Coping Processes, Self-Efficacy, and CPAP Use in Adults With Obstructive Sleep Apnea

Saconi, Bruno; Yang, Hyun‐Ju; Watach, Alexa; Sawyer, Amy M.

doi:10.1080/15402002.2018.1545651

Cited by 14 publications

(9 citation statements)

References 63 publications

(83 reference statements)

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“…Therefore, it is more important to choose the appropriate treatment pressure. Titration is critical to the compliance and efficacy of patients with subsequent CPAP therapy [ 21 ]. At present, the CPAP technology itself has made many improvements including the diversification of ventilation modes, pipe heating, and humidification, as well as the closure and comfort of the mask, but the degree of improvement in patient compliance is still limited.…”

Section: Related Workmentioning

confidence: 99%

An Exploratory Study on the Treatment of Obstructive Apnea-Hypopnea Syndrome by Nasal Cavity Expansion

Lin

2021

Journal of Healthcare Engineering

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Background. Respiratory disorder is a disease with a very high incidence, in which obstructive apnea-hypopnea syndrome is the most harmful. It has become a common and frequently occurring disease, which seriously influences the health of the affected population. The pathogenesis of obstructive sleep apnea/hypopnea syndrome (OSAHS) is numerous. With the continuous research on OSAHS disease, it has been found that one of its main pathogeneses is caused by the anatomical characteristics of upper airway obstruction induced during sleep. The narrowing and collapse of any plane can affect the ventilation of the upper respiratory tract. In recent years, with the deepening of research, the importance of the upper respiratory tract obstruction as a source of the disease has attracted increasing attention. Nasal stenosis can cause increased nasal resistance, increased pharyngeal inhalation negative pressure, soft palate collapse, and narrow pharyngeal cavity, resulting in open mouth breathing, which can be the initiating factor of the upper airway obstruction. With the development and popularization of nasal endoscopy technology, domestic and foreign scholars have reported more on the treatment of rhinogenic OSAHS with nasal cavity expansion, but they are different. There is still more controversy; the main controversy centered on the effective rate of surgical treatment and the improvement of objective indicators. Therefore, this study performed individualized nasal cavity expansion for patients with OSAHS who are mainly rhinogenic, from subjective symptoms, objective indicators, and effective rate of surgery. Methods and Patients. Conduct research and analysis to provide references for the clinical treatment of such patients. For patients with the obstructive apnea-hypopnea syndrome with nasal congestion, individualized nasal cavity expansion was performed to study the clinical effect of nasal cavity expansion in the treatment of OSAHS. This article mainly screens cases through big data and selects a large hospital in China to perform individualized nasal cavity expansion surgery to treat 43 adult OSAHS patients with nasal congestion. Results. There are uploaded sleep monitoring, nasal reflex, nasal resistance, and nasal symptoms before and after surgery. Conclusion. Spirometer examination records, along with apnea-hypopnea index and minimum arterial blood oxygen saturation, the minimum cross-sectional area of the nasal cavity, nasal cavity volume, nasal airway resistance, total nasal respiratory volume, and other information. Also we fill in the nasal obstruction symptom assessment scale, sleepiness scale, and study and analyze the surgical effect of nasal cavity expansion.

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Section: Related Workmentioning

confidence: 99%

An Exploratory Study on the Treatment of Obstructive Apnea-Hypopnea Syndrome by Nasal Cavity Expansion

Lin

2021

Journal of Healthcare Engineering

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“…Additionally, parents or caregivers may assist children to solve with some CPAP issues such as mask leakage. 24 BPAP, non-invasive ventilation, is more comfort than CPAP resulting in better adherence. 25 A previous study showed that BPAP had significantly used hours/night than CPAP (2.72 vs 1.49 hours, P < .001) in OSA patients with poor adherence to CPAP.…”

Section: Discussionmentioning

confidence: 99%

Any Effective Intervention to Improve CPAP Adherence in Children with Obstructive Sleep Apnea: A Systematic Review

Sawunyavisuth

Ngamjarus

Sawanyawisuth

2021

Global Pediatric Health

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Obstructive sleep apnea (OSA) in children is leading to several consequences as reported in adults. A continuous positive airway pressure (CPAP) machine is one of the effective treatments in pediatric OSA. However, the CPAP adherence rate is approximately 50%. This study aimed to evaluate if any interventions that improve CPAP adherence in pediatric patients with OSA using a systematic review. We included intervention studies on CPAP adherence in pediatric patients with OSA regardless of machine types. Five databases were used for article searching. Search terms included OSA, adherence, compliance, and CPAP. The outcomes of this study were adherence rate and usage hours/minutes. The outcomes were compared between the intervention and comparator groups with descriptive statistics. There were 2931 articles from 5-database searching. There were 41 articles related with children. There were 7 articles conducted with any intervention on CPAP compliance. Of those, 4 studies included in the analysis. There were 3 significant differences between both groups in 2 studies. Those with caregiver support had significantly longer CPAP use/night by 86.60 minutes (95% CI 10.90, 162.30) and percentage of CPAP usage more than 4 hours/night by 18.10% (95% CI 3.87, 32.33) than those without caregiver support. Those who received BPAP therapy had higher chance of good PAP adherence than those who received CPAP by 18.17 times (95% CI 5.19, 63.70). Caregiver support and BPAP therapy significantly improved CPAP adherence in children with OSA. Further studies are required to add additional comparisons and also other interventions.

