影响OSAHS患者持续正压通气治疗接受性的因素调查分析  

Investigation and Analysis of Influencing Factor on Treatment Acceptance of OSAHS Patients Treated with CPAP

作　　者：孟庆华[1] 李承红[1] 江城[1] 孔彬[1] 冯琼[1] 

机构地区：[1]江汉大学附属医院呼吸科,湖北武汉430015

出　　处：《江汉大学学报（自然科学版）》2013年第5期92-95,共4页Journal of Jianghan University：Natural Science Edition

摘　　要：目的：探讨影响阻塞性睡眠呼吸暂停低通气综合征（Obstructive Sleep Apnea Hypopnea Syndrom，OSAHS）患者持续正压通气治疗接受性的非技术性因素，并寻求解决方法。方法：选取2010年3月一2012年3月确诊的153例OSAHS患者，调查其对OSAHS的认知度、治疗意向性情况，并填写信赖他人量表测量受试者对医生的信任程度，对调查结果进行统计学分析。结果：患者对OSAHS认知度还很低，认为OSAHS是病的占53．6％，而认为需要治疗的只占47．8％。同意使用CPAP治疗的只占47．8％，AHI〉15和年龄35～55岁的患者的同意使用率要高（分别占60．00％和56．45％），不同意使用的患者拒绝的原因主要与呼吸机的价格和认为使用不安全、不方便、不舒适或宁愿手术等因素有关，尤其是购买呼吸机的价格。信赖他人量表结果显示高分比例较高，添加题90％选择负性答案。结论：OSAHS患者对疾病的认知程度低，选择CPAP治疗接受性差，而呼吸机价格高和对医生信任度低也是影响OSAHS治疗接受性的一个重要原因。Objective：To explore the influencing non-technical factors on treatment acceptance of obstructive sleep apnea hypopnea syndrom（OSAHS） patients treated with continuous positive air- way pressure（CPAP）, and searches the solution. Methods：Choosed 153 patients with OSAHS from March 2010 to March 2012, investigation the cognition degree and treatment intentionality of pa- tients to OSAHS, conducted statistical analysis with investigation results. Results：The cognition de- gree of patients to OSAHS was still on low level, the proportion was 53.6% for holding OSAHS as dis- ease, and 47.8% patients thought it need treatment. 47.8% patients agreed to use CPAP treatment, the agreement was higher for AHI〉15 and 35-55 years old （60% and 56.45% respectively） , the main reasons for disagreement were the price of respirator, the feeling of unsafety, inconvenjence, discomfort, or preference for operation, among them, especially the price of respirator. Reliability measuring scale showed the high score had high proportion, on added questions, 90% choosed nega- tive answers. Conclusion：The cognition degree is low for OSAHS patients to disease, the accep- tance is bad, the high price of respirator and low trust rate to doctors are important influencing fac- tors on treatment acceptance of OSAHS patients.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 持续气道内正压 接受性 依从性 

分 类 号：R562.05[医药卫生—呼吸系统]