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. 2024 Dec;28(6):2437-2443.
doi: 10.1007/s11325-024-03097-y. Epub 2024 Aug 28.

Therapeutic adherence in patients with Obstructive Sleep Apnea Syndrome: a retrospective cohort study

Carmen Samà  1 , Sandro Longu  2 , Giorgio Bergesio  3 , Francesca Samà  2 , Alessia Faioli  2
Affiliations

Therapeutic adherence in patients with Obstructive Sleep Apnea Syndrome: a retrospective cohort study

Carmen Samà et al. Sleep Breath. 2024 Dec.

Abstract

Introduction: Obstructive Sleep Apnea Syndrome (OSAS) is a respiratory disorder characterized by repeated episodes of partial or complete airway obstruction. Continuous Positive Airway Pressure therapy (CPAP) is effective in improving sleep quality and daytime sleepiness. The aim of the study was to evaluate therapeutic adherence in a sample of patients with OSAS from the Pneumology ward of the "Cardinal Massaia" Hospital in Asti.

Materials and methods: A sample of 221 patients with OSAS were collected and retrospectively analyzed from January 2019 to December 2021. Ventilation hours during device titration (T1), possible second titration (T2) and one-year control (T3) were considered. The use of the CPAP device equal to or greater than 4 h/night was considered as therapeutic adherence. Age, gender, severity of OSAS, smoking, interface used and Epworth Sleepiness Scale (ESS) score were considered.

Results: The analysis data showed that the percentage of adhesion during T1 was 84%. Only 9% needed T2, with 84% adherence. At T3 the adherence was 86%. Correlation studies showed that only smoking had a positive correlation with adherence, while OSAS severity, gender, ESS score, interface used and age had no statistically significant correlation.

Conclusion: It was important to understand that OSAS is a disease with prolonged treatment, which affects the life of the person and his family. Therefore, the concept of assistance network was born, which sees the healthcare operators, the person and his family as the main actors involved in a care process.

Keywords: CPAP; Nursing care; OSAS; Therapeutic adherence.

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Conflict of interest statement

Declarations Ethics approval This article does not contain any studies with animals performed by any of the authors. Informed consent Informed consent was obtained from all individual participants included in the study. Consent for publication All authors have approved the final version for publication. Conflict of interest All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest, or non-financial interest in the subject matter or materials discussed in this manuscript.

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