ROLE OF SPOUSAL INVOLVEMENT IN CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) ADHERENCE IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA (OSA).
ROLE OF SPOUSAL INVOLVEMENT IN CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) ADHERENCE IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA (OSA).
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DOI：
10.13175/swjpcc034-17
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发表时间：
2017-05
影响因子：
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通讯作者：
Quan SF
中科院分区：
文献类型：
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作者：
Batool-Anwar S;Baldwin CM;Fass S;Quan SF
关于配偶参与对持续气道正压通气（CPAP）依从性的影响知之甚少。本研究的目的是确定配偶参与是否会影响CPAP治疗的依从性，以及这种关联如何随性别而变化。从呼吸暂停正压长期有效性研究（APPLES）招募的194名受试者完成了二元调整量表（DAS）。大多数参与者为白人（83%）和男性（73%），平均年龄为56岁，平均BMI为31 kg/m2。62%有严重的OSA。DAS是一个经过验证的32项自我报告工具，测量二元共识，满意度，凝聚力和情感表达。DAS的高分表明一个人对婚姻的适应程度。此外，还询问了与配偶参与一般健康和CPAP使用相关的问题。从设备上下载CPAP使用并自我报告，依从性定义为每晚使用≥ 4小时。有没有显着差异的整体婚姻质量之间的依从性和不依从的主题。然而，配偶参与程度与6个月时CPAP依从性增加相关（p=0.01）。按性别分层后，这些结果仅在男性中具有显著性（p=0.03）。完成APPLES后三年，配偶参与程度与CPAP依从性无关，即使在性别分层后。配偶的参与对于确定男性在开始治疗后的前6个月内的CPAP依从性很重要，但不能预测长期的依从性。配偶的参与应被视为CPAP启动程序的组成部分。HL068060
Little is known about the impact of spousal involvement on continuous positive airway pressure (CPAP) adherence. The aim of this study was to determine whether spouse involvement affects adherence with CPAP therapy, and how this association varies with gender. 194 subjects recruited from Apnea Positive Pressure Long Term Efficacy Study (APPLES) completed the Dyadic Adjustment Scale (DAS). The majority of participants were Caucasian (83%), and males (73%), with mean age of 56 years, mean BMI of 31 kg/m2. & 62% had severe OSA. The DAS is a validated 32-item self-report instrument measuring dyadic consensus, satisfaction, cohesion, and affectional expression. A high score in the DAS is indicative of a person’s adjustment to the marriage. Additionally, questions related to spouse involvement with general health and CPAP use were asked. CPAP use was downloaded from the device and self-report, and compliance was defined as usage ≥ 4 h per night. There were no significant differences in overall marital quality between the compliant and noncompliant subjects. However, level of spousal involvement was associated with increased CPAP adherence at 6 months (p=0.01). After stratifying for gender these results were significant only among males (p=0.03). Three years after completing APPLES, level of spousal involvement was not associated with CPAP compliance even after gender stratification. Spousal involvement is important in determining CPAP compliance in males in the 1st 6 months after initiation of therapy but is not predictive of longer-term adherence. Involvement of the spouse should be considered an integral part of CPAP initiation procedures. HL068060