Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Sep;51(5):500-508.
doi: 10.1111/jnu.12489.

Update on Research and Practices in Major Sleep Disorders: Part I. Obstructive Sleep Apnea Syndrome

Jindarat Chaiard  1 , Terri E Weaver  2
Affiliations
Review

Update on Research and Practices in Major Sleep Disorders: Part I. Obstructive Sleep Apnea Syndrome

Jindarat Chaiard et al. J Nurs Scholarsh. 2019 Sep.

Abstract

Purpose: The purpose of this first of two review articles providing an update on sleep disorders was to examine the pathophysiology, epidemiology, and treatment of obstructive sleep apnea (OSA). OSA is a common sleep disorder whose prevalence is similar to asthma. As with other sleep disorders, OSA has a broad impact on individuals, affecting their daily behaviors, cognitive abilities, and performance, and putting them at increased risk for accidents, mood disorders, cancer, cardiovascular disease, and hypertension. Thus, early recognition and management, much of which can be implemented by nurses, can reduce health and accident risks and improve daily functioning.

Methods: This narrative review utilized medical databases such as PubMed to identify relevant English language original and systematic review articles predominantly from peer-reviewed journals from 2012 to 2018. However, as background, findings from classic articles prior to 2012 were also included.

Clinical relevance: OSA is a common condition with considerable impact on daily functioning and potential for accidents and serious comorbidities such as hypertension, cardiovascular disease, diabetes, and depressed mood. The impairments and comorbidities associated with OSA can be reduced through early detection, encouraging treatment, providing education about sleep and OSA, and, importantly, promoting adherence to the predominant therapy, positive airway pressure.

Keywords: CPAP; Obstructive sleep apnea; motivational interviewing; sleep apnea; sleep disorders.

PubMed Disclaimer

References

    1. AlGhanium, N., Comondore, V. R., Fleetham, J., Marra, C. A., & Ayas, N. T. (2008). The economic impact of obstructive sleep apnea. Lung, 186, 7-12.
    1. Bartlett, D., Wong, K., Richards, D., Moy, E., Espie, C. A., Cistulli, P. A., & Grunstein, R. (2013). Increasing adherence to obstructive sleep apnea treatment with a group social cognitive therapy treatment intervention: a randomized trial. SLEEP, 36(11), 1647-1654.
    1. Chai-Coetzer, C. L., Antic, N. A., & McEvoy, R. D. (2013). Ambulatory models of care for obstructive sleep apnoea: Diagnosis and management. Respirology, 18(4), 605-615. https://doi.org/10.1111/resp.12071
    1. Choi, J. H., Lee, J. Y., Cha, J., Kim, K., Hong, S. N., & Lee, S. H. (2017). Predictive models of objective oropharyngeal OSA surgery outcomes: Success rate and AHI reduction ratio. PLoS One, 12(9), e0185201. https://doi.org/10.1371/journal.pone.0185201
    1. Cvengros, J. A., Rodriguez, V. M., Snyder, S., Hood, M. M., Crawford, M., & Park, M. (2017). An adaptive treatment to improve positive airway pressure (PAP) adherence in patients with obstructive sleep apnea: A proof of concept trial. Behavioral Sleep Medicine, 15(5), 345-360. https://doi.org/10.1080/15402002.2015.1135292

MeSH terms

LinkOut - more resources