Clinical journal of oncology nursing, cilt.25, sa.6, ss.655-661, 2021 (SCI-Expanded, SSCI, Scopus)
cancer, which can negatively affect well-being and prevent patients from performing activities of daily living, including personal care needs (Mendoza et al., 2020). The prevalence of dyspnea is higher (57%-90%) in patients receiving palliative care (Rogers et al., 2020). Although dyspnea can reduce the quality of life of patients receiving palliative care, early introduction of palliative care to patients with lung cancer is associated with improved quality of One nonpharmacologic approach that is used in dyspnea management is applying air to the face using a handheld fan. The application of a handheld fan may reduce patients' shortness of breath and increase their activity tolerance by enabling cooling and air flow into the second and third branches of the trigeminal nerve (Morelot-Panzini, 2017). It is believed that this result is achieved through the cooling of the nasal or airway mucosa or through the fanning of the facial skin. Another mechanism behind the effectiveness of the dyspnea; as patients pay attention to the handheld fan, their perception of their dyspnea decreases (Luckett et al., 2017). A different perspective suggests that the handheld fan alters the brain's perception of signals coming from respiratory afferent nerves, supporting psychological and emotional management. This is also described as "fooling the brain" "to make it believe" that the respiratory system functions better than it actually does (Morelot