管理模式对阻塞性睡眠呼吸暂停患者依从性的影响  

The Effect of Management Mode on Compliance in Patients with Obstructive Sleep Apnea

作　　者：张童[1] 魏丽娟[1] 严梅[1] ZHANG Tong;WEI Lijuan;YAN Mei(Department of Respiratory Medicine,Beijing Sixth Hospital,Beijing 100007,China)

机构地区：[1]北京市第六医院呼吸科,北京100007

出　　处：《世界睡眠医学杂志》2022年第5期962-964,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨管理模式对于进行持续气道正压通气治疗的阻塞性睡眠呼吸暂停(Obstructive Sleep Apnea,OSA)患者依从性及治疗效果的影响。方法:对使用CPAP治疗的206例患者进行复诊随访调查,按患者复诊情况分为标准管理组和自我管理组,对2组依从性及CPAP治疗后效果进行分析。结果:标准管理组依从性明显高于自我管理组,2组在打鼾、嗜睡、夜尿增多、晨起头晕等主观症状、并发症改善方面优于自我管理组(P<0.05)。2组复查睡眠参数并比较ESS、AHI、最低SpO_(2)、平均SpO_(2)的改善值,差异均有统计学意义(P<0.05)。结论:对CPAP治疗患者进行长期持续的管理可提高患者带机依从性,并可提高患者生命质量并改善患者疾病预后。Objective:To observe the effect of management mode on the compliance and treatment effect of Obstructive Sleep Apnea(OSA)patients undergoing Continuous Positive Airway Pressure(CPAP)therapy.Methods:A total of 206 patients who were treated with CPAP were divided into standard management group and self-management group according to their follow-up visits.The compliance of the two groups and the effect after CPAP treatment were analyzed.Results:The compliance of the standard management group was significantly higher than that of the self-management group,and the improvement of subjective symptoms such as snoring,drowsiness,nocturia increase,morning dizziness and other complications in the two groups was better than that of the self-management group(P<0.05).The sleep parameters of the two groups were reviewed and the improvement values of Epworth Sleepiness Scale(ESS),Apnea Hypopnea Index(AHI),lowest SpO_(2) and average SpO_(2) were compared,with statistical significance(P<0.05).Conclusion:Long-term continuous management of patients on CPAP therapy can improve patient adherence,quality of life and disease prognosis.

关 键 词：阻塞性睡眠呼吸暂停 CPAP 管理模式 

分 类 号：R454.4[医药卫生—治疗学]