Leseux L, Rossin N, Sedkaoui K, Pontier S, Harribey N, Deleurme S, Germaini G, Jeanne F, Adrover L, Leophonte P, Fraysse J L, Didier A
SADIR association, ZAC grande-Borde, voie l'occitane, BP 87555, 31675 Labège, France.
Rev Mal Respir. 2012 Jan;29(1):40-6. doi: 10.1016/j.rmr.2011.11.001. Epub 2011 Dec 14.
The most commonly used treatment for obstructive sleep apnea syndrome (OSA) is the application of continuous positive airway pressure (CPAP) during sleep. However compliance with this treatment is frequently below 70%.
The main aim of this study was to evaluate the feasibility of an educational intervention (EI) delivered in phone calls made to OSA patients (n=66) treated with CPAP by a home care provider (SADIR). The educational intervention consisted of five sessions of telephone based counseling intervention by appropriately trained staff delivered on day 3, 10, 30, 60 and 90 after initiation of treatment. Secondary objectives were to compare, using a case-control design, CPAP compliance of OSA patients (n=133) with or without EI.
Ninety-eight percent of patients accepted the intervention to participate in the study. Fifty-seven patients (86%) received the full intervention program and 44 patients (66%) strictly respected the pre-defined timings per protocol. A higher adherence to CPAP at six months was observed in the EI group compared to patient without EI (94% versus 81%) (P<0.05). CPAP compliance at three months was 54minutes higher in the EI group compared to the control group (4h39±2h17 and 3h45±2h45 respectively) but this difference was not statistically significant.
An educational intervention dispensed by phone is applicable and would have an impact on CPAP compliance. Its efficacy on long-term compliance has to be confirmed in a larger group using a randomized procedure.
阻塞性睡眠呼吸暂停综合征（OSA）最常用的治疗方法是在睡眠期间应用持续气道正压通气（CPAP）。然而，这种治疗的依从性通常低于70%。
本研究的主要目的是评估由家庭护理提供者（SADIR）对接受CPAP治疗的OSA患者（n = 66）进行电话教育干预（EI）的可行性。教育干预包括在治疗开始后的第3、10、30、60和90天，由经过适当培训的工作人员进行五次基于电话的咨询干预。次要目标是采用病例对照设计，比较接受或未接受EI的OSA患者（n = 133）的CPAP依从性。
98%的患者接受了干预以参与研究。57名患者（86%）接受了完整的干预计划，44名患者（66%）严格遵守了每个方案预先定义的时间安排。与未接受EI的患者相比，EI组在六个月时对CPAP的依从性更高（94%对81%）（P<0.05）。EI组在三个月时的CPAP依从性比对照组高54分钟（分别为4小时39分钟±2小时17分钟和3小时45分钟±2小时45分钟），但这种差异无统计学意义。
通过电话进行的教育干预是可行的，并且会对CPAP依从性产生影响。其对长期依从性的疗效必须在更大规模的随机试验组中得到证实。
