实践护士主导,虚拟交付,动机增强和设备支持干预以改善CPAP坚持:一个可行性随机对照试验
Jennifer N Miller1, Kevin Kupzyk2, Cheng Zheng3
1The University of Nebraska Medical Center College of Nursing, 4111 Dewey Ave, Omaha, NE 68198; Nebraska Pulmonary Specialties, LLC, 1500 S. 48(th) St. #800, Lincoln, NE 68506.
Heart & lung : the journal of critical care
|October 25, 2023
概括
一个虚拟的护士从业人员领导的干预改善了对阻塞性睡眠呼吸暂停 (OSA) 持续正气道压力 (CPAP) 治疗的坚持. 更高的CPAP坚持与减少疲劳,睡眠障碍和焦虑相关.
科学领域:
- 睡眠医学 睡眠医学
- 数字健康干预措施 数字健康干预措施
- 患者的坚持 患者的坚持
背景情况:
- 持续的正气道压力 (CPAP) 疗法对阻塞性睡眠呼吸暂停 (OSA) 有效,但患者坚持不良.
- 改善CPAP的坚持对于提高OSA管理中以患者为中心的结果至关重要.
研究的目的:
- 评估虚拟护士执业医生主导干预 (MENDS) 的可行性,以改善成年OSA患者的CPAP坚持.
- 为了比较MENDS干预和通常护理组之间的CPAP坚持,患者报告的结果,激活和自我有效性的变化.
主要方法:
- 一项两组可行性随机对照试验涉及29名新诊断的OSA患者,他们被处方CPAP.
- 参与者被随机分配到MENDS干预 (虚拟电话讨论) 或通常的护理.
- 在基线和12周评估了可行性,坚持 (每周测量),患者报告的结果和行为结构.
主要成果:
- 虚拟 MENDS 干预证明了可行性,具有高的会议完成率和最小的磨损.
- 在CPAP坚持或患者报告的结果方面没有发现统计学上显著的群体差异.
- 较高的CPAP坚持度和较低的呼吸暂停-呼吸暂停指数 (AHI) 分数与疲劳,睡眠障碍和焦虑的改善有关.
结论:
- 虚拟 MENDS 干预是一种可行的方法,可以支持 OSA 患者遵守 CPAP.
- 改善CPAP坚持和降低AHI水平与患者报告的疲劳,睡眠障碍和焦虑等结果的积极影响相关.
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