Compliance with continuous positive airway pressure therapy: assessing and improving treatment outcomes.
Compliance with continuous positive airway pressure therapy: assessing and improving treatment outcomes.
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DOI：
10.1097/00063198-200111000-00005
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发表时间：
2001-11-01
影响因子：
3.3
通讯作者：
Rosen, R
中科院分区：
文献类型：
--
作者：
Zozula, R;Rosen, R
虽然经鼻持续气道正压通气（CPAP）通常可有效纠正阻塞性睡眠呼吸暂停综合征（OSAS）患者的睡眠相关呼吸障碍和相关日间后遗症，但对CPAP的抵抗和不耐受严重限制了其使用。据报道，不遵守治疗的比例高达25%至50%，患者通常在治疗的前2至4周内放弃治疗。中止CPAP治疗的原因主要与面罩不适、鼻腔干燥和充血以及难以适应压力的问题有关。尽管报告的CPAP依从率存在很大差异，但很少有系统的研究来评估CPAP依从性的障碍或改善依从性的方法。早期识别CPAP相关的耐受性问题或障碍、心理因素和治疗前背景变量（即年龄和性别）的预测值可能会提高治疗依从性。OSAS管理的一个重要目标是制定干预策略和教育方法，以最大限度地减少副作用并最大限度地提高患者的依从性。一个新的分类，沿着的建议和想法的干预。
Although nasal continuous positive airway pressure (CPAP) is generally effective in correcting sleep-related respiratory disturbance and associated daytime sequelae in obstructive sleep apnea syndrome (OSAS), resistance to and intolerance of CPAP poses a serious limitation to its use. Failure to comply with treatment has been reported to be as high as 25 to 50%, with patients typically abandoning therapy during the first 2 to 4 weeks of treatment. Reasons for discontinuing CPAP therapy have been primarily related to issues of mask discomfort, nasal dryness and congestion, and difficulty adapting to the pressure. Although there has been great variability in the reported rates of CPAP compliance, there have been few systematic studies to evaluate barriers to CPAP compliance or ways to improve compliance. Early identification of CPAP-related tolerance problems or barriers, psychological factors, and the predictive value of pretreatment background variables ( ie, age and gender) may enhance compliance with therapy. An important goal for OSAS management is the development of intervention strategies and educational approaches that minimize side effects and maximize patient compliance. A new classification is presented, along with suggestions and ideas for intervention.