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6-month CPAP-treatment in a young male patient with severe obstructive sleep apnoea syndrome - a case study from the couple's perspective.

https://arctichealth.org/en/permalink/ahliterature165224
Source
Eur J Cardiovasc Nurs. 2008 Jun;7(2):103-12
Publication Type
Article
Date
Jun-2008
Author
Anders Broström
Peter Johansson
Jan Albers
Jan Wiberg
Eva Svanborg
Bengt Fridlund
Author Affiliation
Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden. andbr@imv.liu.se
Source
Eur J Cardiovasc Nurs. 2008 Jun;7(2):103-12
Date
Jun-2008
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Attitude to Health
Continuous Positive Airway Pressure - adverse effects - psychology
Cost of Illness
Fear
Female
Follow-Up Studies
Frustration
Humans
Male
Nursing Methodology Research
Obesity, Morbid - complications
Qualitative Research
Quality of Life - psychology
Questionnaires
Severity of Illness Index
Sleep Apnea, Obstructive - diagnosis - etiology - prevention & control - psychology
Snoring - etiology - psychology
Social Behavior
Spouses - psychology
Stress, Psychological - etiology - psychology
Sweden
Treatment Outcome
Abstract
Obstructive sleep apnoea syndrome (OSAS) is independently associated with an increased risk for hypertension and cardiovascular disease. Continuous positive airway pressure (CPAP) can reduce mortality and morbidity, but low compliance rates are seen.
To explore and describe the experiences of CPAP-treatment in a young male patient with severe OSAS during a 6-month period from the couple's perspective. METHODS AND THE CASE: A single case study with a phenomenographic approach was employed. Diagnostic procedures of OSAS and initiation of treatment with Auto-CPAP, humidifier and a nasal mask were performed during 4 visits. Conceptions were collected at 4 different occasions during the 6-month period (before, and 2 weeks, 3 months, and 6 months after treatment initiation) by means of interviews with a 33-year old male patient and his female partner.
Totally 17 different structural aspects were found to fluctuate during the 6-month period in relation to; influence of stressors, social reactions and adaptation to increase compliance.
An increased knowledge about the influence of stressors, the social reactions, and the adaptation can help healthcare personnel to identify and better understand concerns of other patients and spouses during different time phases of the initial 6-month period of CPAP-treatment.
Notes
Comment In: Eur J Cardiovasc Nurs. 2008 Jun;7(2):89-9018396463
PubMed ID
17291832 View in PubMed
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Perceived informational needs, side-effects and their consequences on adherence - a comparison between CPAP treated patients with OSAS and healthcare personnel.

https://arctichealth.org/en/permalink/ahliterature91777
Source
Patient Educ Couns. 2009 Feb;74(2):228-35
Publication Type
Article
Date
Feb-2009
Author
Broström Anders
Strömberg Anna
Ulander Martin
Fridlund Bengt
Mårtensson Jan
Svanborg Eva
Author Affiliation
Department of Clinical Neurophysiology, University Hospital, Linköping, Sweden. andbr@imv.liu.se
Source
Patient Educ Couns. 2009 Feb;74(2):228-35
Date
Feb-2009
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Causality
Chi-Square Distribution
Continuous Positive Airway Pressure - adverse effects - psychology
Cross-Sectional Studies
Female
Health services needs and demand
Humans
Male
Middle Aged
Patient Compliance - psychology
Patient Education as Topic - methods
Personnel, Hospital - psychology
Principal Component Analysis
Questionnaires
Self Care
Sleep Apnea, Obstructive - etiology - prevention & control - psychology
Statistics, nonparametric
Sweden
Abstract
OBJECTIVE: To compare perceptions among continuous positive airway pressure (CPAP) treated patients with obstructive sleep apnoea syndrome (OSAS) and healthcare personnel with regard to informational needs, side-effects and their consequences on adherence. METHODS: A cross-sectional descriptive design was used including 350 CPAP treated OSAS patients from three Swedish hospitals and 105 healthcare personnel from 26 Swedish hospitals. Data collection was performed using two questionnaires covering informational needs, side-effects and adherence to CPAP. RESULTS: Both groups perceived all surveyed informational areas as very important. Patients perceived the possibilities to learn as significantly greater in all areas (p
PubMed ID
18835124 View in PubMed
Less detail