Airway clearance techniques for pneumonia patients: A survey of Thai physical therapists
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Abstract
Background: Pneumonia remains a significant global health challenge, necessitating effective management strategies, including airway clearance techniques (ACTs) utilized by physical therapists (PTs).
Objective: This study aims to investigate the selection and usage of ACTs among Thai PTs and examine the influence of work characteristics on these choices.
Materials and methods: A descriptive survey design was employed, targeting licensed PTs in Thailand with at least one year of experience in chest physical therapy. The survey, distributed via online forms and physical therapy units, gathered data on personal demographics, commonly used ACTs, and work characteristics. Out of 178 responses, 137 were included in the study.
Results: The results indicated a predominant reliance on manual techniques,
particularly percussion and postural drainage, regardless of experience level. However, PTs specializing exclusively in chest physical therapy showed a higher propensity for using advanced techniques and devices such as positive expiratory pressure (PEP) and oscillating positive expiratory pressure (OPEP) devices. The study highlights significant gaps in training and access to advanced airway clearance devices, suggesting a need for targeted continuing education programs.
Conclusion: The findings underscore the importance of promoting a broader range of ACTs in clinical practice to improve patient outcomes. By addressing the barriers to adopting advanced techniques, PTs can enhance their therapeutic interventions and provide more comprehensive care for pneumonia patients. This study provides valuable insights into the current landscape of airway clearance therapy in Thailand, emphasizing the need for improved training and access to necessary equipment to optimize patient care.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Personal views expressed by the contributors in their articles are not necessarily those of the Journal of Associated Medical Sciences, Faculty of Associated Medical Sciences, Chiang Mai University.
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