Journal Name:
- Cerrahpaşa Tıp Dergisi
Keywords (Original Language):
| Author Name | University of Author | Faculty of Author |
|---|---|---|
Abstract (2. Language):
Nasally applied
continuous positive airway pressure
(NCPAP) is a highly effective, nonsurgical
form of treatment for obstructive sleep apnea.
The NCPAP apparatus is bulky, cosmetically
unappealing and associated with a
number of adverse reactions. Several factors
such as severity of sleep apnea, excessive
daytime sleepiness, previous surgery
as well as NCPAP apparatus may have a
role in acceptance and compliance of
NCPAP therapy. Various desensitization
techniques have been devised to help patients
better tolerate and accept treatment.
In an attempt to identify effect of video assisted
education on NCPAP acceptance, we
evaluated 196 patients with obstructive
sleep apnea referred to our laboratory for
NCPAP trials. Patients were divided into two
groups. Before undergoing first night
NCPAP trial, the first group (n=84, male:
73%, female: 27%) was informed about their
diagnosis, complications of the disease and
mechanism of NCPAP treatment by an interview.
The second group (n=112, male:
72%, female: 28%) was informed in the
same manner and they watched video film
to visualize sleep apnea and its consequences
and reversal of symptoms by
NCPAP therapy. Subjects who accepted
and started NCPAP therapy compared with
the subjects who did not accept NCPAP in
both groups. A probability value less than
0,05 was considered statistically significant.
Results.- In the first group (mean age ± SD
= 51±10), 15 of the 84 subjects rejected
NCPAP treatment. Acceptance rate of
NCPAP in the first group was 82%. In the
second group (mean age±SD= 52 ± 9), only
7 of the 112 subjects refused NCPAP treatment.
Acceptance rate was 93% for this
group. There was no difference between
two groups in terms of age, sex and RDI.
Conclusion.- The findings indicate that the
patients who undergo video assisted education
about their diagnosis and treatment accept
NCPAP therapy more easily.
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Abstract (Original Language):
Obstrüktif uyku apne sendromu tedavisinde
cerrahi tedavi ile birlikte en sık kullan
ılan yöntem sürekli pozitif havayolu
basıncı (Continuous Positive Airway
Pressure: CPAP) ile yapılan tedavidir.
CPAP cihazının tedavi seçeneği olarak
hasta tarafından kabul edilmesi, gündüz
aşırı uyku hali, hastalığın şiddeti, daha
önce geçirilmiş cerrahi operasyon gibi bir-
çok farklı nedene bağlıdır. Çalışmamızda,
tedavinin kabulünü arttırmak açısından
görsel ağırlıklı eğitimin etkileri 196 hasta
üzerinde araştırıldı. Hastalar iki gruba
ayrılarak bir gruba (n=84) standart muayene
ve tetkik yöntemleri uygulandı; diğer
gruba ise (n=112), ilk gruptan farklı olarak
video film desteği ile birlikte OSAS
hastalığı ve sonuçları hakkında görsel ağ
ırlıklı bir eğitim de verildi. Eğitim alan
hasta grubunda CPAP tedavisini kabul
etme oranının (%93), eğitim almayan hasta
grubuna göre (%82) anlamlı derecede
yüksek olduğu (p<0,05) gözlendi.
FULL TEXT (PDF):
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226-230