行为KSA干预课程,以促进积极的气道压力坚持在有阻塞性睡眠呼吸暂停的现役军人中
Juliana S Ee1, Christopher K Pham2, David P Shaha3
1Department of Family Medicine, Womack Army Medical Center, Fort Liberty, NC 28310, USA.
Military medicine
|August 20, 2024
概括
知识,技能和态度 (KSA) 干预改善了阻塞性睡眠呼吸暂停 (OSA) 的士兵的正气道压力 (PAP) 坚持. 与其他教育方法相比,KSA课程在长期使用PAP方面表现更好.
科学领域:
- 睡眠医学 睡眠医学
- 军人卫生保健 军人卫生保健
- 行为干预行为干预
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 显著影响士兵的准备和表现.
- 阳性气道压力 (PAP) 疗法是OSA的关键治疗方法.
研究的目的:
- 评估知识,技能和态度 (KSA) 行为干预对被诊断患有OSA的士兵的PAP坚持的有效性.
主要方法:
- 一项前性研究,涉及379名现役士兵,新诊断患有OSA.
- 参与者被分配到一个KSA干预类,一个"没有显示" (DNS) 组,或一个强制性教育类 (MEC).
- 在干预后的30,60,90和180天测量了PAP坚持.
主要成果:
- 与DNS组相比,KSA组在60,90和180天显示出更高的PAP坚持率.
- 虽然KSA和MEC之间30天的初始坚持是相似的,但KSA的坚持在六个月内逐渐下降.
- 整体PAP使用平均每晚4.6小时,表明34%的非使用率.
结论:
- 沙特阿拉伯的干预表明,它有望在患有OSA的士兵中增强长期PAP坚持.
- 90天后的强化疗程可能会进一步改善持续的坚持.
- 针对性的行为干预对于在军事群体中管理OSA至关重要.
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