College of Nursing, University of Illinois Chicago, 814 Franklin AvenueRiver Forest, IL 60305, USA; School of Nursing, University of Pennsylvania.
Sleep Med Clin. 2022 Dec;17(4):587-595. doi: 10.1016/j.jsmc.2022.07.005. Epub 2022 Oct 9.
About half of continuous positive airway pressure (CPAP)-treated patients are adherent, substantially affecting efficacy. A limitation to understanding predictors of adherence is the lack of a singular definition. Univariate analyses have suggested an array of factors that are statistically significant and reflect disease pathophysiology, clinical features, demographic characteristics, device-related variables, and psychological factors, but whether differences are clinically meaningful is unclear. There have been limited applications of multiple regression to compare the relative influence of multiple variables. This review article considers categories of variables that have been explored and suggests those that may be labeled "best" predictors in understanding CPAP use.
大约一半的持续气道正压通气(CPAP)治疗患者具有依从性,这对疗效有很大影响。理解依从性预测因素的一个限制是缺乏单一的定义。单变量分析表明,存在一系列统计学上显著的因素,反映了疾病的病理生理学、临床特征、人口统计学特征、与设备相关的变量和心理因素,但差异是否具有临床意义尚不清楚。很少有应用多元回归来比较多个变量相对影响的情况。本文综述了已探索的变量类别,并提出了一些可能被标记为理解 CPAP 使用的“最佳”预测因素的变量。