Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea

Askland, Kathleen D.; Wright, Lauren E.; Woźniak, Dariusz; Emmanuel, Talia; Caston, Jessica; Smith, Ian

doi:10.1002/14651858.cd007736.pub2

Cited by 232 publications

(172 citation statements)

References 61 publications

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“…CPAP and NIV may benefit these patients . With the aim of improving compliance as well as finding new diagnostic strategies, some studies investigated the role of tele-monitoring in the management sleep disorders [81][82][83][84][85][86].…”

Section: Role Of Tele-monitoring In Sleep-related Breathing Disordersmentioning

confidence: 99%

Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement

Ambrosino¹,

et al. 2016

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The estimated prevalence of ventilator-dependent individuals in Europe is 6.6 per 100 000 people. The increasing number and costs of these complex patients make present health organisations largely insufficient to face their needs. As a consequence, their burden lays mostly over families. The need to reduce healthcare costs and to increase safety has prompted the development of tele-monitoring for home ventilatory assistance.

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Section: Role Of Tele-monitoring In Sleep-related Breathing Disordersmentioning

confidence: 99%

Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement

Ambrosino¹,

et al. 2016

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“…The participants also reported minor improvement in symptoms based on Epworth Sleepiness Scale (ESS). 22 The DCE on OSA also utilized the teach-back method. Evidently, The Agency for Healthcare Research and Quality recommends the use of teach-back method by healthcare professionals when delivering patient education in patients with chronic disorder.…”

Section: Evidence-based Interventionmentioning

confidence: 99%

“…24 It also promotes treatment compliance, follow up instructions, and reduces hospital readmission. 17,21,22 Also, the discharge education was given on an individual basis and in multiple sessions. Fredericks et al 25 conducted a systematic review of 58 randomized clinical trial and quasi-experimental design studies to evaluate the effectiveness of specific approach, method of delivery, and frequency of postoperative patient education.…”

Section: Evidence-based Interventionmentioning

confidence: 99%

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Obstructive Sleep Apnea: Emphasis on Discharge Education After Surgery

Nazareno

Newsom²,

Lee³

et al. 2017

Journal of PeriAnesthesia Nursing

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In the United States, the prevalence of obstructive sleep apnea (OSA) in the adult population is increasing. Over half of the surgical patients with OSA are predisposed to increased incidence of perioperative complications. Based on recent evidence, obstructive events are at the highest on the third day after surgery, which predisposes them for postoperative complications. The American Society of Perianesthesia Nurses recommends that discharge education (DCE) on OSA should be provided after surgery to patients diagnosed with OSA to promote continuous positive airway pressure (CPAP) compliance and self-care behaviors at home. However, CPAP adherence is poor. The purpose of this evidence-based practice project is to evaluate the effectiveness of DCE on OSA for increasing CPAP compliance after surgery among adult surgical patients diagnosed with OSA, who use CPAP.

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“…irritated eyes) and the results of an ophthalmological examination, but that was not part of the aim of the study in question. Our main interest in self-reported CPAP side effects stems from the fact that they may affect treatment adherence, which is documented to be suboptimal in many studies [3]. Although there may be an association between objective findings and subjective reports with regard to those side effects that can be assessed objectively (e.g.…”

mentioning

confidence: 99%

Response to Akar et al., regarding our study “Side effects to continuous positive airway pressure treatment for obstructive sleep apnoea”

Ulander

Broström

2015

Sleep Breath

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We would like to thank Akar et al. for their interest in our study [1], and for their comments on it.Side effect data were collected using SECI (Side Effects to Continuous Positive Airway Pressure (CPAP) Inventory), which is a self-report instrument for CPAP side effects that was developed by our group for a previous study [2]. That is, eye irritation as well as other side effects were reported by the patients, and were not based on an ophthalmological examination. We did not use the Ocular Surface Disease Index as our study did not focus specifically on eye-related side effects. In the interest of reducing the number of items (SECI itself in the version used in the study contains 45 items), it was deemed inappropriate to include specific questionnaires for each particular side effect. We agree that it would be valuable to assess the correlation between item 5 in SECI (i.e. irritated eyes) and the results of an ophthalmological examination, but that was not part of the aim of the study in question. Our main interest in self-reported CPAP side effects stems from the fact that they may affect treatment adherence, which is documented to be suboptimal in many studies [3]. Although there may be an association between objective findings and subjective reports with regard to those side effects that can be assessed objectively (e.g. eye irritation, but not, for example anxiety), selfreported CPAP side effects are more complex, as other factors (e.g. personality, see ref.2) may affect the perceived prevalence and severity of side effects. If side effects are of importance for adherence, it is more likely that a patient's perception of irritated eyes, for example, is associated with adherence rather than the tear film break-up time, although objective ophthalmological findings are likely to be related to perceived subjective symptoms. What medical, psychological and treatment-related factors that may lead to certain side effects is of course an important and interesting research question in its own right, but not what our study aimed at investigating. In conclusion, we do not think that our findings contradict the findings reported by you, especially as our aims, and therefore, our study design differ from yours. Conflicts of interest

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Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea

Abstract: Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea.

Cited by 232 publications

References 61 publications

Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement

Tele-monitoring of ventilator-dependent patients: a European Respiratory Society Statement

Obstructive Sleep Apnea: Emphasis on Discharge Education After Surgery

Response to Akar et al., regarding our study “Side effects to continuous positive airway pressure treatment for obstructive sleep apnoea”

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