Relationship Quality and CPAP Adherence in Patients With Obstructive Sleep Apnea
Relationship Quality and CPAP Adherence in Patients With Obstructive Sleep Apnea
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DOI：
10.1080/15402000802577751
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发表时间：
2009-01-01
影响因子：
3.1
通讯作者：
Jones, Christopher R.
中科院分区：
文献类型：
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作者：
Baron, Kelly Glazer;Smith, Timothy W.;Jones, Christopher R.
在42例已婚男性阻塞性睡眠呼吸暂停（OSA）患者中，研究了持续气道正压通气（CPAP）治疗前3个月内关系支持和冲突对CPAP依从性的前瞻性影响。23例患者的CPAP依从性报告可用。患者对婚姻冲突的评价预测了平均每晚的依从性。(beta=-0.357; p < .05）;但婚姻支持的评级并不能预测依从性。三个月的随访评级的婚姻支持和冲突，主观嗜睡，抑郁和功能障碍，可用于16例患者从第一个样本。另外6例无依从性报告的患者提供了基线和3个月随访问卷数据，因此共有22例患者提供了随访问卷数据。CPAP治疗3个月后，患者报告婚姻冲突（d = 0.43; p <0.05）、嗜睡（d = 1.13; p <0.001）和抑郁减少。（d = 0.73; p < .001）;和功能损害（d = 1.48，p < .001）：这些发现强调了评估婚姻冲突对OSA患者的重要性，并建议婚姻冲突可能是改善CPAP依从性的干预目标。
The prospective influence of relationship support and conflict on adherence to continuous positive airway pressure (CPAP) was examined over the first 3 months of CPAP treatment in 42 married, male patients with obstructive sleep apnea (OSA). CPAP adherence reports were available for 23 patients. Patient ratings of marital conflict predicted average nightly adherence.(beta=-0.357; p < .05); but ratings of marital support did not predict adherence. Three-month follow-up ratings of marital support and conflict, subjective sleepiness, depression, and functional impairment were available for 16 patients from the first sample. Six additional patients without adherence reports provided baseline and 3-month follow-up questionnaire data, which resulted in a total of 22 patients with follow-up questionnaire data. Following 3 months of CPAP, patients reported decreased-marital conflict (d = 0.43; p < .05); sleepiness (d = 1.13; p < .001), depression. (d = 0.73; p < .001); and functional impairment (d = 1.48, p < .001): These findings highlight the importance of evaluating marital conflict for OSA patients and suggest marital conflict may be a target for interventions to improve CPAP adherence.