阻塞性睡眠呼吸暂停低通气综合征患者家庭持续正压通气治疗体验的质性研究

A qualitative study on the treatment experience of continuous positive airway pressure in patients with obstructive sleep apnea hypopnea syndrome

目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者家庭持续正压通气(CPAP)治疗的真实体验,为制定针对性干预措施提供参考。方法采用现象学研究方法,对17例OSAHS患者使用CPAP治疗感受进行半结构式深入访谈,运用Colaizzi7步分析法分析资料。结果提炼出5个主题:疾病及治疗相关知识缺乏;治疗信念不坚定;负性心理;CPAP治疗带来的不适;社会支持不足。结论持续正压通气治疗的阻塞性睡眠呼吸暂停低通气患者存在多方面的问题,医护人员应重点关注此类患者,采取针对性的干预措施,以提高患者CPAP治疗的积极性及效果。

Objective To explore the treatment experience of continuous positive airway pressure in patients with obstructive sleep apnea hypopnea syndrome(OSAHS),and to provide reference for targeted interventions.Methods A semi-structured in-depth interview was conducted with 17 patients with OSAHS.Data were analyzed by the Colaizzi 7 steps of phenomenological data analysis.Results Five themes were extracted:lacking of knowledge;lacking of faith;psychological problems;side effects of CPAP;lacking of support from society.Conclusion There are many problems in patients with obstructive sleep apnea hypopnea treated by continuous positive pressure ventilation.Medical staff should focus on these patients and take targeted interventions to improve the enthusiasm and effect of CPAP treatment.