A comprehensive review of the literature was conducted to create an evidenced based project (EPB) to create an educational intervention to improve adherence to positive airway pressure (PAP) therapy for patients with sleep apnea. The review focused on studies implementing brief educational interventions to improve PAP adherence. Sleep apnea is a significant problem. There are more than 4.5 million people in the United Stated with some form of sleep apnea (Berry, 2008). First line treatment for sleep apnea is PAP therapy (Golay et al, 2006). Though this is the recognized recommended therapy, there are multiple studies available regarding the use of PAP therapy, with different percentages identified. According to Golay et al. (2006) most patients who start PAP treatment will stop within the first six months, and those that do continue are only 20-30% compliant. Salepci et al. (2013), cited compliance at 46%. Pusalavidyasagar and Iber, (2015) report compliance with PAP therapy at 50%. Through this sampling it appears that there is a significant problem with adherence. The purpose of this paper is to review literature focusing on the improvement in adherence with PAP therapy through educational interventions. Methods Sampling Strategies …show more content…
The process was restricted for studies published from 2000-2015. The data bases utilized were varied to ensure a thorough search. The data bases used were: CINAHL, Cochrane, Science Direct, EBSCO and Google Scholar. Searching for sleep apnea provided very broad results, the search was limited by adding terms such as compliance and adherence. Key terms were sleep apnea, compliance, adherence, and education. Further information regarding the literature search is included in Table 1. Sleep apnea is a broad term with a large amount of literature
Thesis: Sleep Apnea is becoming more of a dangerous disease that more people are starting to be diagnosed with. It is extremely important that Sleep Apnea is emphasized so that more people are aware of it.
18 study data were derived from the apnea database (PhysioNet) corresponding to MIT/BIH database. AirFlow, SaO2, Abdominal and Thoracic Movements were obtained from full PSG records. Each record includes a period of nearly eight hours and signals annotation is done minute-by-minute. A minute is labeled as an apnea case if it contains at least one condition of apnea or hypopnea, otherwise labeled as a non-apnea. The patients mean age and weight are between 27 to 63 years (4810.8) and 53 to 135 kg (86.322.2), respectively. PhysioNet data are classified in two categories: Apnea Group (Class A, more than 100 minutes of apnea, mean age: 50 years in range of 29 to 63 years) and Normal Group (class C, less than 5 minutes of apnea, mean age of 33 years
Surprisingly there is limited research regarding effective campaigns to raise public awareness of obstructive sleep apnea, symptoms and health
Sleep apnea is a common sleeping disorder where a person has experiences of not breathing during sleep. Over 20 million Americans, mostly overweight men, suffer from sleep apnea. Despite these numbers, sleep apnea is often not treated directly because its symptoms are thought to be those of depression, stress, or just loud snoring. There may be a genetic component to this disorder as it often occurs within families.People with sleep apnea stop breathing for at least 10 seconds at a time; these short stops in breathing can happen up to 400 times every night.
The population who are diagnosed with obstructive sleep apnea (OSA) often experience daytime drowsiness and are at risk for ischemic heart disease, arrhythmias, hypertension, and other vascular related problems (Hsu et al., 2007). There are several treatment options for people with OSA, which are weight loss, continuous positive airway pressure (CPAP), dental appliances, and surgical procedure. This study evaluates patients who have
Obstructive sleep apnea has become an increasingly big problem in the United States. It is also apparent that obesity is also one of the biggest epidemics in our country as well. There is no question that both obesity and having obstructive sleep apnea go hand in hand for several reasons. I will go into some detail as to why these two go hand in hand, how young kids are now having issues with these two things, and what we as a society can do about it.
