Indian Journal of Sleep Medicine

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VOLUME 14 , ISSUE 4 ( October-December, 2019 ) > List of Articles

REVIEW ARTICLE

How to Improve Adherence to Continuous Positive Airway Pressure Therapy?

Keywords : Continuous positive airway pressure, Counseling, Mask

Citation Information : How to Improve Adherence to Continuous Positive Airway Pressure Therapy?. Indian Sleep Med 2019; 14 (4):67-69.

DOI: 10.5005/jp-journals-10069-0043

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Obstructive sleep apnea (OSA) is a heterogeneous disease with a wide spectrum and diversity. Impact of OSA is multi-systemic with predisposition to cardiac, neurological, metabolic, endocrinological, neurocognitive, and psychiatric disorders. The continuous positive airway pressure (CPAP) device has a strong recommendation in treatment of OSA. Of the patients prescribed CPAP, 5–50% are nonadherent. Various patient-, clinician-, and therapy-related barriers affect CPAP adherence. Continuous positive airway pressure adherence can be improved by focusing on the multidisciplinary aspects like (1) education and counseling, (2) intensive patient support, (3) behavioral interventions, (4) spousal collaboration, (5) machine- and interface-related issues, (6) conservative measures, (7) and newer adherence monitors. Thus providing holistic management in OSA.


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