0817 ADHERENCE TO CPAP TREATMENT IN WOMEN WITH OBSTRUCTIVE SLEEP APNEA
Notice bibliographique
Résumé
Family physicians are under-referring patients with obstructive sleep apnea (OSA) to sleep medicine specialists for diagnosis and treatment, a phenomenon particularly acute in women. Because recruited women have been found to have a surprisingly high OSA diagnosis rate of substantial severity, the present study examines predictors of continuous positive airway treatment (CPAP) adherence in an exclusively female sample - a group rarely selected for evaluation. The objectives were to describe the factors associated with CPAP non-adherence and to examine predictors of treatment adherence. Participants were 29 women (mean age = 56.5, sd = 9.8), recruited from two hospital based family medicine clinics. OSA was diagnosed by polysomnography; insomnia-related variables, quality of life and psychological adjustment were assessed by self-report measures. There were no significant differences between adherent and non-adherent women with respect to severity of OSA. The adherent group had worse nocturnal and daytime functioning than the non-adherent group; this difference reached statistical significance for feeling unrefreshed in the morning, perceived poor sleep quality, feeling sleepy during the day and having difficulty concentrating.. The two most important adherence predictors were: feeling refreshed in the morning and number of nocturnal awakenings. Our findings suggest that women with moderate to severe OSA may be identified first by complaints related to feeling unrefreshed in the morning, followed by perceived poor sleep quality, sleepiness during the day and difficulty concentrating. These, also, are the women are most likely to accept and adhere to CPAP treatment. Since adherence predictors were basically sleep quality variables, one might speculate that identified CPAP adherent women in family practice settings may be at risk for having their sleep apnea misdiagnosed as insomnia and subsequently be offered inappropriate treatment (e.g. sedatives or hypnotics). Notably, the non adherent women had equally severe OSA, and these are the women, at elevated risk of having their OSA overlooked by their physician. CIHR.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».