相关实验视频
Updated: Jul 26, 2025
07:40
Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
7.7K
远程监控后续,副作用和其他因素对CPAP坚持的影响
Florim Delijaj1,2,3, Eva Lindberg4, Linus Johnsson5
1Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
概括
与标准护理相比,远程监测并没有改善对持续正气道压力 (CPAP) 治疗的坚持. 诸如喉干燥和呼气问题等CPAP的副作用对坚持产生了负面影响.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统疗法 呼吸系统疗法
- 数字健康数字健康
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 治疗通常涉及持续正气道压力 (CPAP).
- 患者坚持CPAP治疗对于治疗疗效至关重要,但仍然是一个挑战.
- 远程监控为CPAP随访提供了传统诊所访问的潜在替代方案.
研究的目的:
- 为了比较远程监测与标准诊所访问在六个月内改善CPAP遵守的有效性.
- 确定与CPAP治疗坚持相关的因素,包括CPAP副作用.
主要方法:
- 一项随机对照试验,涉及217名患有OSA的患者,处方CPAP.
- 患者被分配到6个月的远程监控或标准护理随访.
- 关于坚持,临床变量,生活方式因素和CPAP副作用的数据使用统计测试和回归建模收集和分析.
主要成果:
- 在远程监测和标准护理组之间没有观察到CPAP坚持率的显著差异 (53.2%与48.7%,P = .54).
- 与较低的CPAP坚持相关的独立因素包括喉干燥 (OR=2.17),增加唤醒 (OR=2.50) 和排气问题 (OR=3.70).
- 当吸烟状态被纳入模型时,副作用与坚持之间的关联被削弱;没有其他因素显示出显著的关联.
结论:
- 与标准护理相比,远程监控后续没有证明CPAP坚持的改善.
- CPAP的副作用 (喉干燥,觉醒增加,呼吸困难) 和吸烟会对CPAP的坚持产生负面影响.
- 旨在预防副作用和管理吸烟状态的干预措施对于提高CPAP坚持是很重要的.
相关概念视频
01:22Heart Failure VI: Adjunct Therapies
17
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
17
01:21Sleep Apnea
198
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
198
01:23Holter Monitor: 24-Hour Monitoring
67
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
67
01:30Administering Oxygen by Mask
484
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
484
01:16Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
272
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
272
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.0K