Management of Obstructive Sleep Apnea by Continuous Positive Airway Pressure

被引:17
作者
Weaver, Terri E. [1 ]
Sawyer, Amy [1 ]
机构
[1] Univ Penn, Sch Nursing, Biobehav & Hlth Sci Div, Philadelphia, PA 19104 USA
关键词
Continuous positive airway pressure; CPAP; Adherence; Compliance; Medical management; Obstructive sleep apnea; LONG-TERM COMPLIANCE; NASAL CPAP; DAYTIME SLEEPINESS; BLOOD-PRESSURE; GLYCEMIC CONTROL; APNOEA/HYPOPNOEA SYNDROME; INSULIN SENSITIVITY; HYPOPNEA SYNDROME; ADJUNCT THERAPY; ADHERENCE;
D O I
10.1016/j.coms.2009.08.001
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Obstructive sleep apnea (OSA) is a common problem, with 9% to 28% of women and 24% to 26% of males having apneic events at a treatable level, making this syndrome a serious public health issue. This article describes the outcomes associated with continuous positive airway pressure treatment, significance of the issue of poor adherence in OSA, discusses evidence regarding the optimal duration of nightly use, describes the nature and predictors of nonadherence, and reviews interventions that have been tested to increase nightly use and suggests management strategies.
引用
收藏
页码:403 / +
页数:12
相关论文
共 107 条
[21]   The indications for polysomnography and related procedures [J].
Chesson, AL ;
Ferber, RA ;
Fry, JM ;
GriggDamberger, M ;
Hartse, KM ;
Hurwitz, TD ;
Johnson, S ;
Kader, GA ;
Littner, M ;
Rosen, G ;
Sangal, RB ;
SchmidtNowara, W ;
Sher, A .
SLEEP, 1997, 20 (06) :423-487
[22]   Effects of Nasal CPAP Treatment on Insulin Resistance, Lipid Profile, and Plasma Leptin in Sleep Apnea [J].
Cuhadaroglu, Caglar ;
Utkusavas, Ayfer ;
Ozturk, Levent ;
Salman, Serpil ;
Ece, Turhan .
LUNG, 2009, 187 (02) :75-81
[23]  
Dawson A, 2008, J CLIN SLEEP MED, V4, P538
[24]   A pilot trial of a telecommunications system in sleep apnea management [J].
DeMolles, DA ;
Sparrow, D ;
Gottlieb, DJ ;
Friedman, R .
MEDICAL CARE, 2004, 42 (08) :764-769
[25]   Effects of modafinil on sustained attention performance and quality of life in OSA patients with residual sleepiness while being treated with nCPAP [J].
Dinges, DF ;
Weaver, TE .
SLEEP MEDICINE, 2003, 4 (05) :393-402
[26]   Effects of Continuous Positive Airway Pressure on Cardiovascular Risk Profile in Patients With Severe Obstructive Sleep Apnea and Metabolic Syndrome [J].
Dorkova, Zuzana ;
Petrasova, Darina ;
Molcanyiova, Angela ;
Popovnakova, Marcela ;
Tkacova, Ruzena .
CHEST, 2008, 134 (04) :686-692
[27]  
Ellen RLB, 2006, J CLIN SLEEP MED, V2, P193
[28]   Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SANS) [J].
Engleman, HM ;
Wild, MR .
SLEEP MEDICINE REVIEWS, 2003, 7 (01) :81-99
[29]   Randomized placebo-controlled crossover trial of continuous positive airway pressure for mild sleep apnea/hypopnea syndrome [J].
Engleman, HM ;
Kingshott, RN ;
Wraith, PK ;
Mackay, TW ;
Deary, IJ ;
Douglas, NJ .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1999, 159 (02) :461-467
[30]   EFFECT OF CONTINUOUS POSITIVE AIRWAY PRESSURE TREATMENT ON DAYTIME FUNCTION IN SLEEP APNOEA/HYPOPNOEA SYNDROME [J].
ENGLEMAN, HM ;
MARTIN, SE ;
DEARY, IJ ;
DOUGLAS, NJ .
LANCET, 1994, 343 (8897) :572-575