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Published in: Sleep and Breathing 4/2017

01-12-2017 | Sleep Breathing Physiology and Disorders • Original Article

The effects of integrated nursing education on quality of life and health-related outcomes among obstructive sleep apnea patients receiving continuous positive airway pressure therapy

Authors: Shui-Tao Hu, Chung-Chieh Yu, Chieh-Yu Liu, Lee-Ing Tsao

Published in: Sleep and Breathing | Issue 4/2017

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Abstract

Purpose

This study sought to examine the effects of a nursing education program on quality of life and sleep disturbance among obstructive sleep apnea (OSA) patients receiving continuous positive airway pressure (CPAP) therapy.

Methods

This study was a randomized controlled trial with an intervention group consisting of a nursing education program. The intervention group received the instruction of the CPAP nursing education program, and the control group received routine care. Data was collected for both groups before the intervention (pre-test), on the 7th day measurement after the intervention, and on the 30th day measurement after the intervention.

Results

The results showed, first, that the intervention group reported a significantly reduced level of disturbance from wearing CPAP compared with that of the control group after the intervention (β = −1.83, p = .040). Second, the Calgary sleep apnea quality of life index (SAQLI) total scores significantly improved after the intervention (β = 1.669, p = 0.014). Also, symptoms of the SAQLI sub-items were improved and significantly different (β = 5.69, p = 0.007) after the intervention in the intervention group.

