A systematic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions.

A systematic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions.
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DOI:
10.1016/j.smrv.2011.01.003
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发表时间:
2011-12
影响因子:
10.5
通讯作者:
Weaver TE
Weaver TE
中科院分区:
医学1区
文献类型:
--
作者:
Sawyer AM;Gooneratne NS;Marcus CL;Ofer D;Richards KC;Weaver TE

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持续气道正压通气(CPAP)是一种非常有效的治疗阻塞性睡眠呼吸暂停(OSA)的方法,但坚持治疗限制了其在所有年龄组患者中的总体有效性。影响CPAP依从性的因素包括疾病和患者特征、治疗滴定程序、技术设备因素和副作用以及心理和社会因素。这些影响因素指导了干预措施的制定,以促进CPAP的依从性。各种干预战略已被描述,包括教育,技术,心理,药理和多层面的方法。尽管迄今为止的证据已经导致了解决CPAP治疗儿童、成人和老年人依从性的创新策略,但仍有大量机会开发和测试临床适用的干预措施,针对可能表现出依从性差的患者亚组,并解决CPAP依从性的多因素性质。将CPAP依从性促进干预措施转化为临床实践对于改善所有CPAP治疗OSA患者的健康和功能结局至关重要。
Continuous positive airway pressure (CPAP) is a highly efficacious treatment for obstructive sleep apnea (OSA) but adherence to the treatment limits its overall effectiveness across all age groups of patients. Factors that influence adherence to CPAP include disease and patient characteristics, treatment titration procedures, technological device factors and side effects, and psychological and social factors. These influential factors have guided the development of interventions to promote CPAP adherence. Various intervention strategies have been described and include educational, technological, psychosocial, pharmacological, and multi-dimensional approaches. Though evidence to date has led to innovative strategies that address adherence in CPAP-treated children, adults, and older adults, significant opportunities exist to develop and test interventions that are clinically applicable, specific to subgroups of patients likely to demonstrate poor adherence, and address the multifactorial nature of CPAP adherence. The translation of CPAP adherence promotion interventions to clinical practice is imperative to improve health and functional outcomes in all persons with CPAP-treated OSA.
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