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Review
. 2022 May 19;10(5):943.
doi: 10.3390/healthcare10050943.

Obstructive Sleep Apnea and Adherence to Continuous Positive Airway Pressure (CPAP) Treatment: Let's Talk about Partners!

Debora Rosa  1 , Carla Amigoni  2 , Elisa Rimoldi  3 , Paola Ripa  3 , Antonella Ligorio  3 , Miriam Fracchiolla  4 , Carolina Lombardi  5   6 , Gianfranco Parati  5   6 , Elisa Perger  5   6
Affiliations
Review

Obstructive Sleep Apnea and Adherence to Continuous Positive Airway Pressure (CPAP) Treatment: Let's Talk about Partners!

Debora Rosa et al. Healthcare (Basel). .

Abstract

Background: Continuous positive airway pressure (CPAP) is the gold standard treatment for obstructive sleep apnea (OSA). The benefits of this therapy were studied and analyzed over time; patient adherence is often poor, as many factors negatively influence it. A topic that needs clarification is whether adherence to CPAP treatment in a patient with OSA is influenced by the behavior of a partner or spouse.

Methods: A scoping review was conducted to evaluate the role of partner involvement in the CPAP treatment management in a patient with OSA. The research project was performed between August and September 2021 by consulting the main biomedical databases: CINHAL, Embase, PsycINFO, and PubMed.

Results: Among 21 articles considered valid for our aim, 15 are qualitative studies, 5 are quantitative and 1 presents a mixed method. We identified several thematic areas and "key" elements, which are prevalent in the studies evaluated.

Conclusions: The presence of a partner promotes adherence to CPAP therapy in patients with OSA, resulting in ameliorating their overall quality of life. To increase CPAP adherence, a trained nurse could represent a reference figure to technically and emotionally support couples during the adaptation period and in the long term.

Keywords: anxiety; depression; nursing; personal autonomy; quality of life; sleep.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Workflow diagram of the search and selection process, based on the PRISMA flowchart.
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