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Title: | Understanding adherence to continuous positive airway pressure in patients with obstructive sleep apnea post-stroke : a prospective study based on the Andersen model | Authors: | Yang, HL Wang, M Xu, YF Mo, BR Liu, XL Redding, SR |
Issue Date: | Jun-2024 | Source: | Nursing and health sciences, June 2024, v. 26, no. 2, e13129 | Abstract: | Adherence to continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA) post-stroke is often problematic, despite potential benefits. This study aimed to evaluate CPAP adherence in patients with OSA post-stroke based on the Andersen behavioral model of health services utilization. A total of 227 eligible participants were recruited from a Chinese hospital. After baseline assessment, participants were followed for 6 months to determine short-term CPAP adherence. Those with good short-term adherence were followed for an additional 6 months to explore long-term adherence and influencing factors. Short-term CPAP adherence rate was 33%. Being married or living with a partner, having an associate degree or baccalaureate degree or higher, and stronger health beliefs independently predicted short-term CPAP adherence. Only 25% of participants from the adherent group showed good long-term adherence. The factor associated with long-term CPAP adherence was participants not using alcohol. Adherence to CPAP is suboptimal among patients having OSA post-stroke. Addressing unfavorable predisposing factors and modifying health beliefs are suggested. | Keywords: | Adherence Continuous positive airway pressure Obstructive sleep apnea Predictors Stroke |
Publisher: | John Wiley & Sons, Inc. | Journal: | Nursing and health sciences | ISSN: | 1441-0745 | EISSN: | 1442-2018 | DOI: | 10.1111/nhs.13129 | Rights: | © 2024 The Authors. Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits use, distribution and reproduction in anymedium, provided the original work is properly cited and is not used for commercial purposes. The following publication Yang, H.-L., Wang, M., Xu, Y.-F., Mo, B.-R., Liu, X.-L., & Redding, S. R. (2024). Understanding adherence to continuous positive airway pressure in patients with obstructive sleep apnea post-stroke: A prospective study based on the Andersen model. Nursing & Health Sciences, 26(2), e13129 is available at https://doi.org/10.1111/nhs.13129. |
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Yang_Understanding_Adherence_Continuous.pdf | 2.11 MB | Adobe PDF | View/Open |
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