与其他常见的慢性疾病相比,阻塞性睡眠呼吸暂停疾病的感知
Tania Zamora1, Brandon Nokes2,3, Atul Malhotra3
1Health Services Research & Development Unit, Veterans Affairs San Diego Healthcare System, San Diego, California.
概括
患有阻塞性睡眠呼吸暂停 (OSA) 的患者报告比其他慢性疾病患者更高的疾病感知. 了解这些感知是改善OSA治疗开始和坚持治疗的关键.
科学领域:
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍影响日常功能的疾病.
- 虽然OSA与心血管疾病的联系是已知的,但它对患者体验的影响越来越被认可.
- 了解疾病感知可以提高OSA的治疗策略.
研究的目的:
- 调查阻塞性睡眠呼吸暂停 (OSA) 患者的疾病感知.
- 将OSA疾病的感知与其他慢性疾病的感知进行比较.
- 探索在OSA中疾病感知,嗜睡和睡眠质量之间的关系.
主要方法:
- 来自两个OSA临床试验的数据分析.
- 通过诊断性睡眠测试评估基线呼吸事件指数.
- 简要疾病感知问卷,爱普沃思睡眠度量表和匹兹堡睡眠质量指数的管理在基线.
主要成果:
- 研究了523名OSA患者 (平均年龄为51.1岁).
- 疾病感知得分与嗜睡和睡眠质量有显著的相关性,但呼吸事件指数没有.
- 与其他慢性疾病相比,OSA患者报告了更高的疾病感知 (后果,身份,担忧,情感表现).
结论:
- 患有OSA的退伍军人在多个维度上表现出高度的疾病感知,与其他慢性疾病患者相比或超过.
- 临床医生应该询问患者对其疾病的理解,以更好地定制治疗.
- 解决疾病感知可能会改善患者参与和OSA管理的结果.
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