School of Psychology, Faculty of Science, Brain and Mind Centre and Charles Perkins Centre, The University of Sydney, Level 2, Building D17, Johns Hopkins Drive, Camperdown, New South Wales 2050, Australia; Sleep and Circadian Research Group, Woolcock Institute of Medical Research, The University of Sydney, PO Box M77, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia; Sydney Medical School, The University of Sydney.
Sleep and Circadian Research Group, Woolcock Institute of Medical Research, The University of Sydney, PO Box M77, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia.
Sleep Med Clin. 2021 Mar;16(1):101-124. doi: 10.1016/j.jsmc.2020.10.006. Epub 2021 Jan 19.
Continuous positive airway pressure (PAP) is still the most efficacious treatment for obstructive sleep apnea when used effectively. Since the availability of PAP 39 years ago there have been considerable technological advances, such as quieter, lighter and smaller machines with better humidification. However, adherence to treatment is still a major problem. This article reviews studies published on behavioral interventions aimed at improving the uptake and maintenance of PAP treatment (January 2016-February 2020). It discusses underlying factors in the poor uptake and discontinuation of treatment and the role of qualitative research to better understand the perspective of the patients.
持续气道正压通气（PAP）仍然是治疗阻塞性睡眠呼吸暂停最有效的方法，只要使用得当。自 39 年前 PAP 问世以来，已经取得了相当大的技术进步，例如机器噪音更小、重量更轻、体积更小，并且具有更好的加湿功能。然而，治疗的依从性仍然是一个主要问题。本文回顾了 2016 年 1 月至 2020 年 2 月期间发表的关于旨在提高 PAP 治疗接受度和维持率的行为干预研究。它讨论了治疗接受度和中止治疗的背后因素，以及定性研究在更好地理解患者观点方面的作用。
