Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain.
Department of Occupational Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain.
Rehabil Nurs. 2020 May/Jun;45(3):140-146. doi: 10.1097/rnj.0000000000000190.
The purpose of this systematic review was to summarize the effectiveness of interventions in the literature to improve adherence to continuous positive airway pressure (CPAP) treatment in patients with excessive daytime sleepiness.
In this review, we considered only randomized controlled trials that included interventions to improve CPAP adherence in adult obstructive sleep apnea (OSA) patients with high daytime sleepiness.
Eight trials were included in this review. The types of interventions to improve adherence to CPAP can be grouped into educational, technological, pharmacological, and multidimensional interventions.
Educational programs can increase CPAP adherence in OSA patients. As nurses are the main clinicians responsible for device use for patients, the therapeutic strategies to improve CPAP adherence are important in their clinical setting. Therefore, the nursing work related to the use of CPAP has a great impact on the quality of life and mortality of patients with OSA.
本系统评价的目的是总结文献中干预措施对改善日间嗜睡的阻塞性睡眠呼吸暂停（OSA）患者持续气道正压通气（CPAP）治疗依从性的有效性。
在本次综述中，我们仅考虑了纳入干预措施以提高高日间嗜睡的成人阻塞性睡眠呼吸暂停（OSA）患者 CPAP 依从性的随机对照试验。
本综述纳入了 8 项试验。提高 CPAP 依从性的干预措施可分为教育、技术、药物和多维度干预。
教育计划可以提高 OSA 患者的 CPAP 依从性。由于护士是负责患者使用设备的主要临床医生，因此改善 CPAP 依从性的治疗策略在其临床环境中非常重要。因此，与 CPAP 使用相关的护理工作对 OSA 患者的生活质量和死亡率有重大影响。
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