Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Road, Pathum Wan, Bangkok, 10330, Thailand.
Excellence Center for Sleep Disorders, Thai Red Cross Society, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Sleep Breath. 2022 Sep;26(3):1193-1199. doi: 10.1007/s11325-021-02509-7. Epub 2021 Oct 19.
Positive airway pressure (PAP) adherence is a significant issue among patients with obstructive sleep apnea (OSA). However, the data are limited regarding PAP adherence during the current COVID-19 pandemic.
A cross-sectional study was conducted between February and October 2020 at the Excellence Center for Sleep Disorders, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Patients with ongoing PAP-treated OSA were recruited. Data on PAP adherence before and during the COVID-19 pandemic were collected. Furthermore, pre-test and post-test questionnaires on knowledge on COVID-19, OSA, and PAP before and after tele-education were also evaluated.
Of a total 156 patients, the majority had severe OSA (72%). By self-report, there was no significant difference in PAP usage in hours per day before compared to during the pandemic (p = 0.45), though in a subgroup with highest educational attainment (degree higher than bachelor's), PAP usage did increase during the pandemic (mean difference 0.23 ± 0.10; 95% CI 0.02-0.40, p = 0.03). However, objective PAP usage data demonstrated a trend towards increased usage comparing before and during the pandemic (4.64 ± 1.49 vs 5.12 ± 1.41; mean difference 0.48 ± 1.33; 95% CI 0.13-10.90, p = 0.12). Basic knowledge was significantly improved after tele-education (p < 0.001).
By objective data, there was a trend towards increased PAP usage during the COVID-19 pandemic for the entire group. In a subgroup of patients with highest educational attainment, PAP adherence increased by self-report. Tele-education appeared to improve knowledge on COVID-19, OSA, and PAP usage.
在阻塞性睡眠呼吸暂停（OSA）患者中，正压通气（PAP）的依从性是一个重大问题。然而，关于当前 COVID-19 大流行期间 PAP 依从性的数据有限。
这是一项 2020 年 2 月至 10 月在泰国曼谷朱拉隆功国王纪念医院卓越睡眠障碍中心进行的横断面研究。招募了正在接受 PAP 治疗的 OSA 患者。收集了 COVID-19 大流行前后的 PAP 依从性数据。此外，还评估了 COVID-19、OSA 和 PAP 前测和后测问卷，以及远程教育前后的知识。
在总共 156 名患者中，大多数患者患有严重的 OSA（72%）。自我报告显示，与大流行前相比，大流行期间每天使用 PAP 的时间没有显著差异（p=0.45），尽管在受教育程度最高的亚组（学士学位以上）中，大流行期间 PAP 的使用有所增加（平均差异 0.23±0.10；95%CI 0.02-0.40，p=0.03）。然而，客观的 PAP 使用数据显示，与大流行前相比，使用量呈增加趋势（4.64±1.49 与 5.12±1.41；平均差异 0.48±1.33；95%CI 0.13-10.90，p=0.12）。远程教育后，基础知识有显著提高（p<0.001）。
通过客观数据，整个组在 COVID-19 大流行期间，PAP 的使用呈增加趋势。在受教育程度最高的亚组患者中，PAP 依从性自我报告有所增加。远程教育似乎提高了对 COVID-19、OSA 和 PAP 使用的认识。
