Influencing factors of delay in seeking medical attention of patients with obstructive sleep apnea based on the Model of Pathways to Treatment in China: a qualitative analysis.
Hongyan Shang, Dandan Chen, Qingmei Deng, Zuchang Ma
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引用次数: 0
Abstract
Background: There is the highest estimated number of patients with obstructive sleep apnea (OSA) in China. Early treatment could lead to fewer complications associated with OSA. This study aimed to analyze the factors influencing help-seeking from the first symptom discovery to treatment in OSA.
Methods: Semi-structured interview outline was designed to conduct face-to-face interview based on the analyses of a great number of related literatures on the delay in seeking medical attention of patients with OSA. 15 patients diagnosed were interviewed between June 2021 to September 2022 in general hospital of Shenyang, Northeastern of China. Qualitative data was analyzed by content analysis using the Model of Pathways to Treatment.
Results: Analyses identified factors contributing to elapsed time from first symptom discovery to received treatment that are linked to disease characteristic, patients, health system organization. Appraisal interval is most obvious for patients with OSA, but it is difficult to pinpoint precisely because the patients didn't remember exactly when the first symptom was detected.
Conclusions: Patients diagnosed with OSA didn't initially interpret the snore as a warning sign and even thought it was a blessing. The findings provided guidance or avenues for reducing elapsed time between the first symptom and received treatment.
背景：据估计，中国的阻塞性睡眠呼吸暂停（OSA）患者人数最多。早期治疗可减少与 OSA 相关的并发症。本研究旨在分析影响 OSA 患者从首次发现症状到接受治疗的求助因素：方法：在分析大量关于OSA患者就医延迟的相关文献的基础上，设计了半结构式访谈提纲，进行面对面访谈。2021年6月至2022年9月期间，在中国东北沈阳市综合医院对15名确诊患者进行了访谈。采用 "治疗路径模型 "对定性数据进行内容分析：分析发现了导致从首次发现症状到接受治疗的时间间隔的因素，这些因素与疾病特征、患者、医疗系统组织有关。OSA患者的评估时间间隔最为明显，但很难精确定位，因为患者不记得首次发现症状的确切时间：结论：被确诊为 OSA 的患者最初并未将打鼾视为一种警示信号，甚至认为打鼾是一种幸福。研究结果为缩短首次症状与接受治疗之间的时间间隔提供了指导或途径。
期刊介绍：
The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep.
Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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