Low patient compliance to CPAP therapy as a new challenge in the management of patients with obstructive sleep apnea syndrome: social, demographic characteristics and the quality of life

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2022-07-29 DOI:10.37219/2528-8253-2022-3-44

Julia V. Dieeva

{"title":"Low patient compliance to CPAP therapy as a new challenge in the management of patients with obstructive sleep apnea syndrome: social, demographic characteristics and the quality of life","authors":"Julia V. Dieeva","doi":"10.37219/2528-8253-2022-3-44","DOIUrl":null,"url":null,"abstract":"Introduction: Obstructive sleep apnea syndrome (OSAS) is one of the most common sleep disorders. According to various studies, the prevalence of OSAS varies between 2-4% of men and 1-2% of women in the general population, with more than 90% of cases among men and 80% of women being undiagnosed. The \"gold standard\" for the treatment of OSAS is respiratory therapy using CPAP. At the same time, the results of patients' compliance to CPAP are controversial. Thus, the inability to use this method was noted by 45 to 80% of patients, therefore it is important to study this group of patients, who showed low compliance with CPAP.\nAim: to determine the social and demographic characteristics of the group of patients with OSAS and low compliance with CPAP therapy, as well as the impact of the disease on the quality of life of patients.\nMaterials and methods: The study included 80 patients with second stage OSAS who had previously demonstrated low compliance with CPAP. Overall demographic indicators were assessed, and patients were interviewed to assess their quality of life using The Assessment of Quality of Life (AQoL) instrument. Statist ical criteria included methods of descriptive statistics (mean, mode, median, minimum and maximum value, variance). In case of normal data distribution methods of parametric statistics were used, and in case of uneven distribution – non-parametric criteria.\nResults: The gender distribution in the group showed 67.5% of men and 32.5% of women. Average age was 39.35 (±9.49) years and 39.56 (±11.89) years, respectively. The average value of the biomass index in men was 28.3 (±2.9), in women – 28.1 (±3.9). Only three people in the group reached retirement age. The results of the survey of the quality of life showed a significant reduction in the level of \"Relationships with others\", \"Social isolation\", \"Sleep\" and \"Anxiety and depression\" (p <0.05).\nConclusions: The results of the study showed that the demographic characteristics of the group of patients with OSAS with low compliance to CPAP do not differ from the general patterns.\nIn addition, a questionnaire using The Assessment of Quality of Life (AQoL) instrument showed a significant decrease in the quality of life of patients due to worsening of social isolation and reduced psychological wellbeing.","PeriodicalId":38742,"journal":{"name":"Otorhinolaryngology Clinics","volume":"29 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otorhinolaryngology Clinics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37219/2528-8253-2022-3-44","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Obstructive sleep apnea syndrome (OSAS) is one of the most common sleep disorders. According to various studies, the prevalence of OSAS varies between 2-4% of men and 1-2% of women in the general population, with more than 90% of cases among men and 80% of women being undiagnosed. The "gold standard" for the treatment of OSAS is respiratory therapy using CPAP. At the same time, the results of patients' compliance to CPAP are controversial. Thus, the inability to use this method was noted by 45 to 80% of patients, therefore it is important to study this group of patients, who showed low compliance with CPAP. Aim: to determine the social and demographic characteristics of the group of patients with OSAS and low compliance with CPAP therapy, as well as the impact of the disease on the quality of life of patients. Materials and methods: The study included 80 patients with second stage OSAS who had previously demonstrated low compliance with CPAP. Overall demographic indicators were assessed, and patients were interviewed to assess their quality of life using The Assessment of Quality of Life (AQoL) instrument. Statist ical criteria included methods of descriptive statistics (mean, mode, median, minimum and maximum value, variance). In case of normal data distribution methods of parametric statistics were used, and in case of uneven distribution – non-parametric criteria. Results: The gender distribution in the group showed 67.5% of men and 32.5% of women. Average age was 39.35 (±9.49) years and 39.56 (±11.89) years, respectively. The average value of the biomass index in men was 28.3 (±2.9), in women – 28.1 (±3.9). Only three people in the group reached retirement age. The results of the survey of the quality of life showed a significant reduction in the level of "Relationships with others", "Social isolation", "Sleep" and "Anxiety and depression" (p <0.05). Conclusions: The results of the study showed that the demographic characteristics of the group of patients with OSAS with low compliance to CPAP do not differ from the general patterns. In addition, a questionnaire using The Assessment of Quality of Life (AQoL) instrument showed a significant decrease in the quality of life of patients due to worsening of social isolation and reduced psychological wellbeing.

