West Virginia University School of Nursing, Keyser, WV, USA.
Clin Nurs Res. 2021 Feb;30(2):110-119. doi: 10.1177/1054773819865875. Epub 2019 Aug 6.
Obstructive sleep apnea (OSA) is the most common form of sleep-disordered breathing. Continuous positive airway pressure (CPAP) is the treatment of choice, but adherence is poor, contributing to a myriad of comorbidities that increase health burden. The study purpose was to examine the effect of the CPAP-SAVER intervention on adherence among adults with newly diagnosed OSA. Sixty-six participants were randomly assigned to intervention or standard care groups. Data were analyzed using chi-square, -tests, and correlations. At one month, there was no significant difference in adherence between groups; CPAP beliefs and attitude were significantly higher and attitude significantly increased for the intervention group. Focus on CPAP beliefs and attitude by practitioners may impact CPAP adherence. With further research and replication of this study in larger samples to determine generalizability, the CPAP-SAVER intervention may provide underpinnings for the eventual development of an OSA-CPAP adherence management protocol.
阻塞性睡眠呼吸暂停（OSA）是最常见的睡眠呼吸紊乱形式。持续气道正压通气（CPAP）是首选治疗方法，但依从性差，导致多种合并症增加健康负担。本研究旨在探讨 CPAP-SAVER 干预对新诊断 OSA 成人依从性的影响。66 名参与者被随机分配到干预组或标准护理组。使用卡方检验、t 检验和相关性分析进行数据分析。一个月时，两组间的依从性无显著差异；干预组的 CPAP 信念和态度显著更高，态度显著增加。从业者关注 CPAP 信念和态度可能会影响 CPAP 的依从性。随着进一步的研究和在更大样本中的复制以确定普遍性，CPAP-SAVER 干预可能为最终开发 OSA-CPAP 依从性管理方案提供基础。
