Summary of the best evidence for airway clearance techniques in patients with bronchiectasis
Objective To retrieve,evaluate and integrate the best evidence of airway clearance techniques(ACT)in patients with bronchiectasis.Methods Using PIPOST mode to construct evidence-based questions,according to the"6S"pyramid evidence model,guidelines,clinical practice,expert consensus,evidence summary,and systematic review on ACT in patients with bronchiectasis were systematically searched in relevant domestic and foreign databas-es and professional association websites.The search time was from the establishment of the database to May 1,2023.Results A total of 14 articles were included,including 5 guidelines,2 clinical practice,2 expert consensus,and 5 systematic reviews.A total of 21 pieces of the best evidence was formed from 5 aspects,including assessment,in-tervention measures,frequency and duration,precautions,and self-management.Conclusion Based on China's na-tional conditions,medical and nursing staff can consider the current situation of patients,and combine with the actu-al clinical situation and the best evidence of ACT in patients with bronchiectasis,and formulate ACT programs for patients with bronchiectasis to improve their clinical outcomes and quality of life.