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KMID : 1148620190240020075
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간호와 보건연구
2019 Volume.24 No. 2 p.75 ~ p.88
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Positive Airway Pressure Treatment Adherence in Adults with Obstructive Sleep Apnea: A Perspective on the Ever-evolving State of Science
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Sawyer Amy M.
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Abstract
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Objective: The over-arching purpose of this paper is to describe the phenomenon of adherence to positive airway pressure (PAP) in adults with obstructive sleep apnea (OSA) from an evolutionary perspective based on seminal influences. Specific objectives are: 1) Describe the evolution of knowledge about PAP adherence focused on PAP use, measurement of PAP adherence and intervention studies; 2) Discuss the definition of PAP adherence as it evolved in the field; and 3) Identify high impact opportunities for future work in the area of PAP adherence.
Methods: The expert perspective review includes the seminal (1) primary research publications and (2) reviews that addressed PAP adherence since 1981 to address the objectives. For the purposes of the review, seminal was defined as publications that bore theoretical, scientific and/or practical/policy significance, were of substantive and/or methodological interest and/or contributed value for future research.
Results: Seminal publications provided knowledge about PAP use and interventions to promote PAP use. These same publications brought attention to gaps in knowledge and burgeoning assumptions that were restrictive to the field while simultaneously stimulating lines of inquiry, practice initiatives and policies that continue to impact the field.
Conclusions: Reflections on the past provide a foundation from which to springboard. The future work that addresses PAP adherence in adults with OSA will necessarily apply innovative approaches to a decades-old problem and thereby advance the field by revolutionizing the management of this chronic sleep disorder.
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KEYWORD
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Continuous positive airway pressure, Obstructive sleep apnea, Patient compliance, Patient adherence
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