一项现实世界的观察性研究,评估过度白天嗜睡和阻塞性睡眠呼吸暂停患者的满意度之间的关系
Sairam Parthasarathy1, Danielle Hyman2, James Doherty2
1University of Arizona, Tucson, AZ, USA.
Sleep medicine
|December 28, 2023
概括
过度的白天嗜睡在阻塞性睡眠呼吸暂停 (OSA) 患者中很常见,并且与较低的满意度有关. 改善睡眠和坚持可以提高患者的护理和OSA管理的满意度.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
- 患者的治疗结果.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响了相当一部分成年人群.
- 过度的白天嗜睡 (EDS) 是OSA患者的常见症状,影响生活质量.
- 了解OSA中EDS的患病率和相关物质对于有效管理至关重要.
研究的目的:
- 为了确定在接受治疗的阻塞性睡眠呼吸暂停 (OSA) 患者中过度白天嗜睡 (EDS) 的患病率和严重程度.
- 评估患者对OSA的看法和对医疗保健和整体护理的满意度.
- 检查EDS,治疗坚持和OSA患者满意度之间的关系.
主要方法:
- 2021年1月,对美国成年被诊断患有OSA的人进行了一项全国性,基于人口的,横截面的调查.
- 参与者完成了爱普沃思睡眠度量 (ESS),评价了满意度,并报告了治疗的坚持.
- 多变量回归模型对包括睡眠时间,坚持和人口统计学在内的共变量进行了调整,以分析EDS和满意度.
主要成果:
- 在2289名参与者中,42%的人经历过EDS;36%具有高正气道压力 (PAP) 坚持的人仍然患有EDS.
- 每晚使用PAP的每一个额外小时与较低的ESS分数相关 (p < 0.001).
- EDS与较低的患者满意度 (OR 0.62-0.50) 有关,而PAP坚持改善了满意度 (OR 2.37-2.91).
结论:
- 过度的白天嗜睡在现实世界OSA患者中非常普遍,并与患者满意度下降有关.
- 解决EDS和改善治疗坚持是提高OSA以患者为中心护理的关键.
- 针对EDS和遵守的干预措施是必要的,以获得更好的OSA管理结果.
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