Uyku Apne Sendromu Hastalarında Pozitif Hava Yolu Basıncı Tedavisinin Yaşam Kalitesi Üzerine Etkisi

Öz

Amaç: Uyku apne sendromu obezite ve kardiyovasküler hastalıklar ile yakın ilişkilidir. Uyku apne sendromu, nörokognitif fonksiyonları ve yaşam kalitesini olumsuz etkiler. Uyku apne sendromunun tedavisinde positive airway pressure (PAP) cihazlarının kullanımı halen altın standarttır. Bu çalışmada ülkemizde PAP ile tedavi edilen uyku apne sendromu olgularında kısa form-36 anketi ile yaşam kalitesindeki değişim ölçülmüştür.

Materyal ve Metot: Çalışma PAP cihazı ile tedavi edilen 52’si erkek toplam 67 ardışık uyku apne sendromu hastası ile yapıldı. Bütün olgulara tüm gece uyku laboratuvarında polisomnografi yapıldı. SF-36 skoru PAP cihazı kullanmadan önce ve sonrasındaki 6-18 aylık süre içinde yapıldı.

Bulgular: PAP cihazını uygun şekilde kullanan hastalarda SF-36’nın bütün parametrelerinde düzelme olduğu saptandı (P<0,05).

Sonuç: Bu çalışma PAP tedavisinin yaşam kalitesini olumlu yönde etkilediğini göstermiştir. Çalışmamız ülkemizde SF-36 ile bu konuda yapılan ilk çalışmadır.

Anahtar Kelimeler

• Uyku apne sendromları,sürekli pozitif havayolu basıncı,yaşam kalitesi,kısa form 36

Effect of Positive Airway Pressure Treatment on the Quality-of-Life of Patients with Sleep Apnoea Syndrome

Abstract

Objectives: Sleep apnoea syndrome (OSA) is closely associated with obesity and cardiovascular diseases. OSA disrupts neurocognitive functioning and negatively affects quality of life. Use of a positive airway pressure (PAP) device remains the gold standard treatment for OSA. We used the Short Form-36 (SF-36) instrument to measure quality-of-life changes in PAP-treated patients in Turkey.

Materials and Methods: The present study included 67 (52 male) consecutive OSA patients treated with a PAP device. Each subject underwent overnight full-laboratory polysomnographic examination. The SF-36 scores of patients given a PAP device were measured before they commenced using the device and 6–18 months later.  

Results: Appropriate use of PAP devices improved quality of life as evidenced by improvement on all parameters of the SF-36 instrument quality-of-life scale (P<0.05).

Conclusion: We found that PAP therapy significantly improved quality of life. This study is the first in Turkey to use the SF-36.

Keywords

• Sleep Apnea Syndrome,continuous positive airway pressure,quality of life,Short form 36

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