This relaxation goes even further when the soft palate muscles and uvula (fleshy tissue) sag over the airway as well, creating the "labored and noisy" (Sleep Apnea) so readily associated with the condition. It is important for the student to know that there are times when this blockage causes breathing to stop entirely. Interestingly, those who suffer with sleep apnea do not realize it, inasmuch as another person typically hears the startling noises and suggests that there is a problem. The sufferer may display frequent episodes of falling asleep on the job, giving work associates the clue, as well. "People with sleep apnea usually aren't even aware they have a problem and may not believe it when told" (Sleep Apnea). Inasmuch as sleep apnea is potentially life threatening, it is imperative that the sufferer seeks immediate diagnosis and treatment. Early recognition and treatment of obstructive sleep apnea is a critical step not only in getting a more restful night's sleep, but also in avoiding the potential complications of irregular heartbeat, high blood pressure, heart attack and stroke. Sleep apnea is more prevalent in men and young African-Americans; however, it has been diagnosed during all life stages. It is important for the student to know that attaining proper diagnosis of obstructive sleep apnea includes consultation with a primary care physician, pulmonologist, neurologist
The dictionary defines sleep as “The natural periodic suspension of consciousness during which the powers of the body are restored” (Webster’s 638) If one is waking up on an average of 300 times per night, the chances of complete body restoration are minimal. The Greek word apnea literally means “without breath”. An estimated 30 million Americans stop breathing during their sleep sometimes 30-40 times per hour and often for a minute, or longer each time. Of these, about 20 million are in the early stages, and about 10 million have progressed to a level of severity that requires treatment. According to the National
My long-term goal is to become an independent investigator focused on developing and implementing treatment strategies that may prevent cognitive decline and delay the onset of dementia in older adults with obstructive sleep apnea (OSA). The K23 award provides me with training in (1) identifying, diagnosing, and treating OSA in older adults at risk for dementia, and (2) research methods, designs, and outcome analyses in longitudinal studies.
Obstructive Sleep Apnea, OSA, is a very highly widespread and underdiagnosed disease (Kerner & Roose, 2016). The ailment can affect the person and the people around the affected individual immensely. When one takes the time to diagnose a case of OSA it can be helped and treated. Many different factors should be taken into account when dealing with Obstructive Sleep Apnea, including the psychological perspective it falls under, the research methods used to investigate it, the positive and negative components of the condition, and the controversies associated with it.
Sleep apnea is a chronic sleeping disorder that disrupts the normal sleeping patter. It prevent a person from getting in to a deep sleep that the body needs to rest. If left untreated, it can other health related issues, work related incidents, or fatal driving accident due to sleep deprivation. Early detection is key to proper diagnosis and treatment. Contact your physician if you think you might have or show signs of sleep apnea. Treatment could just be as easy as a simple lifestyle
Obstructive sleep apnea (OSA) is a common, yet under recognized condition. It is estimated that some form of OSA affects approximately 17% of the adult population. Over the years, this number has consistently increased possibly secondary to the rising prevalence of obesity in the population [1]. The pathophysiology of OSA is postulated to be related to decreased parasympathetic activity during sleep, leading to decreased muscle tone in the upper airway, which can lead to repetitive collapse of the upper airway, causing the characteristic apneic or hypopneic events that define the diagnosis of OSA [2].
In the textbook, “Psychology in Modules”, sleep is defined as “our periodic natural loss of consciousness” (pg.100) (Myers & Dewall, 2015). I am a person that loves to sleep a lot and consider it as a hobby of mine as it is useful in stressful times to restore and gain energy back after a long day depending on the type of situation that occurred. Based upon the sleeping disorders discussed such as insomnia, narcolepsy, etc.…, I never undergone any of them but the common one that I have seen that most people tend to get is sleep apnea. I would wonder how it occurs to others as in my family, both of my parents snore in the middle of their sleep but my siblings and I don’t. There would be times where they would choke in their own saliva and wake up having trouble
The first and most researched sleep disorder is sleep apnea. Sleep apnea does not affect children as often as it effects adults, but it is still a rising concern. Sleep apnea occurs in about 2 per cent of children, mainly between the ages of one through eight. But it can also show up in older children and even infants. (Klein). Research says that young blacks are more at risk than young whites. (Fritz p 83). Children with sleep apnea briefly stop breathing many times during the night due to an obstruction in the respiratory tract. Most of the time it is related to enlarged tonsils and adenoids or to obesity. As the child will gasp for there breath during sleep, they awaken for a few moments to regain there normal breathing and then they immediately return back to sleep. Because the child will be awoken by this many times during the night, this cause sleep deprivation. (Common Sleep Problems AA). The physical symptoms of sleep apnea are excessive daytime sleepiness, snoring, restless sleep, heavy and irregular breathing, excessive perspiring during the night, bad dreams, sleeping with there mouth open, sleeps in strange positions, morning headaches, learning problems, excessive irritability, depression, changes in personality, difficulty
However, obstructive sleep apnea is just the opposite in which, it affects around two to four percent of kids’. The results of sleep