Nurse-led intensive interventions improve adherence to continuous positive airway pressure therapy and quality of life in obstructive sleep apnea patients

被引：12
作者：
Chen, Xiaofen [1 ]
Chen, Weiting [1 ]
Hu, Weijie [2 ]
Huang, Kui [3 ]
Huang, Jing [4 ]
Zhou, Yu [3 ]
机构：
[1] Wenzhou Med Univ, Hosp Stomatol, Wenzhou 325000, Peoples R China
[2] People Hosp Tiantai, Taizhou, Peoples R China
[3] Wenzhou Med Univ, Hosp Stomatol, Dept Orthodont, Wenzhou 325000, Peoples R China
[4] Zhejiang Univ, Sch Med, Affiliated Hosp 2, Hangzhou 310003, Zhejiang, Peoples R China
来源：
PATIENT PREFERENCE AND ADHERENCE | 2015年 / 9卷
关键词：
CPAP; quality of life; SAHS; compliance; RANDOMIZED CONTROLLED-TRIAL; NASAL CPAP; CHINESE POPULATION; EDUCATION; SUPPORT; PROGRAM; ADULTS; INDEX; USERS; CARE;
D O I：
10.2147/PPA.S90846
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background: Continuous positive airway pressure (CPAP) is widely recommended for the treatment of sleep apnea/hypopnea syndrome (SAHS), but its usage by patients is very low. The aim of this study was to assess intensive educational programs and nursing support for the improvement of CPAP use and outcomes in SAHS patients. Methods: Eighty new SAHS patients were randomized to receive nurse-led intensive interventions or usual support at hospital and home. The main outcome measure was CPAP use; changes in sleeping, symptoms, mood, and quality of life were also assessed after 12 months of treatment. Results: All outcome measures were improved after treatment in both groups. However, patients receiving intensive support with significantly higher CPAP use (higher daily CPAP usage by 2.2 hours/day) had greater improvements in SAHS symptoms and mood (P<0.05). The intervention group further showed an improvement in the Short Form-36 domains of mental and physical health (P<0.05). Conclusion: The CPAP usage and quality of life can be significantly improved by nurse-led intensive program in obstructive sleep apnea patients.
引用
收藏
页码：1707 / 1713
页数：7
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