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The effects of integrated nursing education on quality of life and health-related outcomes among obstructive sleep apnea patients receiving continuous positive airway pressure therapy

  • Sleep Breathing Physiology and Disorders • Original Article
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Abstract

Purpose

This study sought to examine the effects of a nursing education program on quality of life and sleep disturbance among obstructive sleep apnea (OSA) patients receiving continuous positive airway pressure (CPAP) therapy.

Methods

This study was a randomized controlled trial with an intervention group consisting of a nursing education program. The intervention group received the instruction of the CPAP nursing education program, and the control group received routine care. Data was collected for both groups before the intervention (pre-test), on the 7th day measurement after the intervention, and on the 30th day measurement after the intervention.

Results

The results showed, first, that the intervention group reported a significantly reduced level of disturbance from wearing CPAP compared with that of the control group after the intervention (β = −1.83, p = .040). Second, the Calgary sleep apnea quality of life index (SAQLI) total scores significantly improved after the intervention (β = 1.669, p = 0.014). Also, symptoms of the SAQLI sub-items were improved and significantly different (β = 5.69, p = 0.007) after the intervention in the intervention group.

Conclusions

According to the results of the study, the disturbance from wearing CPAP, the total score of the SAQLI and the symptoms of the SAQLI were significantly improved after the nursing education intervention. Therefore, an adequate nursing education program is recommended for the initial period of CPAP use among OSA patients.

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References

  1. Victor LD (2004) Treatment of obstructive sleep apnea in primary care. Am Fam Physician 69:561–584

    PubMed  Google Scholar 

  2. Hoffstein V, Viner S, Mateika S, Conway J (1992) Treatment of obstructive sleep apnea with nasal continuous positive airway pressure: patient compliance, perception of benefits, and side effects. Am Rev Respir Dis 145:841–845

    Article  CAS  PubMed  Google Scholar 

  3. Weaver T, Sawyer AM (2010) Adherence to continuous positive airway pressure treatment for obstructive sleep apnoea: implications for future interventions. Indian J Med Res 131:245–258

    PubMed  PubMed Central  Google Scholar 

  4. Waldhorn RE, Herrick TW, Nguyen MC, O’Donnell AE, Sodero J, Potolicchio SJ (1990) Long-term compliance with nasal continuous positive airway pressure therapy of obstructive sleep apnea. Chest 97:33–38

    Article  CAS  PubMed  Google Scholar 

  5. Hu ST, Yu CC, Lee PS, Tsao LI (2014) Life experience among obstructive sleep apnoea patients receiving continuous positive airway pressure therapy. J Clin Nurs 23(1):268–278

    Article  PubMed  Google Scholar 

  6. Sin DD, Mayers I, Man GC, Pawluk L (2002) Long-term compliance rates to continuous positive airway pressure in obstructive sleep apnea: a population-based study. Chest 121(2):430–435

    Article  PubMed  Google Scholar 

  7. Rueda AD, Santos-Silva R, Togeiro SM, Tufik S, Azeredo Bittencourt LR (2009) Improving CPAP compliance by a basic educational program with nurse support for obstructive sleep apnea syndrome patients. Sleep Science 2(1):8–13

    Google Scholar 

  8. Hui DSC, Chan JKW, Choy DKL, Ko FWS, Li TST, Leung RCC, Lai CKW (2000) Effects of augmented continuous positive airway pressure education and support on compliance and outcome in a Chinese population. Chest 117:1410–1416

    Article  CAS  PubMed  Google Scholar 

  9. Avlonitou E, Kapsimalis F, Varouchakis G, Vardavas CI, Behrakis P (2012) Adherence to CPAP therapy improves quality of life and reduces symptoms among obstructive sleep apnea syndrome patients. Sleep Breath 16:563–569

    Article  PubMed  Google Scholar 

  10. Flemons WW, Reimer MA (1998) Development of a disease-specific health-related quality of life questionnaire for sleep apnea. American Journal of Respiratory & Critical Care Medicine 158(2):494–503

    Article  CAS  Google Scholar 

  11. Weaver TE, Maislin G, Dinges DF, Younger J, Cantor C, Closkey S, Pack AI (2003) Self-efficacy in sleep apnea: instrument development and patient perceptions of obstructive sleep apnea risk, treatment benefit, and volition to use continuous positive airway pressure. Sleep 26(6):727–732

    PubMed  Google Scholar 

  12. Wiese HJ, Boethel C, Phillips B, Wilson JF, Peters J, Viggiano T (2005) CPAP compliance: video education may help! Sleep Med 6(2):171–174

    Article  Google Scholar 

  13. Meurice JC, Ingrand P, Portier F, Arnulf I, Rakotonanahari D, Fournier E, Philip-Joet F, Veale D, The ANTADIR Working Group (2007) A multicentre trial of education strategies at CPAP induction in the treatment of severe sleep apnoea–hypopnoea syndrome. Sleep Med 8(2007):37–42

    Article  PubMed  Google Scholar 

  14. Basoglu OK, Midilli M, Midilli R, Bilgen C (2012) Adherence to continuous positive airway pressure therapy in obstructive sleep apnea syndrome: effect of visual education. Sleep & Breathing 16(4):1193–1200

    Article  Google Scholar 

  15. Wang W, He G, Wang M, Liu L, Tang H (2012) Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients. Sleep Breath 16(4):1049–1057

    Article  CAS  PubMed  Google Scholar 

  16. Wozniak DR, Lasserson TJ, Smith I (2014) Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea (review). Cochrane Database Syst Rev 8(1):CD007736. doi:10.1002/14651858.CD007736.pub2

    Google Scholar 

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Acknowledgments

Sincere appreciation is extended to the OSA subjects who participated in this study and to the Chang Gung Medical Research Program Grant (CMRPG2C0171) of Keelung, Taiwan, for funding this study.

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Authors and Affiliations

  1. Department of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan

    Shui-Tao Hu

  2. College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan

    Shui-Tao Hu

  3. Division of Pulmonary, Critical Care, Sleep Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan

    Chung-Chieh Yu

  4. College of Medicine, Chang Gung University, Taoyuan, Taiwan

    Chung-Chieh Yu

  5. College of Health Technology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan

    Chieh-Yu Liu

  6. College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan

    Lee-Ing Tsao

Authors
  1. Shui-Tao Hu
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  2. Chung-Chieh Yu
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  3. Chieh-Yu Liu
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  4. Lee-Ing Tsao
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Corresponding author

Correspondence to Lee-Ing Tsao.

Ethics declarations

ᅟ

This study received approval from the hospital institutional review board (IRB ID 101-4853B/103-0067C). The researchers explained the study purposes and obtained oral and written consent from the subjects.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Hu, ST., Yu, CC., Liu, CY. et al. The effects of integrated nursing education on quality of life and health-related outcomes among obstructive sleep apnea patients receiving continuous positive airway pressure therapy. Sleep Breath 21, 845–852 (2017). https://doi.org/10.1007/s11325-017-1480-y

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  • DOI: https://doi.org/10.1007/s11325-017-1480-y

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