Challenges and Motivating Factors Related to Positive Airway Pressure Therapy for Post-TIA and Stroke Patients
| Autor: | Vincent McClain, Jared Ferguson, H. Klar Yaggi, Marianne S. Matthias, Nicholas Burrus, Mary I. Dallas, Charles Austin, Neale R. Chumbler, Dawn M. Bravata, Cody D Couch, Edward J. Miech |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Neuroscience (miscellaneous) MEDLINE Medicine (miscellaneous) law.invention Sleep Apnea Syndromes Randomized controlled trial law Positive airway pressure medicine Humans Continuous positive airway pressure Intensive care medicine Stroke Aged Aged 80 and over Motivation Continuous Positive Airway Pressure business.industry Sleep apnea Middle Aged medicine.disease nervous system diseases respiratory tract diseases Ischemic Attack Transient Physical therapy Female Neurology (clinical) Psychology (miscellaneous) Thematic analysis business therapeutics Follow-Up Studies circulatory and respiratory physiology Qualitative research |
| Zdroj: | Behavioral Sleep Medicine. 12:143-157 |
| ISSN: | 1540-2010 1540-2002 |
| Popis: | 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: | OpenAIRE |
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