Factors Influencing the Use and Nonuse of Continuous Positive Airway Pressure Therapy: A Comparative Case Study

@article{Ayow2009FactorsIT,
  title={Factors Influencing the Use and Nonuse of Continuous Positive Airway Pressure Therapy: A Comparative Case Study},
  author={Tracy Meredith Ayow and France Paquet and Julie Dallaire and Margaret Purden and Kat{\'e}ri Agn{\`e}s Champagne},
  journal={Rehabilitation Nursing Journal},
  year={2009},
  volume={34},
  pages={230–236}
}
&NA; The rates of sustained use of continuous positive airway pressure (CPAP) therapy among adults with obstructive sleep apnea (OSA) appear consistently suboptimal, despite the efficacy of this treatment. Using semistructured interviews, this study identified facilitators and barriers toward CPAP therapy after treatment initiation among patients with OSA. A purposive sample of eight patients representing extreme differences in CPAP use was recruited from a multisite sleep disorders clinic at a… 

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References

SHOWING 1-10 OF 16 REFERENCES

Life changes in individuals diagnosed with sleep apnea while accommodating to continuous positive airway pressure (CPAP) devices.

It is found that Perseverence through tribulations by developing a positive mind-set was the constitutive pattern and rehabilitation nurses should understand the difficulties with CPAP compliance so that they may assist patients with device issues and offer encouragement.

The art and science of continuous positive airway pressure therapy in obstructive sleep apnea

Although convincing data exist that treatment with CPAP can alleviate the neurocognitive sequelae of OSA, data on cardiovascular complications are more limited and data on myocardial infarction and cerebrovascular events are currently lacking.

CPAP devices: encouraging patients with sleep apnea.

  • S. DickersonM. Kennedy
  • Medicine
    Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
  • 2006
Help-seeking experiences in support groups of individuals with sleep apnea who use CPAP devices are examined, including becoming motivated to persist with help from the group, accommodating to the device, listening and telling stories to gain practical knowledge, and implementing a support group as a caring community.

Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS).

A structured, multidisciplinary, cost-efficient model is suggested, containing educational, behavioural and technological components as basic support, and with high-expertise cognitive-behavioural intervention in more difficult cases of low CPAP use.

Randomized placebo-controlled crossover trial of continuous positive airway pressure for mild sleep Apnea/Hypopnea syndrome.

In 14 patients with AHI in the range 5 to 10, symptoms, cognitive function, psychological well-being and quality of life were improved, and unacceptability of CPAP in many such patients is highlighted.

Claustrophobia and Adherence to CPAP Treatment

This study evaluated the effect of claustrophobia, an abnormal dread or fear of closed spaces, on adherence to continuous positive airway pressure (CPAP) therapy. The design was a secondary analysis

Predicting treatment adherence in obstructive sleep apnea using principles of behavior change.

The results from the present study suggest that measures of behavior change predict CPAP adherence at 6 months post treatment when assessed at 1 week and at 3 months posttreatment, but when these measures are assessed at baseline, however, they are not predictive of CPAP use at 6-months.

The Epworth Sleepiness Scale in the Identification of Obstructive Sleep Apnea

The results of the study showed only fair discriminatory ability of the ESS as a screener for OSA, and a score of 8 (instead of 10) is suggested as the cutoff among clinic populations being screened for a sleep disorder.

Night-to-night variability in CPAP use over the first three months of treatment.

Analysis of night-to-night variability and nightly duration of continuous positive airway pressure (CPAP) therapy over the first 9 weeks of treatment and to determine when patients begin to establish a nonadherent pattern of use revealed that intermittent users continued to report significantly greater OSA symptoms posttreatment, suggesting that they continued to experience sleep disordered breathing.