远程监测和根据需要的患者支持对气道压力治疗的积极坚持的影响
Saoirse Owens1, Karl Doghramji2
1NP provider at the Thomas Jefferson Sleep Disorders Center, Philadelphia, Pennsylvania; West Chester University of Pennsylvania, West Chester, Pennsylvania.
Journal of the American Association of Nurse Practitioners
|February 29, 2024
概括
远程监控显著改善了阻塞性睡眠呼吸暂停 (OSA) 患者的正气道压力 (PAP) 坚持. 这种干预增加了PAP的使用,但并没有显著提高"良好坚持"的门.
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
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 对患者的健康和公共福利产生负面影响.
- 阳性气道压力 (PAP) 治疗是OSA的主要治疗方法,但坚持仍然是一个挑战.
- 远程监测在增强PAP治疗的坚持方面显示出有前途.
研究的目的:
- 评估间隔远程监测对中度至重度OSA患者的PAP治疗坚持的影响.
- 评估治疗开始后2周和4周的远程监控,并根据需要提供电话支持.
- 为了确定远程监控是否与标准护理相比改善了坚持.
主要方法:
- 一项涉及99名参与者的研究,分为控制 (50) 和干预 (49) 组.
- 干预组接受了间隔远程监控与电话支持.
- 测量的主要结果是90天的PAP坚持,使用SPSS 28.0.0进行分析.
主要成果:
- 干预组在90天 (M=49.24) 显示出明显更高的平均PAP坚持与对照组 (M=36.38) 相比.
- 90天后继续使用PAP在干预组 (M=89.80) 与对照组 (M=72.00) 相比显著增加.
- 该研究没有发现统计学上显著的增长.
- 有良好的PAP粘附性.
- (≥70%) 在干预组.
结论:
- 间隔远程监控有效地提高了90天后的平均PAP坚持和持续使用.
- 数据触发的远程监控协议为需要帮助的患者提供了宝贵的支持.
- 虽然改善了整体坚持,但干预措施并没有显著提高患者实现"良好坚持"的百分比 (≥70%).
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