{"title":"远程监控和按需患者支持对坚持气道正压疗法的影响。","authors":"Saoirse Owens, Karl Doghramji","doi":"10.1097/JXX.0000000000001006","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) affects patient health and public welfare. Positive airway pressure (PAP) therapy is the preferred treatment of OSA, but therapy adherence rates remain suboptimal. Current literature demonstrates telemonitoring interventions to support improved PAP therapy adherence.</p><p><strong>Purpose: </strong>To evaluate the effect of interval telemonitoring of PAP therapy data at 2 and 4 weeks after treatment initiation in patients with moderate-to-severe obstructive sleep apnea with as-needed patient support and troubleshooting by telephone consultation.</p><p><strong>Methodology: </strong>Ninety-nine participants were enrolled in this study, 50 in the control group and 49 in the intervention group. Data were analyzed using descriptive and inferential statistics using SPSS 28.0 software. The primary outcome of interest was 90-day PAP adherence.</p><p><strong>Results: </strong>Mean PAP adherence scores diverged at 90 days after PAP initiation, with the intervention group having a significantly higher mean score (M = 49.24, SD = 38.18) relative to the control group (M = 36.38, SD = 37.69). Likewise, continued PAP usage at 90 days after therapy initiation diverged between participant groups, with the intervention group having a significantly higher mean score (M = 89.80, SD = 30.58) relative to the control group (M = 72.00, SD = 45.36).</p><p><strong>Conclusions: </strong>The intervention resulted in significantly higher mean PAP adherence and a greater percentage of participants demonstrating continued PAP usage at 90 days after therapy initiation but did not result in a statistically significant increase in what is considered and defined as \"good PAP adherence\" (adherence of ≥70%).</p><p><strong>Implications: </strong>Data-triggered telemonitoring protocols offer supplementary support to patients in need and improve PAP adherence.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of telemonitoring and as-needed patient support on positive airway pressure therapy adherence.\",\"authors\":\"Saoirse Owens, Karl Doghramji\",\"doi\":\"10.1097/JXX.0000000000001006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) affects patient health and public welfare. Positive airway pressure (PAP) therapy is the preferred treatment of OSA, but therapy adherence rates remain suboptimal. Current literature demonstrates telemonitoring interventions to support improved PAP therapy adherence.</p><p><strong>Purpose: </strong>To evaluate the effect of interval telemonitoring of PAP therapy data at 2 and 4 weeks after treatment initiation in patients with moderate-to-severe obstructive sleep apnea with as-needed patient support and troubleshooting by telephone consultation.</p><p><strong>Methodology: </strong>Ninety-nine participants were enrolled in this study, 50 in the control group and 49 in the intervention group. Data were analyzed using descriptive and inferential statistics using SPSS 28.0 software. 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引用次数: 0
摘要
背景:阻塞性睡眠呼吸暂停(OSA阻塞性睡眠呼吸暂停(OSA)影响患者健康和公共福利。气道正压疗法(PAP)是治疗 OSA 的首选方法,但治疗依从性仍不理想。目的:评估在中度至重度阻塞性睡眠呼吸暂停患者开始治疗后 2 周和 4 周间隔远程监测 PAP 治疗数据的效果,并通过电话咨询为患者提供必要的支持和故障排除:本研究共招募了 99 名参与者,其中对照组 50 人,干预组 49 人。使用 SPSS 28.0 软件对数据进行描述性和推论性统计分析。研究的主要结果是 90 天的 PAP 坚持率:开始使用 PAP 后 90 天的 PAP 依从性平均得分存在差异,干预组的平均得分(M = 49.24,SD = 38.18)明显高于对照组(M = 36.38,SD = 37.69)。同样,在治疗开始后 90 天内,各参与组继续使用 PAP 的情况也不尽相同,干预组的平均得分(M = 89.80,SD = 30.58)明显高于对照组(M = 72.00,SD = 45.36):结论:干预后,PAP 的平均依从性明显提高,在治疗开始后 90 天内继续使用 PAP 的参与者比例也有所提高,但在统计学上,"良好的 PAP 依从性"(依从性≥70%)并没有明显提高:数据触发的远程监测方案可为有需要的患者提供辅助支持,并提高患者的 PAP 依从性。
Effect of telemonitoring and as-needed patient support on positive airway pressure therapy adherence.
Background: Obstructive sleep apnea (OSA) affects patient health and public welfare. Positive airway pressure (PAP) therapy is the preferred treatment of OSA, but therapy adherence rates remain suboptimal. Current literature demonstrates telemonitoring interventions to support improved PAP therapy adherence.
Purpose: To evaluate the effect of interval telemonitoring of PAP therapy data at 2 and 4 weeks after treatment initiation in patients with moderate-to-severe obstructive sleep apnea with as-needed patient support and troubleshooting by telephone consultation.
Methodology: Ninety-nine participants were enrolled in this study, 50 in the control group and 49 in the intervention group. Data were analyzed using descriptive and inferential statistics using SPSS 28.0 software. The primary outcome of interest was 90-day PAP adherence.
Results: Mean PAP adherence scores diverged at 90 days after PAP initiation, with the intervention group having a significantly higher mean score (M = 49.24, SD = 38.18) relative to the control group (M = 36.38, SD = 37.69). Likewise, continued PAP usage at 90 days after therapy initiation diverged between participant groups, with the intervention group having a significantly higher mean score (M = 89.80, SD = 30.58) relative to the control group (M = 72.00, SD = 45.36).
Conclusions: The intervention resulted in significantly higher mean PAP adherence and a greater percentage of participants demonstrating continued PAP usage at 90 days after therapy initiation but did not result in a statistically significant increase in what is considered and defined as "good PAP adherence" (adherence of ≥70%).
Implications: Data-triggered telemonitoring protocols offer supplementary support to patients in need and improve PAP adherence.
期刊介绍:
The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners.
Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.