Conclusions

According to the results of the study, the disturbance from wearing CPAP, the total score of the SAQLI and the symptoms of the SAQLI were significantly improved after the nursing education intervention. Therefore, an adequate nursing education program is recommended for the initial period of CPAP use among OSA patients.
Literature
1.
go back to reference Victor LD (2004) Treatment of obstructive sleep apnea in primary care. Am Fam Physician 69:561–584PubMed Victor LD (2004) Treatment of obstructive sleep apnea in primary care. Am Fam Physician 69:561–584PubMed
2.
go back to reference Hoffstein V, Viner S, Mateika S, Conway J (1992) Treatment of obstructive sleep apnea with nasal continuous positive airway pressure: patient compliance, perception of benefits, and side effects. Am Rev Respir Dis 145:841–845CrossRefPubMed Hoffstein V, Viner S, Mateika S, Conway J (1992) Treatment of obstructive sleep apnea with nasal continuous positive airway pressure: patient compliance, perception of benefits, and side effects. Am Rev Respir Dis 145:841–845CrossRefPubMed
3.
go back to reference Weaver T, Sawyer AM (2010) Adherence to continuous positive airway pressure treatment for obstructive sleep apnoea: implications for future interventions. Indian J Med Res 131:245–258PubMedPubMedCentral Weaver T, Sawyer AM (2010) Adherence to continuous positive airway pressure treatment for obstructive sleep apnoea: implications for future interventions. Indian J Med Res 131:245–258PubMedPubMedCentral
4.
go back to reference Waldhorn RE, Herrick TW, Nguyen MC, O’Donnell AE, Sodero J, Potolicchio SJ (1990) Long-term compliance with nasal continuous positive airway pressure therapy of obstructive sleep apnea. Chest 97:33–38CrossRefPubMed Waldhorn RE, Herrick TW, Nguyen MC, O’Donnell AE, Sodero J, Potolicchio SJ (1990) Long-term compliance with nasal continuous positive airway pressure therapy of obstructive sleep apnea. Chest 97:33–38CrossRefPubMed
5.
go back to reference Hu ST, Yu CC, Lee PS, Tsao LI (2014) Life experience among obstructive sleep apnoea patients receiving continuous positive airway pressure therapy. J Clin Nurs 23(1):268–278CrossRefPubMed Hu ST, Yu CC, Lee PS, Tsao LI (2014) Life experience among obstructive sleep apnoea patients receiving continuous positive airway pressure therapy. J Clin Nurs 23(1):268–278CrossRefPubMed
6.
go back to reference Sin DD, Mayers I, Man GC, Pawluk L (2002) Long-term compliance rates to continuous positive airway pressure in obstructive sleep apnea: a population-based study. Chest 121(2):430–435CrossRefPubMed Sin DD, Mayers I, Man GC, Pawluk L (2002) Long-term compliance rates to continuous positive airway pressure in obstructive sleep apnea: a population-based study. Chest 121(2):430–435CrossRefPubMed
7.
go back to reference Rueda AD, Santos-Silva R, Togeiro SM, Tufik S, Azeredo Bittencourt LR (2009) Improving CPAP compliance by a basic educational program with nurse support for obstructive sleep apnea syndrome patients. Sleep Science 2(1):8–13 Rueda AD, Santos-Silva R, Togeiro SM, Tufik S, Azeredo Bittencourt LR (2009) Improving CPAP compliance by a basic educational program with nurse support for obstructive sleep apnea syndrome patients. Sleep Science 2(1):8–13
8.
go back to reference Hui DSC, Chan JKW, Choy DKL, Ko FWS, Li TST, Leung RCC, Lai CKW (2000) Effects of augmented continuous positive airway pressure education and support on compliance and outcome in a Chinese population. Chest 117:1410–1416CrossRefPubMed Hui DSC, Chan JKW, Choy DKL, Ko FWS, Li TST, Leung RCC, Lai CKW (2000) Effects of augmented continuous positive airway pressure education and support on compliance and outcome in a Chinese population. Chest 117:1410–1416CrossRefPubMed
9.
go back to reference Avlonitou E, Kapsimalis F, Varouchakis G, Vardavas CI, Behrakis P (2012) Adherence to CPAP therapy improves quality of life and reduces symptoms among obstructive sleep apnea syndrome patients. Sleep Breath 16:563–569CrossRefPubMed Avlonitou E, Kapsimalis F, Varouchakis G, Vardavas CI, Behrakis P (2012) Adherence to CPAP therapy improves quality of life and reduces symptoms among obstructive sleep apnea syndrome patients. Sleep Breath 16:563–569CrossRefPubMed
10.
go back to reference Flemons WW, Reimer MA (1998) Development of a disease-specific health-related quality of life questionnaire for sleep apnea. American Journal of Respiratory & Critical Care Medicine 158(2):494–503CrossRef Flemons WW, Reimer MA (1998) Development of a disease-specific health-related quality of life questionnaire for sleep apnea. American Journal of Respiratory & Critical Care Medicine 158(2):494–503CrossRef
11.
go back to reference Weaver TE, Maislin G, Dinges DF, Younger J, Cantor C, Closkey S, Pack AI (2003) Self-efficacy in sleep apnea: instrument development and patient perceptions of obstructive sleep apnea risk, treatment benefit, and volition to use continuous positive airway pressure. Sleep 26(6):727–732PubMed Weaver TE, Maislin G, Dinges DF, Younger J, Cantor C, Closkey S, Pack AI (2003) Self-efficacy in sleep apnea: instrument development and patient perceptions of obstructive sleep apnea risk, treatment benefit, and volition to use continuous positive airway pressure. Sleep 26(6):727–732PubMed
12.
go back to reference Wiese HJ, Boethel C, Phillips B, Wilson JF, Peters J, Viggiano T (2005) CPAP compliance: video education may help! Sleep Med 6(2):171–174CrossRef Wiese HJ, Boethel C, Phillips B, Wilson JF, Peters J, Viggiano T (2005) CPAP compliance: video education may help! Sleep Med 6(2):171–174CrossRef
13.
go back to reference Meurice JC, Ingrand P, Portier F, Arnulf I, Rakotonanahari D, Fournier E, Philip-Joet F, Veale D, The ANTADIR Working Group (2007) A multicentre trial of education strategies at CPAP induction in the treatment of severe sleep apnoea–hypopnoea syndrome. Sleep Med 8(2007):37–42CrossRefPubMed Meurice JC, Ingrand P, Portier F, Arnulf I, Rakotonanahari D, Fournier E, Philip-Joet F, Veale D, The ANTADIR Working Group (2007) A multicentre trial of education strategies at CPAP induction in the treatment of severe sleep apnoea–hypopnoea syndrome. Sleep Med 8(2007):37–42CrossRefPubMed
14.
go back to reference Basoglu OK, Midilli M, Midilli R, Bilgen C (2012) Adherence to continuous positive airway pressure therapy in obstructive sleep apnea syndrome: effect of visual education. Sleep & Breathing 16(4):1193–1200CrossRef Basoglu OK, Midilli M, Midilli R, Bilgen C (2012) Adherence to continuous positive airway pressure therapy in obstructive sleep apnea syndrome: effect of visual education. Sleep & Breathing 16(4):1193–1200CrossRef
15.
go back to reference Wang W, He G, Wang M, Liu L, Tang H (2012) Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients. Sleep Breath 16(4):1049–1057CrossRefPubMed Wang W, He G, Wang M, Liu L, Tang H (2012) Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients. Sleep Breath 16(4):1049–1057CrossRefPubMed
16.
go back to reference Wozniak DR, Lasserson TJ, Smith I (2014) Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea (review). Cochrane Database Syst Rev 8(1):CD007736. doi:10.1002/14651858.CD007736.pub2 Wozniak DR, Lasserson TJ, Smith I (2014) Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea (review). Cochrane Database Syst Rev 8(1):CD007736. doi:10.​1002/​14651858.​CD007736.​pub2
Metadata
Title
The effects of integrated nursing education on quality of life and health-related outcomes among obstructive sleep apnea patients receiving continuous positive airway pressure therapy
Authors
Shui-Tao Hu
Chung-Chieh Yu
Chieh-Yu Liu
Lee-Ing Tsao
Publication date
01-12-2017
Publisher
Springer International Publishing
Published in
Sleep and Breathing / Issue 4/2017
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-017-1480-y

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