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早期干预基于远程医疗的睡眠呼吸暂停随访的有益影响:一个随机控制的多中心试验

Benedikt Fridriksson^1,2, Marianne Berndtson³, Henrik Hamnered⁴

¹Sleep Disorders Centre, Department Respiratory Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.

Annals of the American Thoracic Society

|July 18, 2023

概括

远程医疗改善了正气道压力 (PAP) 的坚持,并减少了阻塞性睡眠呼吸暂停患者的口罩泄漏. 这种主动的方法提供了可比的患者满意度,并可能特别有利于抑郁症患者.

科学领域:

睡眠医学睡眠医学
数字健康数字健康
呼吸系统护理呼吸系统护理

背景情况:

阳性气道压力 (PAP) 治疗是阻塞性睡眠呼吸暂停 (OSA) 的标准治疗方法.
远程医疗为增强PAP随访和患者管理提供了一个潜在的解决方案.
使用远程医疗的早期干预方案旨在改善临床结果和患者体验.

研究的目的:

评估早期干预远程医疗协议的临床实用性和患者满意度,用于PAP后续.
为了比较远程医疗随访的有效性与OSA患者的标准随访程序.
评估远程医疗对PAP坚持,口罩参数和患者报告结果的影响.

主要方法:

这是一项随机对照试验,涉及四个睡眠诊所的409名未接受过治疗的OSA患者.
患者被随机分配到标准PAP随访或主动远程医疗随访 (AirView,ResMed) 3个月.
关键变量包括PAP坚持,口罩压力,口罩泄漏,以及患者报告的结果 (例如,爱普沃思睡眠度量表,SF-36).

主要成果:

在远程医疗组中观察到更高的PAP坚持 (4.3比4.1小时/晚) 和更低的平均面膜压力 (8.7比9.2厘米H2O).
相关的口罩泄漏率 (>24L/分钟) 在远程医疗组显着较低 (5.4%对12.1%).
患有抑郁症的患者在远程医疗随访 (4.8对2.7小时/晚) 中表现出最明显的PAP坚持改善.

结论:

积极的远程医疗管理初始的PAP治疗后续是有效的,改善坚持和减少面具泄漏.
远程医疗提供了与标准随访相比的患者满意度,对患有抑郁症的患者尤其有益.
建立特定的临床程序是必要的,以便在睡眠诊所广泛采用远程医疗实践.

关键词:

持续的正气道压力坚持持续的正气道压力坚持患者报告的结果.气道压力为正的气道压力.睡眠障碍呼吸睡眠障碍呼吸员工时间员工时间

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