Evaluation of the effect of nursing intervention on the compliance of non-invasive mechanical ventilation in patients with obstructive sleep apnea hypopnea syndrome
10.3760/cma.j.cn121382-20210324-00410
- VernacularTitle:护理干预对阻塞性睡眠呼吸暂停低通气综合征患者无创机械通气治疗依从性的效果评价
- Author:
Jianqing WANG
1
;
Shaorong XU
;
Dan ZHAO
;
Suyan LIU
;
Yan WANG
Author Information
1. 天津医科大学总医院呼吸与危重症医学科 300052
- Keywords:
Nurse-led management model;
Obstructive sleep apnea hypopnea syndrome;
Telephone follow-up;
Non-invasive mechanical ventilation;
Adherence
- From:
International Journal of Biomedical Engineering
2021;44(4):307-312
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of nurse-led management model in adherence of patients with obstructive sleep apnea hypopnea syndrome (OSAHS) who underwent non-invasive mechanical ventilation.Methods:92 patients with severe OSAHS diagnosed by polysomnography(PSG) and treated with non-invasive mechanical ventilation in Tianjin medical university general hospital from September 2019 to August 2020 were enrolled. The patients were divided into intervention group (45 cases) and control group (47 cases) by random number table. Then, basing on routine treatment and subsequent visit, the patients in intervention group received regular telephone follow-up interviews within one week of ventilator purchasing, and the interview was based on a standard telephone follow-up manuscript designed by Duffy and lasted for six months. The patients in control group received routine nursing treatment and regular subsequent visit, and were not followed up by telephone, but were encouraged to have telephone consultation. The Epworth sleepiness scale(ESS) scores of the two groups before and after the intervention and the compliance of non-invasive mechanical ventilation of the two groups after the intervention were compared.Results:After the intervention, the ESS scores of the two groups were lower than those before the intervention ( P<0.001), and the ESS scores of the intervention group were lower than those of the control group ( P<0.001). After the intervention, the compliance of noninvasive mechanical ventilation in the intervention group was better than that in the control group ( P<0.001). Conclusions:The nurse-led management model in combination with telephone follow-up can improve the sleepiness of patients and the adherence of using non-invasive mechanical.