查看原文本刊更多论文

低患者依从性CPAP治疗是阻塞性睡眠呼吸暂停综合征患者管理的新挑战:社会，人口统计学特征和生活质量

梗阻性睡眠呼吸暂停综合征(OSAS)是最常见的睡眠障碍之一。根据各种研究，在一般人群中，OSAS的患病率在男性的2-4%和女性的1-2%之间，其中90%以上的男性病例和80%的女性病例未被诊断。治疗OSAS的“金标准”是使用CPAP进行呼吸治疗。同时，患者对CPAP的依从性结果存在争议。因此，45 - 80%的患者不能使用CPAP，因此对这组CPAP依从性较低的患者进行研究是很重要的。目的:了解osaas患者低依从性CPAP治疗组的社会人口学特征，以及该疾病对患者生活质量的影响。材料和方法:该研究纳入了80例先前表现出低依从性的二期OSAS患者。评估总体人口学指标，并对患者进行访谈，使用生活质量评估(AQoL)工具评估其生活质量。统计标准包括描述性统计方法(平均值、众数、中位数、最小值和最大值、方差)。在数据正态分布的情况下采用参数统计方法，在数据分布不均匀的情况下采用非参数标准。结果:组内性别分布为男性67.5%，女性32.5%。平均年龄分别为39.35(±9.49)岁和39.56(±11.89)岁。男性生物量指数平均值为28.3(±2.9)，女性为- 28.1(±3.9)。这组人中只有三人达到了退休年龄。生活质量调查结果显示，“与他人的关系”、“社会孤立”、“睡眠”和“焦虑和抑郁”水平显著降低(p <0.05)。结论:研究结果表明，低依从性CPAP的OSAS患者组的人口学特征与一般模式没有差异。此外，使用生活质量评估(AQoL)工具的问卷调查显示，由于社会隔离加剧和心理健康下降，患者的生活质量显著下降。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Otorhinolaryngology Clinics Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. Issues of recent advancements and research related to disease, illness, health and medical science are examined through various evidence-based clinical research studies. This journal proposes to serve as a collection of clinical notes, with an international perspective, along with the recent advances for postgraduates and consultants. The readership for this journal would include a wide variety of healthcare professionals, such as otolaryngologists, head and neck surgeons, ENT nurses as well as scholars and academicians in the field of medicine, trauma, surgery, etc. This journal aims to encourage the analysis of clinical data from various centers all over the world using standardized protocols to develop an international consensual perspective on the management of disorders related to the field of otorhinolaryngology. Recently, we have introduced "Case Reports", "How I Do It" and "Original Research" categories in the process of expanding the scope of the journal. Thisis a peer-reviewed journal of which three issues would be published each year. Each future issue will cover a different topic of special interest in the field of otorhinolaryngology and head and neck surgery. This issue is the first of its kind dedicated to "anesthesia in otorhinolaryngology" and contains a compilation of articles by experienced anesthesiologists dealing with a large volume of ENT and related surgeries. In each issue, the editors give their perspective based on the submitted articles. All non invited articles are peer-reviewed. Peer-revieweing helps in providing unbiased, independent, critical assessment of the results of the research study in question including the scientific process.