Volume 32, Issue 153 (July & August 2024)                   J Adv Med Biomed Res 2024, 32(153): 253-259 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rangani F, Hojjat S K, Amini M, Afshari Saleh L, Mohammadzade M, Yazdani F. Effect of Obstructive Sleep Apnea Complication Training on the Follow-up of the Polysomnography Response, the Purchase of the CPAP and Its Use: Randomized Clinical Trial Study. J Adv Med Biomed Res 2024; 32 (153) :253-259
URL: http://journal.zums.ac.ir/article-1-7381-en.html
Effect of Obstructive Sleep Apnea Complication Training on the Follow-up of the Polysomnography Response, the Purchase of the CPAP and Its Use: Randomized Clinical Trial Study
Fatemeh Rangani1 , Seyed Kaveh Hojjat *2 , Mahnaz Amini1 , Lahya Afshari Saleh1 , Masoud Mohammadzade1 , Faezeh Yazdani1
1- Division of Sleep Medicine, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2- Division of Sleep Medicine, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran , S.kavehhojjat1@gmail.com
Abstract:   (385 Views)
Background & Objective: One of the most common breathing disorders during sleep is Obstructive sleep apnea (OSA).The aim of this study was  to evaluate the effect of obstructive sleep apnea (OSA) training complications on the follow-up of the polysomnography test response, the purchase of the CPAP, and its use in patients with OSA.
 Materials & Methods: We investigated 60 patients with OSA who were referred to Ibn Sina Hospital in Mashhad (Iran) for a polysomnography test in 2023. Eligible patients were divided into two groups; the intervention group underwent a 2-hour training session individually about OSA, its consequences, and complications by an expert psychologist. One month after intervention and the prescription of the CPAP by the doctor, the patients were compared in terms of the purchase rate of the CPAP machine, using a CPAP, and the follow-up rate of polysomnography response. However, no special training class was held for the control group; only CPAP was prescribed.
Results:  The mean (±SD) age was 45.83 (±12.03) vs. 45.50 (±13.52) years in the two groups, respectively. The number (%) of men was 18 (60) vs. 13 (43.3), respectively. After the intervention, the follow-up rate of polysomnography response (66.7 vs. 36.7), purchase of CPAP machine (33.3 vs. 6.7%), and its use (26.7 vs. 6.7) were significantly higher in the intervention group compared to the control group (P<0.05).
Conclusion: Educational intervention can increase the follow-up rate of polysomnography response, purchase of the CPAP, and its use in OSA patients.

 
Keywords: Sleep apnea, Polysomnography, Psychoeducation, CPAP
Full-Text [PDF 748 kb]   (143 Downloads)    
Type of Study: Original Research Article | Subject: Clinical Medicine
Received: 2023/10/29 | Accepted: 2024/10/26 | Published: 2024/08/20
References
1. Coca K, Gillespie MB. Treatment options in sleep apnea. Upper airway stimulation in obstructive sleep apnea: Best practices in evaluation and surgical management: Springer; 2022. 13-28. [DOI:10.1007/978-3-030-89504-4_2]
2. Faiz Ansari DSC, Jagtap C, Patel A, Shah P, Kunte SS. Obstructive sleep apnea and its management: A literature review. Pakistan Heart J. 2023;56(2):848-59.
3. Sarmiento C, Lau C. Diagnostic and statistical manual of mental disorders: DSM‐5. The wiley encyclopedia of personality and individual differences: Personality processes and individual differences. 2020:125-9. [DOI:10.1002/9781119547174.ch198] [PMID] [PMCID]
4. Gottlieb DJ, Punjabi NM. Diagnosis and management of obstructive sleep apnea: a review. JAMA. 2020;323(14):1389-400. [DOI:10.1001/jama.2020.3514] [PMID]
5. Harding SM. Complications and consequences of obstructive sleep apnea. Curr Opin Pulmon Med. 2000;6(6):485-9. [DOI:10.1097/00063198-200011000-00004] [PMID]
6. Culebras A, Anwar S. Sleep apnea is a risk factor for stroke and vascular dementia. Curr Neurol Neurosci Report. 2018;18:1-8. [DOI:10.1007/s11910-018-0855-1] [PMID]
7. Al Lawati NM, Patel SR, Ayas NT. Epidemiology, risk factors, and consequences of obstructive sleep apnea and short sleep duration. Prog Cardiovasc Dis. 2009;51(4):285-93. [DOI:10.1016/j.pcad.2008.08.001] [PMID]
8. Dudley KA, Patel SR. Disparities and genetic risk factors in obstructive sleep apnea. Sleep Med. 2016;18:96-102. [DOI:10.1016/j.sleep.2015.01.015] [PMID] [PMCID]
9. Veasey SC, Rosen IM. Obstructive sleep apnea in adults. New Eng J Med. 2019;380(15):1442-9. [DOI:10.1056/NEJMcp1816152] [PMID]
10. Leppänen T, Töyräs J, Mervaala E, Penzel T, Kulkas A. Severity of individual obstruction events increases with age in patients with obstructive sleep apnea. Sleep Med. 2017;37:32-7. [DOI:10.1016/j.sleep.2017.06.004] [PMID]
