Adherence to continuous positive airway pressure therapy in obstructive sleep apnea syndrome: effect of visual education

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dc.contributor.authorBasoglu, Ozen K.
dc.contributor.authorMidilli, Meltem
dc.contributor.authorMidilli, Rasit
dc.contributor.authorBilgen, Cem
dc.date.accessioned2019-10-27T21:40:45Z
dc.date.available2019-10-27T21:40:45Z
dc.date.issued2012
dc.departmentEge Üniversitesien_US
dc.description.abstractContinuous positive airway pressure (CPAP) therapy is the most effective treatment in obstructive sleep apnea syndrome (OSAS) although it is known that adherence to therapy is limited. The aims of this study were to evaluate the effect of visual education on CPAP adherence and to identify the factors affecting adherence. Out of 133 consecutive newly diagnosed moderate-to-severe OSAS patients, 66 were informed about OSAS and CPAP therapy and received visual education by videotape (video group), whereas only information was given to 67 of them (control group). The patients were followed up in the 1st, 3rd, and 6th months. After 6-month follow-up, adherence rate to CPAP therapy was 71.2% in the video group and 56.7% in the control group (p = 0.08). OSAS symptoms, such as witnessed apnea, morning headache, night sweating, dry mouth, and Epworth sleepiness score (ESS), were ameliorated more significantly in the video group (p < 0.05). In order to assess predictors of adherence, 85 patients using CPAP effectively were compared to 48 nonadherent patients; significant improvement in OSAS symptoms and ESS was observed in the adherent patients (p < 0.05). ESS was negatively correlated with the duration of CPAP use (r = -0.524, p < 0.0001). Adverse effects such as mask intolerance, choking, noise, and nasal congestion were related to poorer adherence (p < 0.01). It is shown that adherence rate to CPAP therapy might be improved by visual education although the difference was not significant. Besides, patients with better adherence to CPAP treatment report the greatest improvement in OSAS symptoms and daytime sleepiness, and adverse effects are significantly related to poorer adherence.en_US
dc.identifier.doi10.1007/s11325-011-0631-9en_US
dc.identifier.endpage1200en_US
dc.identifier.issn1520-9512
dc.identifier.issn1522-1709
dc.identifier.issue4en_US
dc.identifier.pmid22167633en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1193en_US
dc.identifier.urihttps://doi.org/10.1007/s11325-011-0631-9
dc.identifier.urihttps://hdl.handle.net/11454/46336
dc.identifier.volume16en_US
dc.identifier.wosWOS:000311301700037en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofSleep and Breathingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdherenceen_US
dc.subjectComplianceen_US
dc.subjectContinuous positive airway pressureen_US
dc.subjectPositive airway pressureen_US
dc.subjectObstructive sleep apnea syndromeen_US
dc.subjectVisual educationen_US
dc.titleAdherence to continuous positive airway pressure therapy in obstructive sleep apnea syndrome: effect of visual educationen_US
dc.typeArticleen_US

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