CPAP Nonadherence Issues in a Small Sample of Men With Obstructive Sleep Apnea

2.50
Hdl Handle:
http://hdl.handle.net/10755/620318
Category:
Full-text
Type:
Poster
Title:
CPAP Nonadherence Issues in a Small Sample of Men With Obstructive Sleep Apnea
Author(s):
Shapiro, April L.; McCrone, Susan H.
Lead Author STTI Affiliation:
Alpha Rho
Author Details:
April L. Shapiro, RN, ashapiro@mix.wvu.edu; Susan H. McCrone, RN, PMHCNS-BC
Abstract:
Session presented on Sunday, September 18, 2016: Introduction: Continuous positive airway pressure (CPAP) adherence is poor among those with obstructive sleep apnea (OSA), especially middle-aged and older men. Untreated or poorly-treated OSA potentially leads to acute and chronic sequelae, posing increased morbidity and mortality risks among those with OSA. The purpose of this study was to identify CPAP adherence issues among middle-aged and older men with OSA. Identifying CPAP use issues may assist both practitioners and researchers in understanding treatment needs and developing interventions that will promote improved CPAP adherence and, subsequently, patient quality of life. Method: After institutional review board approval, participants were recruited from medical offices and community contacts (N=4). Face-to-face and telephone interviews were conducted to address CPAP-use related issues. Demographic data were analyzed using SPSS 22. Themes were identified independently by two reviewers using van Manen?s hermeneutic phenomenological reflection approach. Results: Participants reported many issues affecting their nightly CPAP use, including lack of understanding of the disease and its risks at the time of diagnosis, discomfort from the CPAP pressure, and mask problems. Five themes emerged, highlighting CPAP use issues: Struggles and frustrations, the CPAP machine and the masks, disruptions in routine and body image, impetus for continuing use, and wishing for alternative treatments. Discussion: The authors recommend practice changes and research initiatives to address CPAP use.�Early education and support are essential, especially to assist patients in understanding OSA-associated risks and need for use, perceiving CPAP as a positive experience, and developing a habit of nightly wear. Problem solving machine and mask issues early in treatment, encouraging continued support from the bed partner/significant other and healthcare providers, and providing education of OSA-CPAP numbers with a monthly report card are recommended intervention components that may facilitate improved CPAP use and subsequent adherence. Further research is needed to test these interventions and their impact on short- and long-term CPAP use.
Keywords:
CPAP; Adherence; Obstructive sleep apnea
Repository Posting Date:
16-Sep-2016
Date of Publication:
16-Sep-2016
Other Identifiers:
LEAD16PST67
Conference Date:
2016
Conference Name:
Leadership Connection 2016
Conference Host:
Sigma Theta Tau International
Conference Location:
Indianapolis, Indiana, USA
Description:
Leadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.typePosteren
dc.titleCPAP Nonadherence Issues in a Small Sample of Men With Obstructive Sleep Apneaen
dc.contributor.authorShapiro, April L.en
dc.contributor.authorMcCrone, Susan H.en
dc.contributor.departmentAlpha Rhoen
dc.author.detailsApril L. Shapiro, RN, ashapiro@mix.wvu.edu; Susan H. McCrone, RN, PMHCNS-BCen
dc.identifier.urihttp://hdl.handle.net/10755/620318-
dc.description.abstractSession presented on Sunday, September 18, 2016: Introduction: Continuous positive airway pressure (CPAP) adherence is poor among those with obstructive sleep apnea (OSA), especially middle-aged and older men. Untreated or poorly-treated OSA potentially leads to acute and chronic sequelae, posing increased morbidity and mortality risks among those with OSA. The purpose of this study was to identify CPAP adherence issues among middle-aged and older men with OSA. Identifying CPAP use issues may assist both practitioners and researchers in understanding treatment needs and developing interventions that will promote improved CPAP adherence and, subsequently, patient quality of life. Method: After institutional review board approval, participants were recruited from medical offices and community contacts (N=4). Face-to-face and telephone interviews were conducted to address CPAP-use related issues. Demographic data were analyzed using SPSS 22. Themes were identified independently by two reviewers using van Manen?s hermeneutic phenomenological reflection approach. Results: Participants reported many issues affecting their nightly CPAP use, including lack of understanding of the disease and its risks at the time of diagnosis, discomfort from the CPAP pressure, and mask problems. Five themes emerged, highlighting CPAP use issues: Struggles and frustrations, the CPAP machine and the masks, disruptions in routine and body image, impetus for continuing use, and wishing for alternative treatments. Discussion: The authors recommend practice changes and research initiatives to address CPAP use.�Early education and support are essential, especially to assist patients in understanding OSA-associated risks and need for use, perceiving CPAP as a positive experience, and developing a habit of nightly wear. Problem solving machine and mask issues early in treatment, encouraging continued support from the bed partner/significant other and healthcare providers, and providing education of OSA-CPAP numbers with a monthly report card are recommended intervention components that may facilitate improved CPAP use and subsequent adherence. Further research is needed to test these interventions and their impact on short- and long-term CPAP use.en
dc.subjectCPAPen
dc.subjectAdherenceen
dc.subjectObstructive sleep apneaen
dc.date.available2016-09-16T14:24:17Z-
dc.date.issued2016-09-16-
dc.date.accessioned2016-09-16T14:24:17Z-
dc.conference.date2016en
dc.conference.nameLeadership Connection 2016en
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionLeadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.en
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