阻塞性睡眠呼吸暂停低通气综合征患者持续气道正压通气治疗的依从性调查和护理干预

Survey of compliance with continuous positive airway pressure for patients with obstructive sleep apnea hypopnea syndrome

目的调查阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者持续气道正压通气(CPAP)治疗的依从性现状及其原因。方法电话调查2008年1月～2009年9月在我科接受CPAP压力滴定的85例OSAHS患者CPAP呼吸机的使用情况。结果 78例患者接受了调查。其中,44.87%的患者坚持CPAP治疗;15.38%的患者因为嫌麻烦或怕对呼吸机产生依赖而中断了CPAP治疗;39.74%的患者因为压力滴定当晚不适应CPAP或认为没必要带机治疗而未曾接受CPAP治疗。结论 OSAHS患者CPAP治疗依从性较差。医护人员当提高患者压力滴定当晚对呼吸机的适应程度和睡眠质量,加强患者早期的健康教育和随访,从而提高CPAP治疗的依从性。

Objective To assess the compliance of obstructive sleep apnea hypopnea syndrome （OSAHS） patients with continuous positive airway pressure （CPAP） therapy and to identify the reason for poor compliance. Method The CPAP compliance of 85 OSAHS patients who had conducted CPAP titration in our sleep laboratory from Feb 2008 to Setp. 2009 were evaluated through semi--structure telephone interview. Result 78 patients were surveyed. 35 patients （44.87%） kept using CAPAP. 12 patients （15.38%） had abandoned CPAP on account of their perception of trouesome and anxiety of dependence--producing potential. 31 patients （39.74%） had the CPAP at the night of CPAP titration or they deem it unnecessary to use CPAP. Conclusion Although many patients with OSAHS ad-here to treatment with CPAP. A significant proportion for those diagnosed either abandon or even do not initiate this therapy. Nurses should improve the OSAHS patients＇ initial experience with CPAP and reinforce education and follow--up, particularly in the early time.