[影响阻塞性睡眠呼吸暂停综合征患者遵守CPAP治疗的因素]
A O Rubanenko1, V A Dyachkov1, A I Miroshnichenko1
1Samara State Medical University of the Ministry of Healthcare of the Russia, Samara, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|June 27, 2024
概括
对阻塞性睡眠呼吸暂停 (OSA) 的持续正气道压力 (CPAP) 治疗的坚持受社会经济地位,OSA严重程度和心理社会因素的影响. 综合性评估是有效治疗策略的关键.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍影响患者健康和生活质量的疾病.
- 持续正气道压力 (CPAP) 治疗是OSA的主要治疗方法,但坚持仍然是一个挑战.
- 了解影响CPAP坚持的因素对于优化治疗结果至关重要.
研究的目的:
- 分析影响患者遵守OSACPAP治疗的多方面的因素.
- 确定CPAP使用的关键社会人口统计学,临床和心理社会决定因素.
- 探索增强CPAP治疗坚持性的策略.
主要方法:
- 在主要的科学数据库 (PubMed,Google Scholar,eLibrary,Cyberleninka) 进行了全面的文献搜索.
- 该审查涵盖了2013年至2023年期间发表的原始文章和评论.
- 分析的重点是确定影响OSA患者CPAP坚持的因素.
主要成果:
- 社会人口因素 (教育,收入),OSA严重程度,临床症状和心理社会因素显著影响CPAP的坚持.
- 积极因素包括高等教育/收入,严重的OSA与白天嗜睡,以及社会/配偶支持.
- 负面因素包括较低的教育/收入,吸烟,抑郁症,缺血症和不良副作用.
结论:
- 高学历,收入,严重的OSA和强大的社会支持与CPAP坚持有积极的相关性.
- 低社会经济地位,吸烟,抑郁症和副作用与治疗不良坚持和停止治疗有关.
- 评估相互关联的因素的整体方法对于OSA患者个性化CPAP坚持管理至关重要.
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