Skip to main content
SpringerLink
Log in

Einflu\ audiovisueller und Print-Medien auf den Informationsgewinn bei patienten mit obstruktivem Schlafapnoe-Syndrom

Influence of audiovisual and Print media on patient information in sleep apnea syndrome

  • Published:
Somnologie - Schlafforschung und Schlafmedizin Aims and scope Submit manuscript

Zusammenfassung

Ein wesentlicher Faktor zur Verbesserung der Compliance der nCPAP-Therapie beim obstruktiven Schlafapnoe-Syndrome ist die Aufklärung des Patienten. Ziel dieser Studie war es, ein interaktives und audiovisuelles Medium darauf zu testen, ob eine effektive Informationsvermittlung gelang. Zu diesem Zweck wurden 268 konsekutive Patienten, die zur Diagnostik und Therapied in die stationäre Behandlung kamen, prospektiv mit zwei Fragebögen zu soziodemographischen Daten, Vorkenntnissen und Wünschen einerseits und zum objektiven Wissensstand andererseits untersucht. Diese Befragung wurde nach Schulung mit drei veschiedenen Medien (Broschüre, Videofilm, interaktive CD-Rom (CDi) am Ende des Aufenthales wiederholt. Zu Beginn schätzten die Patienten ihr Wissen auf 2,2±1,4 (Skala von 0–6 ein, nach Medieneinsatz auf 4,2±1,2 (p<0,0001). Die Anzahl richtiger Antworten stieg von 13,5±3,7 auf 16,2±3 (p<0,0001). Bei den Wünschen der Patienten nach den Informationsmedien kam es zur stärksten Zunahme der Nennungen für die CDi (um 25 Prozentpunkte). Die Anzahl positiv der Therapie gegenüber eingestellter Patienten stieg von initial 30,6% auf 73% an (p<0,0001), die Therapie lehnten zunächst 3,0% am Ende nur 2,2% ab (p<0,0001). Wir schließen aus den Ergebnissen, daß die untersuchten interaktiven und audiovisuellen Medien gut geeignet sind, die ärztliche Aufklärung zu unterstützen.

Summary

Patient information is one of the most important aspects of improvement of the compliance in sleep apnea syndrome. The aim of this study was to validate an interactive and audiovisual medium regarding its efficacy to inform patients. 268 consecutive patients who consulted our clinic for diagnosis and treatment of obstructive sleep apnea syndrome were asked to fill in two questionnaires in the beginning and at the end of their stay in the hospital. One questionnaire dealt with sociodemographic data, preinformation status and patients' wishes on information, the other gave 20 questions to examine patients' knowledge about sleep apnea. During their stay patients were randomized in three groups and informed either by a brochure, which was handed out, by a videofilm, which was presented daily in the patient's television, or by an interactive audiovisual CDi. In the beginning patients assessed their preinformation knowledge as 2.2±1.4 (scale 0–6, low-high status), after using media 4.2±1.2 (p<0.0001). The number of correct answers increased from 13.5±3.7 to 16.2 ±3 (p<0.0001). CDi showed the highest increase in patients' wishes (plus 25 percent points). The percentage of patients who had a positive attitude towards nCPAP increased from 30.6% in the beginning to 73% at the end (p<0.0001). the treatment was rejected by 3.0% initially but by 2.2% before discharge (p<0.0001). We conclude that audiovisual and interactive media are well suited to support patients information.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. ASDA Task Force. EEG arousals: scoring rules and examples. Sleep 15: 173–184, 1992.

    Google Scholar 

  2. American Thoracic Society: Consensus meeting on indications and standards for cardiopulmonary sleep studies. Am Rev Respir Dis 139: 559–568, 1989.

    Google Scholar 

  3. Chervin RD, Theut S, Bassetti C, Aldrich MS: Compliance with nasal CPAP can be improved by simple interventions. Sleep 20 (4): 284–289, 1997.

    CAS  PubMed  Google Scholar 

  4. Chesson AL, Murphy PW, Connie LA, Davis TC: Presentation and reading level of sleep brochure: Are they appropriate for sleep disorders patients? Sleep 21 (4): 406–412, 1998.

    PubMed  Google Scholar 

  5. Engleman HM, Asgari-Jirhandeh N, McLeod AL, Ramsay CF, Deary IJ, Douglas NJ: Self-reported use of CPAP and benefits of CPAP therapy. A patient survey, Chest 109: 1470–1476, 1996.

