Factors Influencing the Use and Nonuse of Continuous Positive Airway Pressure Therapy: A Comparative Case Study

Authors

  • Tracy Meredith Ayow MScA RN,

    Corresponding authorSearch for more papers by this author
    • Tracy Meredith Ayow, MScA RN, is a nurse clinician at the Sleep Disorders Clinics of McGill University Health Centre, McGill University School of Nursing, Montreal, Quebec, Canada.

  • France Paquet MScN RN,

    Clinical Nurse SpecialistSearch for more papers by this author
    • France Paquet, MScN RN, is a clinical nurse specialist in respiratory oncology at McGill University Health Centre, Sleep Disorders Clinic in Montreal, Quebec, Canada.

  • Julie Dallaire MScN RN,

    Clinical Nurse SpecialistSearch for more papers by this author
    • Julie Dallaire, MScN RN, is a clinical nurse specialist in respiratory oncology at McGill University Health Centre, Sleep Disorders Clinic in Montreal, Quebec, Canada.

  • Margaret Purden PhD RN,

    Assistant Professor and Assistant DirectorSearch for more papers by this author
    • Margaret Purden, PhD RN, is an assistant professor and assistant director of the doctorate program for the School of Nursing at McGill University School of Nursing, Montreal, Quebec, Canada.

  • Katéri Agnes Champagne MD MSc ABSM

    Respirologist, Sleep Specialist, Epidemiologist, and Research AssistantSearch for more papers by this author
    • Katéri Agnes Champagne, MD MSc ABSM, is a respirologist, sleep specialist, epidemiologist, and research assistant at McGill University Health Centre, Montreal, Quebec, Canada.


tracy.ayow@gmail.com.

Abstract

The rates of sustained use of continuous positive airway pressure (CPAP) therapy among adults with obstructive sleep apnea (OSA) appear consistently suboptimal, despite the efficacy of this treatment. Using semistructured interviews, this study identified facilitators and barriers toward CPAP therapy after treatment initiation among patients with OSA. A purposive sample of eight patients representing extreme differences in CPAP use was recruited from a multisite sleep disorders clinic at a tertiary health center. Perceived physical, psychological, and social factors were found to influence both CPAP use and nonuse. It was revealed that the way patients feel about themselves influences the ways in which they manage their OSA with or without CPAP. This study underlines the necessity of working with patients and their families to create social environments that are both accepting and supportive of patients with OSA.

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