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Putative facilitators and barriers for adherence to CPAP treatment in patients with obstructive sleep apnea syndrome: A qualitative content analysis
Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
Linköpings universitet, Institutionen för medicin och hälsa, Socialmedicin och folkhälsovetenskap. Linköpings universitet, Hälsouniversitetet.
Linköpings universitet, Institutionen för medicin och hälsa, Kardiologi. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärtcentrum, Kardiologiska kliniken.ORCID-id: 0000-0001-7431-2873
Linköpings universitet, Institutionen för klinisk och experimentell medicin, Klinisk neurofysiologi. Linköpings universitet, Hälsouniversitetet.
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2010 (engelsk)Inngår i: SLEEP MEDICINE, ISSN 1389-9457, Vol. 11, nr 2, s. 126-130Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: Effective treatment of obstructive sleep apnea syndrome (OSAS) with continuous positive airway pressure (CPAP) can reduce morbidity and mortality, but adherence rates are low without a clear consensus Of causes. Objective: To explore the experiences of adherence to CPAP treatment in patients with OSAS. Methods: A qualitative content analysis was employed. Data were collected by in-depth interviews with 23 purposively selected patients. Results: Adherence to CPAP treatment was summarized according to "facilitators" and "barriers" to CPAP treatment. Facilitators for adherence, as described by the patients were a desire to avoid symptoms, knowledge about the risk for medical consequences, fear of negative social consequences and disturbing the sleep of significant others. Other facilitators were a positive attitude to CPAP treatment, trust in healthcare personnel, a sense of engagement from the spouse and a feeling of physical improvement. Barriers included experiencing practical problems, negative psychological effects of the equipment, and negative attitudes to the treatment. Other barriers were side-effects as well as insufficient support from healthcare personnel and the spouse. Conclusion: Adherence to CPAP treatment is a multifaceted problem including patient, treatment, condition, social and healthcare related factors. Knowledge about facilitators and barriers for adherence to CPAP treatment can be used in interventional Strategies.

sted, utgiver, år, opplag, sider
2010. Vol. 11, nr 2, s. 126-130
Emneord [en]
Obstructive sleep apnea syndrome, Continuous positive airway pressure, Adherence, Qualitative content analysis, Motivation, Self care
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-54696DOI: 10.1016/j.sleep.2009.04.010ISI: 000275584500004OAI: oai:DiVA.org:liu-54696DiVA, id: diva2:308435
Tilgjengelig fra: 2010-04-06 Laget: 2010-04-06 Sist oppdatert: 2013-09-18

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Broström, AndersNilsen, PerJohansson, PeterUlander, MartinStrömberg, AnnaSvanborg, Eva

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