A new educational program for patients suffering from sleep apnea syndrome

Golay, Alain; Girard, A.; Grandin, Stéphane; Métrailler, Jean-Claude; Victorion, Michele Arbona; Lebas, Pascal; Ybarra, Juan; Rochat, Thierry

doi:10.1016/j.pec.2005.01.007

Cited by 46 publications

(33 citation statements)

References 19 publications

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“…They have used different didactical approaches not clearly based on perceived learning needs of the patients and have shown conflicting results [30], [31], [32], [33], [34], [35], [36] and [37]. Group education seems promising [30], [33], [35] and [36].…”

Section: Discussionmentioning

confidence: 99%

Perceived informational needs, side-effects and their consequences on adherence—A comparison between CPAP treated patients with OSAS and healthcare personnel

Broström

Strömberg

Ulander

et al. 2009

Patient Education and Counseling

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ObjectiveTo compare perceptions among continuous positive airway pressure (CPAP) treated patients with obstructive sleep apnoea syndrome (OSAS) and healthcare personnel with regard to informational needs, side-effects and their consequences on adherence. MethodsA cross-sectional descriptive design was used including 350 CPAP treated OSAS patients from three Swedish hospitals and 105 healthcare personnel from 26 Swedish hospitals. Data collection was performed using two questionnaires covering informational needs, side-effects and adherence to CPAP. ResultsBoth groups perceived all surveyed informational areas as very important. Patients perceived the possibilities to learn as significantly greater in all areas (p < 0.001) compared to healthcare personnel, and scored significantly higher regarding positive effects on adherence of information about pathophysiology (p < 0.05), self-care (p < 0.001) and troubleshooting (p < 0.01). A total of 11 out of 15 surveyed side-effects were perceived to be more frequent by healthcare personnel (p < 0.01-p < 0.001). They also scored all side-effects to cause greater problems and decrease the CPAP use to a greater extent (p < 0.001). ConclusionKnowledge about these differences between patients and healthcare personnel regarding educational needs, side-effects and their effects on adherence can be important when designing educational programmes to increase CPAP adherence. Practice implicationsMeasurement of these parameters before, during and after educational programs are suggested.

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Section: Discussionmentioning

confidence: 99%

Perceived informational needs, side-effects and their consequences on adherence—A comparison between CPAP treated patients with OSAS and healthcare personnel

Broström

Strömberg

Ulander

et al. 2009

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…Many studies have shown significant increases in CPAP adherence after an increased education program was given to CPAP patients. [13][14][15][16][17] Multiple studies have also shown that increased patient support significantly increases CPAP adherence. [11,[18][19][20][21][22] Currently, there are not any guidelines or policies in place for sleep centers to implement in order to improve patient adherence with CPAP.…”

Section: Discussionmentioning

confidence: 99%

“…[11] The delivery of intensive patient education was looked at in many different ways. [13][14][15][16][17] Within each method of communicating patient education information there were three parts: the diagnosis of OSA, the treatment of OSA and remedies to CPAP problems that patients may experience. Education was given on the definition and pathophysiology of OSA.…”

Section: Synthesis Of Evidencementioning

confidence: 99%

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Improving continuous positive airway pressure adherence among adults

DiNapoli

2014

JNEP

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Study objectives: Continuous positive airway pressure (CPAP) is the gold standard of treatment for patients diagnosed with significant obstructive sleep apnea (OSA). It has been estimated that approximately 30%-50% of patients diagnosed with OSA reject CPAP immediately and 80% of patients prescribed CPAP are noncompliant within a year after starting CPAP therapy. Nonadherence with CPAP greatly reduces the overall effectiveness of treatment of OSA, leaving these patients at an increased risk for comorbid conditions, impaired daily functioning and decreased quality of life. The purpose of this study was to improve CPAP adherence by implementing an intervention that consisted of an education program and increased patient support options as well as increased provider education.Methods: This study was a quasi-experimental study design. CPAP adherence rates on 660 patients at an academic sleep center in New York City were collected, 326 patients at baseline and 334 post-intervention. Interventions, included provider education on OSA and CPAP adherence; an improved and actively supported, individualized, patient education program; and additional individual and group support options were available for patients.Results: Increased provider education, individualized intense patient education and patient support options increased CPAP adherence by 21%. Increase in adherence between baseline and post-intervention group was statistically significant (p = .005).Conclusions: A targeted program of increased patient education and intensive patient support was effective at increasing CPAP adherence. The use of similar approaches may improve CPAP adherence in other centers. It is crucial to improve CPAP adherence among patients diagnosed with significant OSA in order to improve outcomes.

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“…Knowledge about facilitators and barriers for adherence to CPAP treatment can be used in interventional strategies [21]. This can be increased by intensive patient education.…”

Section: Managements Of Eds In the Osas Patients Under Cpap Treatmentmentioning

confidence: 99%

Factors Associated with Excessive Daytime Sleepiness in Obstructive Sleep Apnea Syndrome under CPAP Treatment

Yamadera¹,

Chiba²,

Iwashita³

et al. 2012

IJCM

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The purpose of this study was to assess factors associated with subjective sleep evaluation, chiefly excessive daytime sleepiness (EDS) in obstructive sleep apnea syndrome (OSAS) adult outpatients under continuous positive airway pressure (CPAP) treatment. One thousand and forty-eight OSAS outpatients (mean age: 51.4% male: 90.5%) who were treated by CPAP were consecutively collected. Age, sex, CPAP compliance (CPAP usage as their device of nights with application-time of at least 4 hours per night objectively; %usage ≥ 4 h/d), and Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J) of the patients showing EDS (Japanese version of the Epworth Sleepiness Scale; JESS ≥ 11) were compared cross-sectionally with those of the patients who did not show EDS (JESS < 11). Nineteen point two % of all patients showed EDS subjectively. Two hundred one patients were classified to an EDS(+) group and an 847 patients were classified to EDS(-) group. Age and global PSQI-J scores were significantly different between the two groups. Logistic regression showed that EDS was significantly associated with global PSQI-J scores, but not with age. Among PSQI-J components, overall sleep quality, duration of sleep, sleep disturbance, and day dysfunction due to sleepiness were significantly higher in the EDS(+) group. Especially, 19.4% of patient in the EDS(+) group reported actual sleep time during the past month to be less than 5 hours/day. Although functional relationship should be further evaluated, insufficient sleep is the main factor associated with EDS in the OSAS patients under CPAP treatment.

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A new educational program for patients suffering from sleep apnea syndrome

Cited by 46 publications

References 19 publications

Perceived informational needs, side-effects and their consequences on adherence—A comparison between CPAP treated patients with OSAS and healthcare personnel

Perceived informational needs, side-effects and their consequences on adherence—A comparison between CPAP treated patients with OSAS and healthcare personnel

Improving continuous positive airway pressure adherence among adults

Factors Associated with Excessive Daytime Sleepiness in Obstructive Sleep Apnea Syndrome under CPAP Treatment

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