PURPOSE: In 2004, a retrospective study was performed in Queen Elizabeth hospital to evaluate the impact of basic (Continuous Positive Airway Airway Pressure) CPAP education on improving compliance. The acceptable CPAP compliance rate was fair (47.2%). We postulated that the provision of an additional 15 minute individual face to face interview might improve CPAP acceptance and satisfactory rate.
METHODS: A retrospective case-controlled study evaluating the initial acceptance of CPAP treatment was conducted between a group of newly diagnosed Obstructive Sleep Apnoea Syndrome (OSAS) patients who received basic CPAP educational programme and another group with an additional 15-minute individual consultation after the educational programme. That was carried out in Queen Elizabeth hospital over a 6 month period. (March-September, 2009). The problems encountered during CPAP titration study, such as mask and pressure intolerance, can be evaluated in the consultation by means such as trial of other interface and, if necessary, referral to another CPAP titration for further monitoring. The acceptance rate and self reported of satisfaction was obtained after educational programme.
RESULTS: 127 patients with diagnosed OSAS (80.4%) attended the educational Clinic with individual interview afterwards. All (80.4%) acknowledged sufficient understanding and demonstrated willingness to consider CPAP treatment. 84 (66.1%) patients agreed and started CPAP treatment afterwards. The CPAP acceptance rate was significantly higher than the results achieved with basic CPAP educational programme alone [66.1% vs 64.5% (p< 0.001)] [Lit MPK et al. Chest 2005; 128(4): s233-s234]. Both educational interventions had been shown to achieve significantly better acceptance rates than without intervention at all. The CPAP acceptance rate between those patients with and without educational interventions in 2005(64.5 vs. 43.2%) and 2009 (66. .1% vs. 3.1%) are significantly different respectively. (p< 0.001).
CONCLUSION: An additional 15 minutes expertise advice had significantly higher CPAP acceptance rate than those in the standard educational programme support group.
CLINICAL IMPLICATIONS: CPAP acceptance can be improved by provision of a nurse-led additional 15 minutes individual consultation.Long term effectiveness and compliance rate needs to be evaluated in prospective controlled trials.
DISCLOSURE: Maggie Lit, No Financial Disclosure Information; No Product/Research Disclosure Information