Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy
Purpose – The purpose is to assess the effectiveness of continuous positive airway pressure (CPAP) treatment on sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea (OSA) patients. Design/methodology/approach – A repeated measures clinical intervention design...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
College of Public Health Sciences, Chulalongkorn University
2022-08-01
|
| Series: | Journal of Health Research |
| Subjects: | |
| Online Access: | https://www.emerald.com/insight/content/doi/10.1108/JHR-07-2020-0260/full/pdf?title=sleep-quality-daytime-sleepiness-and-daytime-functioning-among-thai-obstructive-sleep-apnea-patients-receiving-continuous-positive-airway-pressure-therapy |
| _version_ | 1797724992746553344 |
|---|---|
| author | Theerakorn Theerakittikul Jindarat Chaiard Jirawan Deeluea |
| author_facet | Theerakorn Theerakittikul Jindarat Chaiard Jirawan Deeluea |
| author_sort | Theerakorn Theerakittikul |
| collection | DOAJ |
| description | Purpose – The purpose is to assess the effectiveness of continuous positive airway pressure (CPAP) treatment on sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea (OSA) patients. Design/methodology/approach – A repeated measures clinical intervention design was implemented. Participants were 50 patients first time diagnosed with OSA and prescribed CPAP treatment. The intervention composed of CPAP health education, and follow-up evaluation. Data on CPAP adherence were downloaded from Smartcards of the CPAP device. The Thai PSQI, ESS and FSAQ-10 questionnaires were administered at baseline, 1-month, and 3-months. Descriptive statistics and repeated measure analysis with multilevel mixed-effects modeling approach were used. Findings – Thirty-nine participants completed the study. Approximately 53% (n = 25) and 71.1% (n = 27) of the patients adhered to CPAP treatment by the end of the 1- and 3-months, respectively. After controlling for patients’ adherence, at 1-month follow-up, the intervention improved quality of sleep (β = −2.65, 95% CI = −1.60, −4.13), daytime functioning (β = 3.24, 95% CI = 1.87, 4.61) and decreased daytime sleepiness (β = −3.29, 95% CI = −1.85, −4.73). At 3 months, the intervention still improved quality of sleep (β = −3.53, 95% CI = −2.05, −5.01), and daytime functioning (β = 4.34, 95% CI = 2.76, 5.92), and decreased daytime sleepiness (β = −4.82, 95% CI = −3.16, −6.49). Originality/value – Adherence to CPAP treatment is effective in improving sleep quality, daytime functioning and reducing daytime sleepiness. Patient-oriented strategies for enhancing CPAP adherence should be developed and implemented as a standard care in sleep clinics. |
| first_indexed | 2024-03-12T10:24:49Z |
| format | Article |
| id | doaj.art-9e1edc0009bf4a818f74ab7feac2f4c0 |
| institution | Directory Open Access Journal |
| issn | 0857-4421 2586-940X |
| language | English |
| last_indexed | 2024-03-12T10:24:49Z |
| publishDate | 2022-08-01 |
| publisher | College of Public Health Sciences, Chulalongkorn University |
| record_format | Article |
| series | Journal of Health Research |
| spelling | doaj.art-9e1edc0009bf4a818f74ab7feac2f4c02023-09-02T09:49:57ZengCollege of Public Health Sciences, Chulalongkorn UniversityJournal of Health Research0857-44212586-940X2022-08-0136597298210.1108/JHR-07-2020-0260667339Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapyTheerakorn Theerakittikul0Jindarat Chaiard1Jirawan Deeluea2Sleep Disorder Center, Center for Medical Excellence, Chiang Mai University, Chiang Mai, ThailandFaculty of Nursing, Chiang Mai University, Chiang Mai, ThailandFaculty of Nursing, Chiang Mai University, Chiang Mai, ThailandPurpose – The purpose is to assess the effectiveness of continuous positive airway pressure (CPAP) treatment on sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea (OSA) patients. Design/methodology/approach – A repeated measures clinical intervention design was implemented. Participants were 50 patients first time diagnosed with OSA and prescribed CPAP treatment. The intervention composed of CPAP health education, and follow-up evaluation. Data on CPAP adherence were downloaded from Smartcards of the CPAP device. The Thai PSQI, ESS and FSAQ-10 questionnaires were administered at baseline, 1-month, and 3-months. Descriptive statistics and repeated measure analysis with multilevel mixed-effects modeling approach were used. Findings – Thirty-nine participants completed the study. Approximately 53% (n = 25) and 71.1% (n = 27) of the patients adhered to CPAP treatment by the end of the 1- and 3-months, respectively. After controlling for patients’ adherence, at 1-month follow-up, the intervention improved quality of sleep (β = −2.65, 95% CI = −1.60, −4.13), daytime functioning (β = 3.24, 95% CI = 1.87, 4.61) and decreased daytime sleepiness (β = −3.29, 95% CI = −1.85, −4.73). At 3 months, the intervention still improved quality of sleep (β = −3.53, 95% CI = −2.05, −5.01), and daytime functioning (β = 4.34, 95% CI = 2.76, 5.92), and decreased daytime sleepiness (β = −4.82, 95% CI = −3.16, −6.49). Originality/value – Adherence to CPAP treatment is effective in improving sleep quality, daytime functioning and reducing daytime sleepiness. Patient-oriented strategies for enhancing CPAP adherence should be developed and implemented as a standard care in sleep clinics.https://www.emerald.com/insight/content/doi/10.1108/JHR-07-2020-0260/full/pdf?title=sleep-quality-daytime-sleepiness-and-daytime-functioning-among-thai-obstructive-sleep-apnea-patients-receiving-continuous-positive-airway-pressure-therapysleep apneasleep qualityobstructive sleep apnea patientsthailand |
| spellingShingle | Theerakorn Theerakittikul Jindarat Chaiard Jirawan Deeluea Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy Journal of Health Research sleep apnea sleep quality obstructive sleep apnea patients thailand |
| title | Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy |
| title_full | Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy |
| title_fullStr | Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy |
| title_full_unstemmed | Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy |
| title_short | Sleep quality, daytime sleepiness and daytime functioning among Thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy |
| title_sort | sleep quality daytime sleepiness and daytime functioning among thai obstructive sleep apnea patients receiving continuous positive airway pressure therapy |
| topic | sleep apnea sleep quality obstructive sleep apnea patients thailand |
| url | https://www.emerald.com/insight/content/doi/10.1108/JHR-07-2020-0260/full/pdf?title=sleep-quality-daytime-sleepiness-and-daytime-functioning-among-thai-obstructive-sleep-apnea-patients-receiving-continuous-positive-airway-pressure-therapy |
| work_keys_str_mv | AT theerakorntheerakittikul sleepqualitydaytimesleepinessanddaytimefunctioningamongthaiobstructivesleepapneapatientsreceivingcontinuouspositiveairwaypressuretherapy AT jindaratchaiard sleepqualitydaytimesleepinessanddaytimefunctioningamongthaiobstructivesleepapneapatientsreceivingcontinuouspositiveairwaypressuretherapy AT jirawandeeluea sleepqualitydaytimesleepinessanddaytimefunctioningamongthaiobstructivesleepapneapatientsreceivingcontinuouspositiveairwaypressuretherapy |