新诊断为睡眠呼吸暂停的患者使用自我管理方案手册以提高对 PAP 依从性的可行性测试。
Feasibility Testing of a Self-Management Program Book to Improve Adherence to PAP in Persons Newly Diagnosed With Sleep Apnea.
机构信息
a School of Nursing, The State University of New York, University at Buffalo , Buffalo , New York.
b School of Medicine, The State University of New York, University at Buffalo , Buffalo , New York.
出版信息
Behav Sleep Med. 2018 Sep-Oct;16(5):413-426. doi: 10.1080/15402002.2016.1228644. Epub 2016 Sep 23.
OBJECTIVES
To obtain feasibility data on a self-management program to improve adherence with positive airway pressure (PAP) in individuals with newly diagnosed obstructive sleep apnea.
METHODS
A mixed-methods design assessed program effectiveness and participants' opinions on program ease-of-use. Structured interviews with the treatment group occurred one week and one month after initiation of PAP therapy.
RESULTS
Participants (n = 14) completing the study demonstrated 64% adherence versus 58% of the controls. Ease of use was demonstrated.
CONCLUSIONS
The PAP self-management program demonstrated ease of use and was found somewhat effective in improving PAP adherence.
PRACTICE IMPLICATIONS
The book was useful in assisting participants by validating information obtained from their providers and developing an understanding of the consequences of not using PAP.
目的
获得关于自我管理方案的可行性数据，以提高新诊断为阻塞性睡眠呼吸暂停患者对气道正压通气（PAP）的依从性。
方法
混合方法设计评估了方案的有效性和参与者对方案易用性的意见。在开始 PAP 治疗一周和一个月后，对治疗组进行了结构化访谈。
结果
完成研究的参与者（n=14）的依从率为 64%，而对照组为 58%。结果表明该方案易于使用。
结论
该 PAP 自我管理方案易于使用，并且在提高 PAP 依从性方面被发现具有一定的效果。
实践意义
本书通过验证参与者从提供者那里获得的信息并帮助他们了解不使用 PAP 的后果，对参与者非常有用。
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