阻塞性睡眠呼吸暂停患者保持持续正压气道治疗依从性的影响因素分析

Factors related to CPAP compliance in patients with obstructive sleep apnea-hypopnea syndrome

目的探讨分析阻塞性睡眠呼吸暂停患者持续正压气道治疗(CPAP)依从性的影响因素。方法以中、重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者且行CPAP治疗者为对象,对其进行多导睡眠仪监测(PSG)、匹兹堡睡眠质量指数(PSQI)、嗜睡评价量表(Epworth)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、艾森克人格测验(EPQ)、社会支持评定量表(SSRS)的调查分析,进行CPAP治疗依从性的比较。结果①依从性好组较依从性差组,PSQI改善,Epworth减轻,两组差异具有统计学意义(P<0.05)。②依从性好组SAS、SDS、EPQ-N得分低,两组差异具有统计学意义(P<0.05)。结论心理社会因素和CPAP治疗技术影响患者CPAP治疗依从性,及时的心理干预和CPAP治疗技术的支持是提高患者治疗依从性和生存质量的关键。

Objective To investigate the factors related to CPAP compliance in patients with obstructive sleep apnea-hypopnea syndrome.Methods All patients with moderate or severe OSAHS were evaluated with a psychology scale including PSG,PSQI,Epworth,SAS,SDS,EPQ and SSRS,and then compared for their compliance with CPAP treatment.Results ①The group of high compliance had significantly improved PSQI and Epworth(P<0.05).②The scores of SAS,SDS and EPQ-N in the high compliance group were lower than those in the low compliance group.Conclusion Socio-psychology and skillful treatment may affect the compliance of OSAHS patients with CPAP treatment.Therefore,psychological interference and technical support in CPAP may be the key to improved compliance and quality of life in these patients.