Hu Shui-Tao, Yu Chung-Chieh, Liu Chieh-Yu, Tsao Lee-Ing
Department of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan.
College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Sleep Breath. 2017 Dec;21(4):845-852. doi: 10.1007/s11325-017-1480-y. Epub 2017 Apr 7.
This study sought to examine the effects of a nursing education program on quality of life and sleep disturbance among obstructive sleep apnea (OSA) patients receiving continuous positive airway pressure (CPAP) therapy.
This study was a randomized controlled trial with an intervention group consisting of a nursing education program. The intervention group received the instruction of the CPAP nursing education program, and the control group received routine care. Data was collected for both groups before the intervention (pre-test), on the 7th day measurement after the intervention, and on the 30th day measurement after the intervention.
The results showed, first, that the intervention group reported a significantly reduced level of disturbance from wearing CPAP compared with that of the control group after the intervention (β = -1.83, p = .040). Second, the Calgary sleep apnea quality of life index (SAQLI) total scores significantly improved after the intervention (β = 1.669, p = 0.014). Also, symptoms of the SAQLI sub-items were improved and significantly different (β = 5.69, p = 0.007) after the intervention in the intervention group.
According to the results of the study, the disturbance from wearing CPAP, the total score of the SAQLI and the symptoms of the SAQLI were significantly improved after the nursing education intervention. Therefore, an adequate nursing education program is recommended for the initial period of CPAP use among OSA patients.
本研究旨在探讨护理教育项目对接受持续气道正压通气(CPAP)治疗的阻塞性睡眠呼吸暂停(OSA)患者生活质量和睡眠障碍的影响。
本研究为随机对照试验,干预组为护理教育项目。干预组接受CPAP护理教育项目指导,对照组接受常规护理。在干预前(预测试)、干预后第7天测量和干预后第30天测量时收集两组数据。
结果显示,首先,干预后干预组报告的使用CPAP的干扰程度与对照组相比显著降低(β = -1.83,p = 0.040)。其次,干预后卡尔加里睡眠呼吸暂停生活质量指数(SAQLI)总分显著改善(β = 1.669,p = 0.014)。此外,干预组干预后SAQLI子项目的症状得到改善且有显著差异(β = 5.69,p = 0.007)。
根据研究结果,护理教育干预后,使用CPAP的干扰、SAQLI总分和SAQLI症状均有显著改善。因此,建议在OSA患者开始使用CPAP的初期开展适当的护理教育项目。