Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review
Background: obstructive sleep apnoea is a common and burdensome condition, characterised by obstruction of the airway during sleep at the level of the pharynx, which may occur with symptoms or without any symptoms. The most common place for obstructive sleep apnoea management is in specialised sleep...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-03-01
|
| Series: | Applied Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-3417/13/6/3516 |
| _version_ | 1797613739869995008 |
|---|---|
| author | Rabie Adel El Arab Manuel Sánchez-de-la-Torre Fran Valenzuela-Pascual Esther Rubinat-Arnaldo Joan Blanco-Blanco Francesc Rubí-Carnacea Oriol Martinez-Navarro Olga Mediano Montserrat Gea-Sánchez |
| author_facet | Rabie Adel El Arab Manuel Sánchez-de-la-Torre Fran Valenzuela-Pascual Esther Rubinat-Arnaldo Joan Blanco-Blanco Francesc Rubí-Carnacea Oriol Martinez-Navarro Olga Mediano Montserrat Gea-Sánchez |
| author_sort | Rabie Adel El Arab |
| collection | DOAJ |
| description | Background: obstructive sleep apnoea is a common and burdensome condition, characterised by obstruction of the airway during sleep at the level of the pharynx, which may occur with symptoms or without any symptoms. The most common place for obstructive sleep apnoea management is in specialised sleep units. Aim: to identify what is known about nurses’ role in comprehensive management of obstructive sleep apnoea, and to determine the effectiveness of nurse-led interventions as well as the cost effectiveness of management of obstructive sleep apnoea in primary care settings. Methods: a scoping review was carried out by searching PubMed/Medline, CINAHL, Scopus, Cochrane Database of Systematic Reviews and ScienceDirect. The study findings were synthesised using a thematic analysis approach. Results: In this review, 12 articles were included, and three key themes emerged, namely the role of nurses in the diagnosis of obstructive sleep apnoea, role of nurses in the follow up and support of obstructive sleep apnoea patients, and role of nurses in the management of obstructive sleep apnoea in primary care and the cost-effectiveness. Conclusion: Nurses can play a critical role in obstructive sleep apnoea. There are many ways in which nurses can contribute, including screening, assessment, diagnosis, promotion of therapy adherence, and following up with patients, including monitoring for any side effects associated with the CPAP machine, such as irritation of the face. Additionally, nurses can provide patient education and coordinate with other health care providers. Nursing interventions such as patient education have been demonstrated to be highly effective in promoting adherence to PAP therapy in both sleep units and primary care settings. Based on the findings of this review, the primary care model is more cost-effective than the sleep unit model in the management of obstructive sleep apnoea patients. The role of nurses in managing Obstructive Sleep Apnoea in both paediatric and adult populations shares similarities, but also includes differences that should be carefully considered and explored. In this review, one article only explored the role of nurses in paediatric OSA care. Thus, there is a need to identify the potential role of nursing in the comprehensive management of paediatric obstructive sleep apnoea, as well as to explore alternative cost-effective approaches that include primary care settings. |
| first_indexed | 2024-03-11T06:59:57Z |
| format | Article |
| id | doaj.art-cefcb21cd67f440e9e416fe8d6bf3ee1 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-11T06:59:57Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-cefcb21cd67f440e9e416fe8d6bf3ee12023-11-17T09:22:49ZengMDPI AGApplied Sciences2076-34172023-03-01136351610.3390/app13063516Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature ReviewRabie Adel El Arab0Manuel Sánchez-de-la-Torre1Fran Valenzuela-Pascual2Esther Rubinat-Arnaldo3Joan Blanco-Blanco4Francesc Rubí-Carnacea5Oriol Martinez-Navarro6Olga Mediano7Montserrat Gea-Sánchez8Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, SpainDepartment of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25002 Lleida, SpainBackground: obstructive sleep apnoea is a common and burdensome condition, characterised by obstruction of the airway during sleep at the level of the pharynx, which may occur with symptoms or without any symptoms. The most common place for obstructive sleep apnoea management is in specialised sleep units. Aim: to identify what is known about nurses’ role in comprehensive management of obstructive sleep apnoea, and to determine the effectiveness of nurse-led interventions as well as the cost effectiveness of management of obstructive sleep apnoea in primary care settings. Methods: a scoping review was carried out by searching PubMed/Medline, CINAHL, Scopus, Cochrane Database of Systematic Reviews and ScienceDirect. The study findings were synthesised using a thematic analysis approach. Results: In this review, 12 articles were included, and three key themes emerged, namely the role of nurses in the diagnosis of obstructive sleep apnoea, role of nurses in the follow up and support of obstructive sleep apnoea patients, and role of nurses in the management of obstructive sleep apnoea in primary care and the cost-effectiveness. Conclusion: Nurses can play a critical role in obstructive sleep apnoea. There are many ways in which nurses can contribute, including screening, assessment, diagnosis, promotion of therapy adherence, and following up with patients, including monitoring for any side effects associated with the CPAP machine, such as irritation of the face. Additionally, nurses can provide patient education and coordinate with other health care providers. Nursing interventions such as patient education have been demonstrated to be highly effective in promoting adherence to PAP therapy in both sleep units and primary care settings. Based on the findings of this review, the primary care model is more cost-effective than the sleep unit model in the management of obstructive sleep apnoea patients. The role of nurses in managing Obstructive Sleep Apnoea in both paediatric and adult populations shares similarities, but also includes differences that should be carefully considered and explored. In this review, one article only explored the role of nurses in paediatric OSA care. Thus, there is a need to identify the potential role of nursing in the comprehensive management of paediatric obstructive sleep apnoea, as well as to explore alternative cost-effective approaches that include primary care settings.https://www.mdpi.com/2076-3417/13/6/3516obstructive sleep apnoeaadultpaediatricchronic diseasesclinical careclinical management |
| spellingShingle | Rabie Adel El Arab Manuel Sánchez-de-la-Torre Fran Valenzuela-Pascual Esther Rubinat-Arnaldo Joan Blanco-Blanco Francesc Rubí-Carnacea Oriol Martinez-Navarro Olga Mediano Montserrat Gea-Sánchez Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review Applied Sciences obstructive sleep apnoea adult paediatric chronic diseases clinical care clinical management |
| title | Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review |
| title_full | Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review |
| title_fullStr | Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review |
| title_full_unstemmed | Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review |
| title_short | Nursing Professionals’ Role in the Comprehensive Management of Obstructive Sleep Apnoea: A Literature Review |
| title_sort | nursing professionals role in the comprehensive management of obstructive sleep apnoea a literature review |
| topic | obstructive sleep apnoea adult paediatric chronic diseases clinical care clinical management |
| url | https://www.mdpi.com/2076-3417/13/6/3516 |
| work_keys_str_mv | AT rabieadelelarab nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT manuelsanchezdelatorre nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT franvalenzuelapascual nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT estherrubinatarnaldo nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT joanblancoblanco nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT francescrubicarnacea nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT oriolmartineznavarro nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT olgamediano nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview AT montserratgeasanchez nursingprofessionalsroleinthecomprehensivemanagementofobstructivesleepapnoeaaliteraturereview |