Challenges and motivating factors related to positive airway pressure therapy for post-TIA and stroke patients.

Autor: Matthias MS; a Veterans Affairs Health Services Research and Development Center on Implementing, Evidence-Based Practice, Roudebush VA Medical Center , Indianapolis , IN., Chumbler NR, Bravata DM, Yaggi HK, Ferguson J, Austin C, McClain V, Dallas MI, Couch CD, Burrus N, Miech EJ
Jazyk: angličtina
Zdroj: Behavioral sleep medicine [Behav Sleep Med] 2014 Mar 04; Vol. 12 (2), pp. 143-57. Date of Electronic Publication: 2013 Apr 09.
DOI: 10.1080/15402002.2013.778200
Abstrakt: Challenges adapting to continuous positive airway pressure (CPAP) therapy are largely unexplored in patients with stroke or transient ischemic attack. This study, nested within a randomized controlled trial of CPAP use, employed qualitative methods to explore challenges and motivators related to CPAP at two time points: prior to initiating therapy and at a 1-month follow up. Emergent thematic analysis, an inductive, qualitative approach, revealed variations in how patients experienced and adapted to CPAP across five phases: (a) interpreting the sleep apnea diagnosis, (b) contemplating CPAP therapy, (c) trying CPAP therapy, (d) making mid-course adjustments, and (e) experiencing benefits from CPAP therapy. Patients all had mild to moderate sleep apnea, and frequently did not experience sleep apnea symptoms. A salient motivator for adhering to CPAP therapy for these patients was the desire to reduce the risk of subsequent cerebrovascular events. Self-determination theory guided the interpretation of results.
Databáze: MEDLINE
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