Effectiveness of Individualized Nursing in Perioperative Management of Patients With Obstructive Sleep Apnea: A Retrospective Cohort Study.

IF 2.1 4区医学 Q3 RESPIRATORY SYSTEM

Canadian respiratory journal Pub Date : 2026-01-01 DOI:10.1155/carj/9293028

Qunyu Lin, Yihong Yang, Chunmiao Huang, Dongdong Huang, Chao Fang

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引用次数: 0

Abstract

Background: Patients with obstructive sleep apnea (OSA) are at increased risk of perioperative complications, such as hypoxemia, respiratory depression, and airway obstruction. This study aims to evaluate the effectiveness of individualized nursing in the perioperative management of patients with OSA.

Methods: We retrospectively analyzed 107 patients with OSA undergoing elective surgery between January 2023 and January 2025, who were allocated to a conventional group (n = 55) or an individualized group (n = 52) according to the nursing approach. Perioperative respiratory safety (postanesthesia care unit [PACU], minimum oxygen saturation [SpO₂], Aldrete score, and respiratory adverse events within 48 h), analgesia and functional recovery (visual analog scale [VAS] scores, opioid consumption, time to first ambulation), postoperative Epworth Sleepiness Scale (ESS) scores, continuous positive airway pressure (CPAP) adherence, Short Form-36 (SF-36) quality of life, complications, ICU transfer, length of stay, and hospitalization costs were compared between groups.

Results: Compared with the conventional group, the individualized nursing group showed significantly higher PACU minimum SpO₂ (p = 0.001) and Aldrete scores (p < 0.001), a lower incidence of postoperative respiratory adverse events within 48 h (p < 0.05), reduced 24-h and 48-h VAS scores and opioid consumption (p < 0.05), and earlier ambulation (p < 0.001). During the 6-month follow-up, the individualized group demonstrated lower ESS scores, improved CPAP adherence, and greater improvements across all SF-36 domains (all p < 0.001), as well as reduced overall complications, ICU transfer rates, length of hospital stay, and hospitalization costs (p < 0.05).

Conclusion: Individualized nursing is associated with improved perioperative respiratory safety and recovery quality, better long-term sleep outcomes and quality of life, and reduced complications and healthcare resource use in patients with OSA.

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个体化护理在阻塞性睡眠呼吸暂停患者围手术期管理中的有效性：一项回顾性队列研究。

背景：阻塞性睡眠呼吸暂停（OSA）患者围手术期并发症的风险增加，如低氧血症、呼吸抑制和气道阻塞。本研究旨在评价个体化护理在OSA患者围手术期管理中的有效性。方法：回顾性分析2023年1月至2025年1月期间接受择期手术的107例OSA患者，根据护理方法分为常规组（n = 55）和个体化组（n = 52）。围手术期呼吸安全性（麻醉后护理单位[PACU]、最低血氧饱和度[SpO2]、Aldrete评分、48 h内呼吸不良事件）、镇痛和功能恢复（视觉模拟量表[VAS]评分、阿片类药物消耗、首次下床时间）、术后Epworth嗜睡量表（ESS）评分、持续气道正压通气（CPAP）依从性、SF-36生活质量、并发症、转ICU、住院时间、并比较了两组之间的住院费用。结果：与常规组相比，个性化护理组PACU最低SpO2评分（p = 0.001）和Aldrete评分（p < 0.001）显著提高，术后48 h内呼吸不良事件发生率显著降低（p < 0.05）， 24 h和48 h VAS评分和阿片类药物消耗降低（p < 0.05），下床时间提前（p < 0.001）。在6个月的随访中，个体化组表现出较低的ESS评分，改善的CPAP依从性，在所有SF-36领域的改善更大（均p < 0.001），以及减少总体并发症，ICU转移率，住院时间和住院费用（p < 0.05）。结论：个体化护理可提高OSA患者围手术期呼吸安全和恢复质量，改善长期睡眠结局和生活质量，减少并发症和医疗资源的使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian respiratory journal 医学-呼吸系统

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Canadian Respiratory Journal is a peer-reviewed, Open Access journal that aims to provide a multidisciplinary forum for research in all areas of respiratory medicine. The journal publishes original research articles, review articles, and clinical studies related to asthma, allergy, COPD, non-invasive ventilation, therapeutic intervention, lung cancer, airway and lung infections, as well as any other respiratory diseases.