Quality improvement in continuous positive airway pressure (CPAP) adherence through written education and supportive measures
Review TypeFaculty Approved: Degree-based Submission
Repository Posting Date2020-01-08T20:31:21Z
Author DetailsCaitlin Read, ARNP
Lead Author Sigma AffliationLambda Rho at-Large
TypeDNP Capstone Project
Level of EvidenceQuality Improvement
Research ApproachQuantitative Research
Background: Obstructive Sleep Apnea (OSA) is the most common sleep disorder and is caused by complete or partial obstruction of the upper airway. OSA impacts can be extremely de-habilitating because it can impair daytime performance, reduce quality of life, and impair neurocognitive functions. Adherence is often the main problem with OSA treatment. It is believed that 29-83% of patients using a Continuous Positive Airway Pressure (CPAP) are not compliant with therapy. Even though CPAP is the gold standard of treatment for OSA the adherence rates are still low. Research has shown that with increased education that these adherence rates increase.
Purpose: This quality improvement project aim is to use written education to increase CPAP adherence rates with newly diagnosed OSA patients.
Methods: The quantitative obtained from this project included drop-out rates, the difference in ESS, and mean nightly CPAP use. This project was conducted at a Respiratory and Sleep Medicine outpatient office where 25 newly diagnosed OSA patients were provided written education. These patients had 31 to 90 days to follow up with the provider after CPAP implementation. At follow up a post survey and ESS was conducted to determine whether written education helped to improve CPAP adherence.
Data Analysis: The post-test data analysis focused on the pre and post SEMSA scores, pre and post ESS, and mean nightly CPAP use. The evaluation of the three chosen measurements following the intervention was assessed by using paired t-tests with a mixed linear analysis using linear mixed models.
Results: The findings did not yield to the intended results of an overall increase in adherence rates with implementation of the CPAP. Never the less, there was still positive outcomes. The implementation led to an increased awareness to the need of education within the population. For CPAP users the overall nightly goal for CPAP use is 4-6 hours, and the overall nightly use for the patient population during this QI project was 6.3 hours. The results helped to support the main objective of the QI project by showing a slight improvement within ESS and mean nightly CPAP use after education, but also there is a need for further research.
Degree GrantorJacksonville University
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