11. Tufik S, Santos-Silva R, Taddei JA, Bittencourt LRA. Obstructive sleep apnea syndrome in the Sao Paulo epidemiologic sleep study. Sleep Med. 2010;11(5):441-6. [DOI:10.1016/j.sleep.2009.10.005] [PMID]
12. Blondet M, Yapor P, Latalladi-Ortega G, Alicea E, Torres-Palacios A, Rodríguez-Cintrón W. Prevalence and risk factors for sleep disordered breathing in a Puerto Rican middle-aged population. Sleep Breath. 2009;13:175-80. [DOI:10.1007/s11325-008-0216-4] [PMID]
13. Herrscher TE, Akre H, Øverland B, Sandvik L, Westheim AS. High prevalence of sleep apnea in heart failure outpatients: even in patients with preserved systolic function. J Cardiac Fail. 2011;17(5):420-5. [DOI:10.1016/j.cardfail.2011.01.013] [PMID]
14. Ge X, Han F, Huang Y, Zhang Y, Yang T, Bai C, et al. Is obstructive sleep apnea associated with cardiovascular and all-cause mortality? PloS one. 2013;8(7):e69432. [DOI:10.1371/journal.pone.0069432] [PMID] [PMCID]
15. El-Sherbini AM, Bediwy AS, El-Mitwalli A. Association between obstructive sleep apnea (OSA) and depression and the effect of continuous positive airway pressure (CPAP) treatment. Neuropsychiatr Dis Treat. 2011:715-21. [DOI:10.2147/NDT.S26341] [PMID] [PMCID]
16. Lau EYY, Eskes GA, Morrison DL, Rajda M, Spurr KF. The role of daytime sleepiness in psychosocial outcomes after treatment for obstructive sleep apnea. Sleep Disorder. 2013;2013. [DOI:10.1155/2013/140725] [PMID] [PMCID]
17. Rundo JV, Downey III R. Polysomnography. Handbook of clinical neurology. 2019;160:381-92. [DOI:10.1016/B978-0-444-64032-1.00025-4] [PMID]
18. Abad VC, Guilleminault C. Diagnosis and treatment of sleep disorders: a brief review for clinicians. Dialogues Clin Neurosci. 2003;5(4):371-4. [DOI:10.31887/DCNS.2003.5.4/vabad] [PMID] [PMCID]
19. Hooper RG. CPAP therapeutic options for obstructive sleep apnea. Prag Observ Res. 2020:67-76. [DOI:10.2147/POR.S258632] [PMID] [PMCID]
20. Archbold KH, Parthasarathy S. Adherence to positive airway pressure therapy in adults and children. Curr Opin Pulm Med. 2009;15(6):585-90. [DOI:10.1097/MCP.0b013e3283319b3f] [PMID]
21. Bakker JP, Weaver TE, Parthasarathy S, Aloia MS. Adherence to CPAP: what should we be aiming for, and how can we get there? Chest. 2019;155(6):1272-87. [DOI:10.1016/j.chest.2019.01.012] [PMID]
22. Shapiro GK, Shapiro CM. Factors that influence CPAP adherence: an overview. Sleep Breath. 2010;14:323-35. [DOI:10.1007/s11325-010-0391-y] [PMID]
23. Jehan S, Zizi F, Pandi-Perumal SR, Wall S, Auguste E, Myers AK, et al. Obstructive sleep apnea and obesity: implications for public health. Sleep Med Disord. 2017;1(4): 00019
24. Sawunyavisuth B, Ngamjarus C, Sawanyawisuth K. A meta analysis to identify factors associated with CPAP machine purchasing in patients with obstructive sleep apnea. Biomed Report. 2022;16(6):1-9. [DOI:10.3892/br.2022.1528] [PMID] [PMCID]
25. Askland K, Wright L, Wozniak DR, Emmanuel T, Caston J, Smith I. Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea. Cochran Database Syst Rev. 2020;4(4):CD007736. [DOI:10.1002/14651858.CD007736.pub3] [PMID] [PMCID]
26. Smith I, Nadig V, Lasserson TJ. Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines for adults with obstructive sleep apnoea. Cochran Database Sys Rev. 2009(2):CD007736. [DOI:10.1002/14651858.CD007736]
27. Stepnowsky C, Zamora T, Edwards C, Liu L, Agha Z. Interventions to improve CPAP adherence and outcomes: Role of theory and behavioral change techniques. J Sleep Disorders Ther. 2013;2(133):2167-0277.1000133.
28. Painter JE, Borba CP, Hynes M, Mays D, Glanz K. The use of theory in health behavior research from 2000 to 2005: a systematic review. Ann Behav Med. 2008;35(3):358-62. [DOI:10.1007/s12160-008-9042-y] [PMID]
29. Espie CA, Kyle SD, Miller CB, Ong J, Hames P, Fleming L. Attribution, cognition and psychopathology in persistent insomnia disorder: outcome and mediation analysis from a randomized placebo-controlled trial of online cognitive behavioural therapy. Sleep Med. 2014;15(8):913-7. [DOI:10.1016/j.sleep.2014.03.001] [PMID]
30. Isetta V, Torres M, González K, Ruiz C, Dalmases M, Embid C, et al. A new mHealth application to support treatment of sleep apnoea patients. J Telemed Telecare. 2017;23(1):14-8. [DOI:10.1177/1357633X15621848] [PMID]
31. Sawyer AM, King TS, Hanlon A, Richards KC, Sweer L, Rizzo A, et al. Risk assessment for CPAP nonadherence in adults with newly diagnosed obstructive sleep apnea: preliminary testing of the Index for Nonadherence to PAP (I-NAP). Sleep Breath. 2014;18:875-83. [DOI:10.1007/s11325-014-0959-z] [PMID] [PMCID]
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb