Braun Marcel, Dietz-Terjung Sarah, Eggert Torsten, Schoebel Christoph
Department of Pneumology, West German Lung Center, University Medicine Essen - Ruhrlandklinik, University Duisburg-Essen, Duisburg, Germany.
Faculty of Sleep and Telemedicine, West German Lung Center, University Medicine Essen - Ruhrlandklinik, University Duisburg-Essen, Tueschener Weg 40, 45239, Duisburg, Essen, Germany.
Sleep Breath. 2025 Aug 7;29(4):265. doi: 10.1007/s11325-025-03438-5.
Positive airway pressure (PAP) therapy is the primary treatment for obstructive sleep apnea (OSA), but long-term adherence remains challenging. This study aimed to identify key predictors of patient satisfaction with PAP therapy by examining the interrelationships between disease knowledge, care provision, health beliefs, and patient-reported experiences.
A cross-sectional study was conducted at a tertiary sleep center in Germany. Adult patients with confirmed OSA diagnosis and experience with PAP therapy completed a comprehensive questionnaire assessing four domains: health attitudes and self-management, OSA care provision perceptions, OSA disease knowledge, and treatment experience. Multiple regression analysis was performed to identify predictors of treatment satisfaction.
Among 148 participants (72.8% male, mean age 57.9 ± 11.8 years), 58.8% were active PAP users. High levels of family support (> 90%) and disease knowledge were reported, with 94.4% acknowledging the importance of regular treatment. Treatment experience emerged as the primary predictor of satisfaction in domain-level analysis. The final regression model identified four significant predictors explaining 75.9% of variance in satisfaction: treatment effectiveness (β = 0.304, p <. 001), routine integration (β = 0.286, p =. 001), nocturnal awakening (β = 0.273, p <. 001), and mask removal (β = 0.198, p =. 007). Patient satisfaction negatively correlated with alternative treatment usage (τ=-0.274, p <. 001) and positively with disease duration (τ = 0.187, p =. 008).
PAP therapy satisfaction is predominantly influenced by treatment-specific factors rather than general health attitudes or care provision perceptions. Understanding these predictors may help clinicians identify patients at risk for low satisfaction and target interventions accordingly.
气道正压通气（PAP）治疗是阻塞性睡眠呼吸暂停（OSA）的主要治疗方法，但长期依从性仍然具有挑战性。本研究旨在通过检查疾病知识、护理提供、健康信念和患者报告的经历之间的相互关系，确定患者对PAP治疗满意度的关键预测因素。
在德国一家三级睡眠中心进行了一项横断面研究。确诊为OSA且有PAP治疗经验的成年患者完成了一份综合问卷，评估四个领域：健康态度和自我管理、OSA护理提供认知、OSA疾病知识和治疗经验。进行多元回归分析以确定治疗满意度的预测因素。
在148名参与者中（72.8%为男性，平均年龄57.9±11.8岁），58.8%为PAP治疗的活跃使用者。报告显示家庭支持水平较高（>90%）且疾病知识丰富，94.4%的人认识到定期治疗的重要性。在领域层面分析中，治疗经验成为满意度的主要预测因素。最终回归模型确定了四个显著预测因素，解释了满意度方差的75.9%：治疗效果（β = 0.304，p <.001）、日常融入（β = 0.286，p =.001）、夜间觉醒（β = 0.273，p <.001）和面罩摘除（β = 0.198，p =.007）。患者满意度与替代治疗的使用呈负相关（τ = -0.274，p <.001），与疾病持续时间呈正相关（τ = 0.187，p =.008）。
PAP治疗满意度主要受治疗特定因素影响，而非一般健康态度或护理提供认知。了解这些预测因素可能有助于临床医生识别满意度较低风险的患者，并相应地针对性进行干预。
