老年中重度阻塞性睡眠呼吸暂停综合征患者经鼻持续正压通气治疗依从分析  

Compliance of Nasal Continuous Positive Airway Pressure of Elderly Patients with Obstructive Sleep Apnea Syndrome

作　　者：何春欢[1] 欧琼[1] 卓胜青[1] 卢少萍[1] 

机构地区：[1]广东省人民医院广东省医学科学院广东省老年医学研究所,广东广州510080

出　　处：《护理学报》2011年第20期59-61,共3页Journal of Nursing（China）

基　　金：广东省科技厅计划项目(2008B030301188)

摘　　要：目的探讨老年中重度阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome,OSAS)患者经鼻持续气道正压通气(nasal continuous positive airway pressure,nCPAP)治疗的依从性。方法对2006—2009年确诊为中重度阻塞性睡眠呼吸暂停综合征的老年患者进行随访,调查患者接受nCPAP治疗的情况以及治疗的依从性。结果 106例确诊的中重度阻塞性睡眠呼吸暂停综合征老年患者,有34例接受了nCPAP治疗,治疗率为32%,不接受治疗的主要原因是对疾病危害认识不足,占44%;其次是不耐受鼻罩通气模式占40%;接受治疗患者中依从性好的有23例,占68%,依从性差的主要原因是患者嫌麻烦不愿意戴机治疗。结论老年中重度阻塞性睡眠呼吸暂停综合征患者接受nCPAP治疗的依从性有待提高,且治疗率低,护士应注重阻塞性睡眠呼吸暂停综合征疾病知识的教育,鼓励老年中重度阻塞性睡眠呼吸暂停综合征患者积极接受nCPAP治疗;同时要对已接受nCPAP治疗的患者定期随访,督促患者坚持戴机治疗,提高治疗依从性。Objective To explore the compliance of nasal continuous positive airway pressure （nCPAP） of elderly patients with obstructive sleep apnea syndrome （OSAS） and its influencing factors. Methods The treatment and compliance of nCPAP in elderly patients that were diagnosed with moderate to severe OSAS from 2006 to 2009 were investigated with a retrospective review. Results A total of 34 patients accepted nCPAP therapy among 106 elderly eases with OSAS, accounting for 32%. Inadequate knowledge of the disease was the main reason not to accept the treatment, accounting for 44%, followed with poor tolerance, accounting for 40%. It showed that 23 eases （68%） had good compliance while 11 （32%） displayed poor compliance for the tiresome of the treatment. Conclusion Health education on OSAS should be promoted. OSAS patients should be encouraged to accept nCPAP therapy and regular follow-ups should he adopted to improve treatment compliance.

关 键 词：阻塞性睡眠呼吸暂停 经鼻持续气道正压通气治疗 依从性 

分 类 号：R473.59[医药卫生—护理学]