Respiratory Rehabilitation Gains in Persons with Respiratory Insufficiency Submitted to Noninvasive Ventilation: Systematic Review of Literature

Abstract

Abstract Introduction: Respiratory insufficiency as a condition associated with respiratory disease, whether acute or chronic, conditions and decreases person’s quality of life. Noninvasive ventilation therapy (NIV) plays a key role in the stabilization of respiratory disease, which translates into evident gains for the patient. These will be greater when associated with respiratory rehabilitation therapy. The nurse specialist in rehabilitation, for its specific competencies, plays a fundamental role in the acceptance, effectiveness and adaptation of the patient to NIV. Objective: To describe the gains from the application of associated respiratory rehabilitation of NIV in patients with respiratory failure and the role of rehabilitation nursing. Methodology: Seven articles from the scientific databases present on the EBSCO platform, with Full Text, MEDLINE with Full Text and B-on are collected. Included only articles made in the last 10 years. Results / Discussion: The importance of NIV in the stabilization of respiratory disease is consensual. It has also been reported in several studies that the use of NIV during exercise can improve tolerance to NIV, however, such information needs further investigation. Respiratory rehabilitation is essential for improving respiratory functionality, and intervention should be performed during and after crisis, with post-discharge follow-up and education to the person and family. Conclusion: NIV is a therapy with recognized advantages in the control of respiratory failure and in the reduction of associated comorbidities. It is safe, effective, comfortable for the patient and applicable to a wide range of acute events and chronic respiratory conditions. Respiratory rehabilitation reduces symptoms, improves respiratory function and consequently person’s quality of life. The nurse specialist in rehabilitation has an important role in the education / information of the person, family and peers. Key words: respiratory rehabilitation, noninvasive ventilation,