Obstructive sleep apnoea: patients' experiences of oral appliance treatment

被引:9
作者
Nordin, E. [1 ]
Stenberg, M. [2 ]
Tegelberg, A. [1 ,2 ,3 ]
机构
[1] Malmo Univ, Fac Odontol, Malmo, Sweden
[2] Uppsala Univ, Clin Res Ctr, Vasteras, Sweden
[3] Publ Dent Hlth Serv, Postgrad Dent Educ Ctr, POB 1126, SE-70111 Orebro, Sweden
关键词
dentistry; effectiveness; follow-up; PROM; questionnaire; treatment; QUALITY-OF-LIFE; DENTAL APPLIANCE; MANDIBULAR ADVANCEMENT; COGNITIVE FUNCTION; FOLLOW-UP; HYPERTENSION; ASSOCIATION; ADHERENCE; DEFICITS; HEALTH;
D O I
10.1111/joor.12385
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Over the past few decades, there has been a pronounced increase in the number of patients being treated by general dental practitioners for obstructive sleep apnoea (OSA). The purpose of this study was to survey the care and patient experiences and the self-reported effectiveness of OSA treatment with an oral appliance (OA) incorporating mandibular advancement. The design was a retrospective, cross-sectional study, with follow-up between 6 months to 1 year after commencement of treatment. A survey form was posted to 1150 subjects, identified in the regional register over a 1-year period as having been treated with an OA for OSA. The questionnaire comprised 70 questions and assertions in various domains, such as general health/lifestyle, changes in symptoms/quality of life and sleep-related experiences, daytime sleepiness, changes in life situation, evaluation of treatment and the value of treatment. The overall response rate was 64% (n = 738). Treatment with OA gave relief of symptoms in 83% of the respondents. Quality of life, somatic and cognitive symptoms improved significantly in patients who used the appliance frequently (P < 0.001). Daytime sleepiness decreased significantly (P < 0.001). Treatment satisfaction and willingness to recommend the similar treatment to a friend were high (>85%). OA treatment of OSA by general dental practitioners is a safe procedure. Most of the survey respondents experienced relief of symptoms. Those who used their appliance frequently reported improvement in quality of life, somatic and cognitive symptoms. Excessive daytime sleepiness was reduced in the majority of the patients under treatment.
引用
收藏
页码:435 / 442
页数:8
相关论文
共 36 条
  • [1] A systematic review of the efficacy of oral appliance design in the management of obstructive sleep apnoea
    Ahrens, Anika
    McGrath, Colman
    Haegg, Urban
    [J]. EUROPEAN JOURNAL OF ORTHODONTICS, 2011, 33 (03) : 318 - 324
  • [2] Headache characteristics in obstructive sleep apnea syndrome and insomnia
    Alberti, A
    Mazzotta, G
    Gallinella, E
    Sarehielli, P
    [J]. ACTA NEUROLOGICA SCANDINAVICA, 2005, 111 (05): : 309 - 316
  • [3] [Anonymous], 2011, Adv Cardiol, V46, P67, DOI 10.1159/000325106
  • [4] [Anonymous], COCHRANE DATABASE SY
  • [5] [Anonymous], BMC HLTH SERV RES
  • [6] The association of sleep-disordered breathing and sleep symptoms with quality of life in the sleep heart health study
    Baldwin, CM
    Griffith, KA
    Nieto, FJ
    O'Connor, GT
    Walsleben, JA
    Redline, S
    [J]. SLEEP, 2001, 24 (01) : 96 - 105
  • [7] Bassiri AG, 2000, CLIN FEATURES EVALUA, P869
  • [8] Obstructive sleep apnea and the prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits
    Beebe, DW
    Gozal, D
    [J]. JOURNAL OF SLEEP RESEARCH, 2002, 11 (01) : 1 - 16
  • [9] Prevalence of sleep-disordered breathing in women - Effects of gender
    Bixler, EO
    Vgontzas, AN
    Lin, HM
    Ten Have, T
    Rein, J
    Vela-Bueno, A
    Kales, A
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 163 (03) : 608 - 613
  • [10] Impact of type D personality on adherence to oral appliance therapy for sleep-disordered breathing
    Dieltjens, M.
    Vanderveken, O. M.
    Van den Bosch, D.
    Wouters, K.
    Denollet, J.
    Verbraecken, J. A.
    Van de Heyning, P. H.
    Braem, M. J.
    [J]. SLEEP AND BREATHING, 2013, 17 (03) : 985 - 991