Eliminating CPAP Interruptions for Patients with Sleep Apnea Syndrome: The Development and Appropriateness of an Assessment Tool

2019 Fiscal Year Final Research Report

• Project/Area Number: 19K21455
• Project/Area Number (Other): 18H06374 (2018)
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund (2019); Single-year Grants (2018)
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Komatsu University
• Principal Investigator: Kato Chinatsu 公立小松大学, 保健医療学部, 助教 (60827111)
• Project Period (FY): 2018-08-24 – 2020-03-31
• Keywords: 睡眠時無呼吸症候群 / CPAP療法 / アドヒアランス / アセスメントツール

Outline of Final Research Achievements

To date, patients with sleep apnea syndrome who are receiving CPAP therapy have been divided into the following two groups: adherence and non-adherence. The latter has received patient education through various means. However, data from 535 CPAP users indicate that it is possible to further divide the non-adherence group into three subgroups based on usage rate and duration, which are indicators of adherence. Additionally, significant differences were observed between the groups in the following characteristics: BMI, age, past history, usage history, and motivation for treatment. Creating an assessment tool by dividing CPAP users into four groups based on the above data may allow the following: providing tailored patient education that is more focused on the individual characteristics of each patient and improving the efficiency of patient education provided during busy outpatient visits.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

睡眠時無呼吸症候群におけるCPAP療法は、治療の継続（アドヒアランス）の難しさが大きな問題となっており、CPAPの療養行動に着目した看護支援が必要であると考える。そこで、本研究課題では、CPAPの「使用率」と「平均使用時間」に着目し、これまで、不良群として一括りにされていたCPAP使用者をより細分化することが可能かを検証した。その結果、良好群も含め、４つの群に細分化することが可能であり、各群の特性に違いがあることが示唆された。本研究成果は、忙しい外来において、看護支援の優先度の素早い識別、および、個別性を重視した療養指導を提言できる可能性が考えられる。