Heart Rate - physiology</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Inhalers</subject><subject>Intervention</subject><subject>Male</subject><subject>Nebulizers and Vaporizers</subject><subject>Oxygen</subject><subject>Oxygen saturation</subject><subject>Parents & parenting</subject><subject>Pediatric nursing</subject><subject>Pediatrics</subject><subject>Physiology</subject><subject>Pulse oximetry</subject><subject>Respiratory diseases</subject><subject>Respiratory tract infections</subject><subject>Respiratory Tract Infections - 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Academic</collection><jtitle>Journal of emergency nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aytemiz, Özge Eda Karadağ</au><au>Dinç, Sermin</au><au>Gözen, Duygu</au><au>Çiçek, Gökçe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigating the Efficacy of a Handheld Fan Intervention in Children With Dyspnea: A Randomized Controlled Study</atitle><jtitle>Journal of emergency nursing</jtitle><addtitle>J Emerg Nurs</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>50</volume><issue>6</issue><spage>773</spage><epage>779</epage><pages>773-779</pages><issn>0099-1767</issn><issn>1527-2966</issn><eissn>1527-2966</eissn><abstract>Dyspnea associated with acute respiratory tract infections is a common cause of emergency admissions and can be distressing for children. This study aimed to evaluate the impact of a handheld fan intervention on physiological parameters in pediatric patients with dyspnea.
A total of 59 children aged 2 to 12 years presenting to an emergency department for upper respiratory tract infection between March 2022 and March 2023 were assigned to the experimental group (n = 32) or control group (n = 27) by urn randomization. Both groups received the hospital’s standard care, including 3 doses of inhaled bronchodilator at 20-minute intervals. The fan intervention consisted of parents applying a handheld electric fan to the child’s face at a distance of 15 cm for 5 minutes after each inhaler treatment. Oxygen saturation, heart rate, and respiratory rate were recorded before treatment and after the 3 inhaler treatments.
There were no statistical differences in descriptive characteristics between the experimental and control groups (P > .05). Oxygen saturation values were significantly higher in the control group before treatment but showed greater increases in the intervention group after treatment (P < .001). The intervention group also exhibited greater reductions than the control group in both heart rate and respiratory rate after the third treatment than pretreatment values (P < .05).
The handheld fan intervention effectively supports inhaler treatment for children with dyspnea. Further studies are recommended to assess its impact across different age groups and clinical conditions.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39033447</pmid><doi>10.1016/j.jen.2024.06.009</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5063-4907</orcidid><orcidid>https://orcid.org/0000-0001-9272-3561</orcidid><orcidid>https://orcid.org/0000-0002-6078-2505</orcidid><orcidid>https://orcid.org/0000-0002-0056-4063</orcidid></addata></record> |
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subjects | Age differences Bronchodilator Agents - administration & dosage Bronchodilator Agents - therapeutic use Bronchodilators Child Child, Preschool Children Consent Control groups Dosage Dyspnea Dyspnea - therapy Efficacy Emergency admissions Emergency medical care Emergency Service, Hospital Emergency services Female Handheld fan Heart rate Heart Rate - physiology Hospitalization Hospitals Humans Inhalers Intervention Male Nebulizers and Vaporizers Oxygen Oxygen saturation Parents & parenting Pediatric nursing Pediatrics Physiology Pulse oximetry Respiratory diseases Respiratory tract infections Respiratory Tract Infections - drug therapy Saturation |
title | Investigating the Efficacy of a Handheld Fan Intervention in Children With Dyspnea: A Randomized Controlled Study |
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