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“…Selfefficacy can affect the treatment process either positively or negatively. For this reason, looking at the self-efficacy levels of the patients while planning the treatment will make it easier to reach the goal (Saconi et al, 2020;Topcu & Oguz, 2017). The preparation of the appropriate care plan will contribute positively to the process of the disease and the power of the individual to manage the process.…”

Section: What Does This Paper Contribute To the Wider Global Clinical Community?mentioning

confidence: 99%

“…Another study investigating the relationship between the problem-focused coping and self-efficacy in patients with stroke found a strong relationship (Tielemans et al, 2015). Studies investigating the relationship between the use of problem-focused and emotion-focused coping strategies, self-efficacy and the use of Continuous Positive Airway Pressure (CPAP) in adults with obstructive sleep apnoea found that those with higher self-efficacy and who used problem-focused coping strategies had a higher rate of CPAP use and thus a higher rate of compliance with the treatment (Saconi et al, 2020). Individuals with high self-efficacy expend more effort and a longer amount of time than those with low self-efficacy against possible adverse conditions, and they continue their efforts to achieve their goals using more effective coping strategies in any adverse condition (Ozdemir & Tasci, 2013).…”

Section: Ta B L Ementioning

confidence: 99%

“…Self‐efficacy and coping with stress in chronic diseases affect the course of the disease (Ceyhan & Unsal, 2018; Knowles et al, 2020; Ozdemir & Tasci, 2013; Tielemans et al, 2015). International studies on these issues related to chronic diseases observed that there was a relationship between patients’ self‐efficacies and their coping strategies in many disease groups such as stroke, cancer, diabetes mellitus, respiratory system diseases and joint/connective tissue diseases (Benka et al, 2014; Calık Var et al, 2016; Ceyhan & Unsal, 2018; Chirico, Lucidi, et al, 2017; Geng et al, 2018; Knowles et al, 2020; Koehler et al, 2009; Saconi et al, 2020; Tielemans et al, 2015; Yang et al, 2019; Zhang et al, 2008). There was a strong relationship between coping and self‐efficacy of patients with cancer and stroke (Chirico, Lucidi, et al, 2017; Chirico, Serpentini, et al, 2017; Geng et al, 2018; Koehler et al, 2009; Tielemans et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Predictor of self‐efficacy in individuals with chronic disease: Stress‐coping strategies

Bakan

İnci

2021

Journal of Clinical Nursing

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Aims and Objectives This study aims to investigate the relationship between stress‐coping strategies of individuals with chronic diseases and their self‐efficacy. Background Self‐efficacy and coping with stress in chronic diseases affect the course of the disease. Design The sample of this methodological study consisted of 178 patients who were hospitalised in a university hospital between November 2017 and November 2018. Methods Data were collected by the face‐to‐face interview method using a Patient Information Form, Stress‐Coping Styles Scale and Self‐Efficacy Scale. This study followed STROBE checklist for cross‐sectional studies. Results The study found that there was a strong relationship between patients’ coping strategies and their self‐efficacies and that the variables that predict self‐efficacy in order of importance were self‐confident approach (β = .41), the helpless approach (β = −0.24) and the submissive approach (β = −0.15), respectively. The study also found that the optimistic approach and the seeking social support approach had no significant contribution to the model. Conclusions The most important predictor of self‐efficacy in individuals with chronic disease was the self‐confident approach, which was one of the problem‐oriented coping strategies. Therefore, patients should be taught to use effective methods to cope with stress to increase their self‐efficacy, and their self‐confidence should be supported. Relevance to clinical practice In individuals with chronic disease, self‐efficacy has an important role to get better psycho‐social adaptation. To determine patients’ self‐efficacy levels and predictors will guide nursing initiatives.

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Coping Processes, Self-Efficacy, and CPAP Use in Adults With Obstructive Sleep Apnea

Cited by 14 publications

References 63 publications

An Exploratory Study on the Treatment of Obstructive Apnea-Hypopnea Syndrome by Nasal Cavity Expansion

An Exploratory Study on the Treatment of Obstructive Apnea-Hypopnea Syndrome by Nasal Cavity Expansion

Any Effective Intervention to Improve CPAP Adherence in Children with Obstructive Sleep Apnea: A Systematic Review

Predictor of self‐efficacy in individuals with chronic disease: Stress‐coping strategies

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