    CAS  PubMed  Google Scholar 

  6. Fletcher EC, Luckett RA: The effect of positive reinforcement on hourly compliance in nasal continuous positive airway presure users with obstructive sleep apnea. Am Rev Respir Dis 143: 936–941, 1991.

    CAS  PubMed  Google Scholar 

  7. Fleury B, Rakotonanahary D, Hausser-Hauw C, Lebeau B, Guilleminault C: Objective patient compliance in long-term use of nCPAP. Eur Respir J 9: 2356–2359, 1996.

    Article  CAS  PubMed  Google Scholar 

  8. Gerdesmeyer C, Randerath W, Rühle K-H: Mistake-time-relation in measurement of attention before and after nCPAP-therapy in sleep apnea syndrome. Somnology 1: 165–170, 1997.

    Google Scholar 

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

    CAS  PubMed  Google Scholar 

  10. Kirsh I, Jungeblut A, Jenkins L, Kolstad A. Adult literacy in America: a first look at the results of the national adult literacy survey. Washington: National Center for Education statistics, US Dept. of Education, 1993.

    Google Scholar 

  11. Kribbs NB, Pack AI, Kline LR, Smith PL, Schwartz AR, Schubert NM Redline S, Henry JN, Getsy JE, Dinges DF: Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 147: 887–895, 1993.

    CAS  PubMed  Google Scholar 

  12. Krieger J, Kurtz D, Petiau C, Sforza E, Trautmann D, Long-term compliance with CPAP therapy in obstructive sleep apnea patients and in snorers. Sleep 19 (9): 136–143.

  13. Meslier N, Lebrun T, Grillier-Lanoir V, Rolland N, Henderick C, Sailly JC, Racineux JL: A French survey of 3,225 patients treated with CPAP for obstructive sleep apnea: benefits, tolerance, compliance and quality of life. Eur Respir J 12 185–192, 1998.

    Article  CAS  PubMed  Google Scholar 

  14. Meurice JC, Dore P, Paquereau J, Neau JP, Ingrand P, Chavagnat JJ, Patte F: Predictive factors of long-term compliance with nasal continuous postivie airway pressure treatment in sleep apnea syndrome. Chest 105: 429–433, 1994.

    CAS  PubMed  Google Scholar 

  15. Pieters T, Collard P, Aubert G, Dury M, Delguste P, Rodenstein DO: Acceptance and long-term compliance with nCPAP in patients with obstructive sleep apnoea syndrome. Eur Respir J 9: 939–944, 1996.

    Article  CAS  PubMed  Google Scholar 

  16. Randerath W, Gerdesmeyer C, Ströhlein G, Rühle K-H: Measurement of daytime vigilance by a driving simulator before and after nCPAP-comparison of two simulation programmes with different numbers of events. Somnologie 1: 110–114, 1997.

    Google Scholar 

  17. Rapoport DM: Methods to stabilize the upper airway using positive pressure, Sleep 19 (9): 23–130, 1996.

    Google Scholar 

  18. Rechtschaffen A., Kales A: A manual of standardized terminology techniques and scoring system for sleep stages of human subjects, Brain Information Service, University of California, Los Angeles 1968.

    Google Scholar 

  19. Reeves-Hoche MK, Meck R, Zwillich CW: Nasal CPAP: An objective evaluation of patient compliance. Am J Respir Crit Care Med 149: 149–154, 1994.

    CAS  PubMed  Google Scholar 

  20. Rolfe, I, Olson LG, Saunders NA: Long-term acceptance of continuous positive airway pressure in obstructive sleep apnea. Am Rev Respir Dis 144: 130–1133, 1991.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik Ambrock, Klinik für Pneumologic, Allergologie und Schlafmedizin der Universität Witten/Herdecke, Ambrocker Weg 60, D-58091, Hagen

    W. J. Randerath, B. Kroll, Myriam Schwickert, Anke Dingemann & K. -H. Rühle

  2. bildbau multimedia, Berlin

    Borjana Kujumdshieva

Authors
  1. W. J. Randerath
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Borjana Kujumdshieva
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Kroll
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Myriam Schwickert
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Anke Dingemann
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. K. -H. Rühle
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Randerath, W.J., Kujumdshieva, B., Kroll, B. et al. Einflu\ audiovisueller und Print-Medien auf den Informationsgewinn bei patienten mit obstruktivem Schlafapnoe-Syndrom. Somnologie 3, 57–61 (1999). https://doi.org/10.1007/s11818-999-0010-y

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11818-999-0010-y

Schlüsselwörter

Key words

Search

Navigation