在阻塞性睡眠呼吸暂停中,患者在持续的正气道压力治疗中对障碍物和促进者的经验 - 定性访谈研究
Karin Jeppesen1,2, Anita Rabøl Good3, Ilse Dall Dyrhaug3
1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Southern Denmark, Sydvang 1, Sønderborg, 6400, Denmark. karin.jeppesen@rsyd.dk.
概括
用CPAP疗法成功治疗阻塞性睡眠呼吸暂停 (OSA),往往因为设备问题和缺乏合作伙伴支持而受到阻碍. 积极的期望,明显的治疗效果和早期的全面支持是患者的关键促进因素.
科学领域:
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
- 患者体验研究 研究研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响6-17%的成年人,并与严重的健康问题有关.
- 持续正气道压力 (CPAP) 是主要的治疗方法,但仅约有50%的坚持.
- 对于患者的经验和影响CPAP治疗成功的因素的了解有限.
研究的目的:
- 探索新诊断的OSA患者如何看待他们的诊断.
- 为了调查患者对CPAP治疗的动机.
- 确定成功CPAP治疗的重要因素.
主要方法:
- 使用个人半结构面试进行的定性研究.
- 与经历成功 (n=10) 和不成功 (n=9) CPAP治疗的患者进行了采访.
- 使用定性内容分析分析的数据.
主要成果:
- 出现了五个主题:诊断感知,期望/资源,治疗经验,社会影响和临床支持.
- 障碍包括设备问题和缺乏合作伙伴支持.
- 促进者包括积极的期望,合作伙伴的支持和对治疗的感知益处.
结论:
- 成功的CPAP治疗需要解决设备问题并加强合作伙伴的支持.
- 积极的期望,有形的治疗效果和早期的全面支持至关重要.
- 建议采用生物心理社会方法,涉及亲属,及时跟踪,以改善患者的治疗结果.
相关概念视频
Mechanical Ventilation III: Noninvasive Ventilation
244
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
244
Sleep Apnea
227
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
227
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
330
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
330
Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.3K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.3K
Mechanical Ventilation I: Indication and Settings
1.0K
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
1.0K
Respiratory Assessment: Purpose and Indications
1.3K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.3K


