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. 2015 Nov 26:9:1707-13.
doi: 10.2147/PPA.S90846. eCollection 2015.

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

Xiaofen Chen  1 , Weiting Chen  1 , Weijie Hu  2 , Kui Huang  3 , Jing Huang  4 , Yu Zhou  3
Affiliations

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

Xiaofen Chen et al. Patient Prefer Adherence. .

Abstract

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.

Keywords: CPAP; SAHS; compliance; quality of life.

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Figures

Figure 1
Figure 1
Flowchart of the trial. Note: Nurse-led intensive interventions improve adherence to continuous positive airway pressure therapy and quality of life in obstructive sleep apnea patients.
Figure 2
Figure 2
Patient compliance in the intervention and control groups. Abbreviation: CPAP, continuous positive airway pressure.
Figure 3
Figure 3
Scores in the SF-36 questionnaire in the intervention and control groups during treatment. Abbreviation: SF-36, Short Form-36.
Figure 4
Figure 4
Scores in the Epworth sleepiness scale in the intervention and control groups during treatment.
Figure 5
Figure 5
Scores of the symptoms in the intervention and control groups during treatment.
Figure 6
Figure 6
Scores of mood in the intervention and control groups during treatment.
See this image and copyright information in PMC

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