Факторы, влияющие на приверженность CPAP-терапии пациентов с синдромом обструктивного апноэ сна

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ЦЕЛЬ ИССЛЕДОВАНИЯ

Анализ факторов, оказывающих влияние на приверженность неинвазивной вентиляции постоянным положительным давлением воздушного потока во время сна (CPAP-терапия) пациентов с СОАС.

МАТЕРИАЛ И МЕТОДЫ

Поиск литературы проводился с помощью поисковых систем PubMed, Google Scholar, eLIBRARY, Киберленинка за период 2013—2023 гг. и включал обзорные и оригинальные статьи.

РЕЗУЛЬТАТЫ

Установлены основные группы факторов, оказывающих влияние на приверженность CPAP-терапии пациентов с СОАС. К ним относятся социально-демографические и социально-экономические факторы, степень тяжести СОАС и выраженность клинических симптомов, психосоциальные факторы. Выявлены мероприятия, направленные на улучшение приверженности (обучающие технологии для пациентов, телемедицинские технологии, поведенческая терапия, современные технические решения).

ЗАКЛЮЧЕНИЕ

Исходя из вышеизложенного, факторами, улучшающими приверженность CPAP-терапии, являются высокие уровни образованности и доходов пациентов, более тяжелые формы СОАС, сопровождающиеся дневной сонливостью, поддержка супруга пациента и социальная поддержка. А такие факторы, как низкие уровни образования и доходов, курение, наличие симптомов депрессии и ипохондрии, а также возникающие побочные эффекты, ухудшают приверженность CPAP-терапии вплоть до отказа от продолжения лечения. Следует отметить, что все выявленные факторы очень тесно взаимосвязаны друг с другом, поэтому необходимо оценивать их комплексно у каждого пациента с СОАС.

Ключевые слова:

обструктивное апноэ сна

CPAP-терапия

приверженность

Авторы:

Рубаненко А.О.

ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России

ORCID: 0000-0002-3996-4689

Дьячков В.А.

ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России

ORCID: 0000-0001-8891-6088

Мирошниченко А.И.

ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России

ORCID: 0000-0003-0240-9144

Дата поступления:

13.02.2024

Дата принятия в печать:

04.03.2024

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