Compliance with nasal CPAP can be improved by simple interventions
Compliance with nasal CPAP can be improved by simple interventions
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DOI：
10.1093/sleep/20.4.284
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发表时间：
1997-01-01
期刊：
影响因子：
5.6
通讯作者：
Aldrich, MS
中科院分区：
文献类型：
--
作者：
Chervin, RD;Theut, S;Aldrich, MS
持续气道正压通气（CPAP）治疗阻塞性睡眠呼吸暂停的有效性可能会因依从性差而受到限制，但人们对如何提高依从性知之甚少。我们对 33 名受试者进行了一项随机对照临床试验，采用两种干预措施，以提高依从性。一组受试者每周都会接到电话，以发现任何问题并鼓励使用，另一组收到有关睡眠呼吸暂停和定期使用 CPAP 重要性的书面信息，第三组作为对照受试者。我们发现干预改善了 CPAP 依从性 (p = 0.059)，并且在 CPAP 治疗的第一个月内进行干预时效果特别强 (p = 0.004)。尽管样本量不允许对其他解释变量进行明确的调查，但教育水平较低的受试者或有使用 CPAP 的亲属的受试者可能比其他受试者从干预中受益更多。我们的结论是，提高 CPAP 治疗依从性的简单、廉价的努力可能是有效的，特别是在 CPAP 治疗开始时应用，但最佳干预措施可能会因某些患者特征而异。
Effectiveness of continuous positive airway pressure (CPAP) as a treatment for obstructive sleep apnea can be limited by poor compliance, but little is known about how to improve compliance. We performed a randomized, controlled clinical trial among 33 subjects of two interventions to improve compliance. One group of subjects received weekly phone calls to uncover any problems and encourage use, another received written information about sleep apnea and the importance of regular CPAP use, and a third served as control subjects. We found that intervention improved CPAP compliance (p = 0.059) and that the effect was particularly strong when intervention occurred during the first month of CPAP treatment (p = 0.004). Although the sample size did not allow definitive investigation of other explanatory variables, subjects with lower levels of education or those with relatives who used CPAP may have benefited from intervention more than other subjects. We conclude that simple, inexpensive efforts to improve compliance with CPAP can be effective, especially when applied at the start of CPAP treatment, but optimal intervention may vary with certain patient characteristics.