“互联网+”护理干预对OSAHS患者CPAP治疗副作用及依从性的影响

Effect of"Internet+"nursing intervention based on symptom management theory on side effects of CPAP treatment for OSAHS patients and their compliance with the treatment

目的探讨“互联网+”护理干预对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患者使用持续气道正压通气(continuous positive airway pressure,CPAP)治疗副作用及依从性的影响。方法选取2021年8月至2022年1月在上海市某三级甲等综合医院84例使用CPAP治疗的OSAHS患者,其中2021年8月至10月入院确诊的42例患者为对照组,2021年11月至2022年1月入院确诊的42例患者设为试验组。对照组采用常规管理。试验组在对照组基础上使用基于症状管理理论的“互联网+”护理干预。比较干预3个月后两组患者使用CPAP治疗副作用发生率(口腔干燥、鼻腔干燥、喉咙干燥等)及治疗依从性。结果干预3个月后,试验组患者使用CPAP治疗副作用发生率(口腔干燥、鼻腔干燥、喉咙干燥)低于对照组,两组比较,差异具有统计学意义(均P<0.05),但CPAP治疗部分副作用如咽痛、面罩漏气、眼干、呼吸困难、夜间易醒等比较,差异无统计学意义(均P>0.05)。试验组患者使用CPAP时间多于对照组,治疗依从性优于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论基于症状管理理论的“互联网+”护理干预可有效降低OSAHS患者使用CPAP治疗部分副作用,提高患者治疗依从性,提高患者睡眠质量。

Objective To investigate the effects of"Internet+"nursing interventions on the side effects of continuous positive airway pressure(CPAP)for patients with obstructive sleep apnea hypopnea syndrome(OSAHS).and their compliance for the treatment.Methods From August 2021 to January 2022,84 OSAHS patients treated with CPAP in a tertiary general hospital in Shanghai were selected.Forty-two of the patients admitted to the hospital from August to October 2021 were assigned as control group,and another 42 patients admitted from November 2021 to January 2022 as trial group.The control group was routinely managed,and the trial group with the Internet+"nursing intervention"based on symptom management theory on the basis of the control group.The incidences of side effects like dry mouth,dry nasal cavity,and dry throat and the compliance with the CPAP treatment were compared between the two groups after three months of intervention.Results After 3 months of intervention,the incidences of side effects including dry mouth,dry nasal cavity,and dry throat from CPAP treatment in the trial group were significantly lower than those in the control group(P<0.05).However,there was no statistically significant difference in some other side effects,such as sore throat,mask air leakage,dry eyes,dyspnea,and waking up at night(P>0.05).The patients in the trial group used CPAP more frequently than the control group,and the treatment compliance of the trial group was better than that of the control group,both with statistically significant differences between them(P<0.05).Conclusion"Internet+"nursing intervention based on symptom management theory can effectively reduce some side effects of CPAP treatment in OSAHS patients,enhance their compliance with the treatment and improve their quality of sleep.