Somers Melissa L, Peterson Ed, Sharma Saurabh, Yaremchuk Kathleen
Department of Otolaryngology Head-Neck Surgery, Henry Ford Medical Group, 2799 W Grand Boulevard (K8 Clinic Building), Detroit, MI 48202, USA.
ISRN Otolaryngol. 2011 Jun 30;2011:943586. doi: 10.5402/2011/943586. Print 2011.
Objective. To determine predictors of patient adherence to CPAP. Design. A retrospective chart review identified patients with AHI values greater than 15 who were recommended to receive CPAP. Compliance was measured at a 1-to 4-month interval and at 1 year. Results. There were 106 of 368 (29%) patients who received CPAP therapy that were compliant with CPAP use at 1 to 4 months. Forty-six patients (12%) were using CPAP at one year. For the male group at one year, the model demonstrated the AHI value (P value = .026) as a predictor of compliance if greater than 27.3 and a significant two-way interaction between age and AHI (P = .023). Increased length of time from the initial visit and receiving the CPAP machine was associated with poorer compliance (P = .002). Those living in areas with higher incomes and with a higher percentage of non-high-school graduates were more likely to be compliant (P = .01 and P = .044). Conclusion. Older male patients with higher AHI values were noted to be more adherent to CPAP. Efforts should be made to try to minimize the length of time between the initial visit and the time to receive CPAP to improve compliance.
目的。确定患者持续气道正压通气（CPAP）依从性的预测因素。设计。一项回顾性病历审查确定了呼吸暂停低通气指数（AHI）值大于15且被建议接受CPAP治疗的患者。在1至4个月期间以及1年时测量依从性。结果。368例接受CPAP治疗的患者中有106例（29%）在1至4个月时依从CPAP使用。46例患者（12%）在1年时使用CPAP。对于男性组在1年时，如果AHI值大于27.3，模型显示AHI值（P值 = 0.026）是依从性的预测因素，且年龄与AHI之间存在显著的双向交互作用（P = 0.023）。从初次就诊到收到CPAP机器的时间延长与依从性较差相关（P = 0.002）。那些生活在高收入地区且非高中毕业生比例较高的人更有可能依从（P = 0.01和P = 0.044）。结论。AHI值较高的老年男性患者被注意到更能坚持使用CPAP。应努力尽量缩短初次就诊与接受CPAP之间的时间，以提高依从性。
