"The terrible dryness woke me up, I had some trouble breathing"-Critical situations related to oral health as described by CPAP-treated persons with obstructive sleep apnea.
adherence
experiences
humidification
management
patient perspective
qualitative
Journal
Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
revised:
04
05
2022
received:
04
03
2022
accepted:
24
05
2022
pubmed:
30
6
2022
medline:
11
11
2022
entrez:
29
6
2022
Statut:
ppublish
Résumé
Continuous positive airway pressure is a common and effective treatment for obstructive sleep apnea, but adherence remains an issue. Both obstructive sleep apnea and oral diseases are associated with cardiovascular diseases, and as oral dryness contributes to treatment abandonment, oral health is of importance for this patient group. The aim was therefore to explore how persons with continuous positive airway pressure-treated obstructive sleep apnea experience situations associated with their oral health, and which actions they take to manage these. An explorative and descriptive design was adopted using the critical incident technique. Based on a purposeful selection, 18 adults with long-term experience of continuous positive airway pressure-treatment were interviewed using a semi-structured interview guide. Both negative and positive situations were described. Negative situations consisted of challenges with breathing, including mouth-breathing, choking sensations, problems with night-time and daytime oral dryness, changes in the saliva composition, and deteriorating oral health. Positive situations included experiences of reduced mouth-breathing and oral dryness. The situations were often successfully managed by mimicking daytime movements, changing sleeping position, adjusting the CPAP-device and mask, increasing oral hygiene efforts, drinking water, using a humidifier or chinstrap, or contacting their oral healthcare clinic. Long-term experience of persons with continuous positive airway pressure-treated obstructive sleep apnea regard situations and actions from everyday life. Successful management can contribute to long-term adherence and decrease negative effects on oral health. More interdisciplinary collaborations could enable identification and adequate recommendations for persons who experience negative situations during their continuous positive airway pressure treatment.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13670Informations de copyright
© 2022 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.
Références
Albandar, J. M., Susin, C., & Hughes, F. J. (2018). Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: Case definitions and diagnostic considerations. Journal of Periodontology, 89, 183-203. https://doi.org/10.1002/JPER.16-0480
Almeida, F. R., Henrich, N., Marra, C., Lynd, L. D., Lowe, A. A., Tsuda, H., Fleetham, J. A., Pliska, B., & Najib, A. (2013). Patient preferences and experiences of CPAP and oral appliances for the treatment of obstructive sleep apnea: A qualitative analysis. Sleep & Breathing, 17, 659-666. https://doi.org/10.1007/s11325-012-0739-6
Ayow, T. M., Paquet, F., Dallaire, J., Purden, M., & Champagne, K. A. (2009). Factors influencing the use and nonuse of continuous positive airway pressure therapy: A comparative case study. Rehabilitation Nursing Journal, 34(6), 230-236.
Bachour, A. (2004). Mouth closing device (chinstrap) reduces mouth leak during nasal CPAP. Sleep Medicine, 5(3), 261-267. https://doi.org/10.1016/j.sleep.2003.11.004
Benjafield, A. V., Ayas, N. T., Eastwood, P. R., Heinzer, R., Ip, M. S. M., Morrell, M. J., Nunez, C. M., Patel, S. R., Penzel, T., Pépin, J.-L., Peppard, P. E., Sinha, S., Tufik, S., Valentine, K., & Malhotra, A. (2019). Estimation of the global prevalence and burden of obstructive sleep apnoea: A literature-based analysis. The Lancet Respiratory Medicine, 7(8), 687-698. https://doi.org/10.1016/s2213-2600(19)30198-5
Berggren, K., Broström, A., Firestone, A., Wright, B., Josefsson, E., & Lindmark, U. (2021). Oral health problems linked to obstructive sleep apnea are not always recognized within dental care-As described by dental professionals. Clinical and Experimental Dental Research., 1-12, 84-95. https://doi.org/10.1002/cre2.517
Borel, J. C., Tamisier, R., Dias-Domingos, S., Sapene, M., Martin, F., Stach, B., Grillet, Y., Muir, J. F., Levy, P., Series, F., & Pepin, J. L. (2013). Type of mask may impact on continuous positive airway pressure adherence in apneic patients. PLoS One, 8(5), e64382. https://doi.org/10.1371/journal.pone.0064382
Broström, A., Nilsen, P., Johansson, P., Ulander, M., Strömberg, A., Svanborg, E., & Fridlund, B. (2010). Putative facilitators and barriers for adherence to CPAP treatment in patients with obstructive sleep apnea syndrome: A qualitative content analysis. Sleep Medicine, 11(2), 126-130. https://doi.org/10.1016/j.sleep.2009.04.010
Broström, A., Sunnergren, O., Årestedt, K., Johansson, P., Ulander, M., Riegel, B., & Svanborg, E. (2012). Factors associated with undiagnosed obstructive sleep apnoea in hypertensive primary care patients. Scandinavian Journal of Primary Health Care, 30(2), 107-113. https://doi.org/10.3109/02813432.2012.675563
Chai-Coetzer, C. L., Luo, Y. M., Antic, N. A., Zhang, X. L., Chen, B. Y., He, Q. Y., Heeley, E., Huang, S. G., Anderson, C., Zhong, N. S., & McEvoy, R. D. (2013). Predictors of long-term adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea and cardiovascular disease in the SAVE study. Sleep, 36(12), 1929-1937. https://doi.org/10.5665/sleep.3232
Elfström, M., Karlsson, S., Nilsen, P., Fridlund, B., Svanborg, E., & Brostrom, A. (2012). Decisive situations affecting partners' support to continuous positive airway pressure-treated patients with obstructive sleep apnea syndrome: A critical incident technique analysis of the initial treatment phase. Journal of Cardiovascular Nursing, 27(3), 228-239. https://doi.org/10.1097/JCN.0b013e3182189c34
Flanagan, J. C. (1954). The critical incident technique. Psychological Bulletin, 51(4), 327-358. https://doi.org/10.1037/h0061470
Fridlund, B., Henricson, M., & Mårtensson, J. (2017). Critical incident technique applied in nursing and healthcare sciences. SOJ Nursing & Health Care, 3(1), 1-5.
Glick, M., Williams, D. M., Kleinman, D. V., Vujicic, M., Watt, R. G., & Weyant, R. J. (2017). Reprint of: A new definition for oral health supported by FDI opens the door to a universal definition of oral health. Journal of Dentistry, 57(Supplement C), 1-3. https://doi.org/10.1016/j.jdent.2016.12.005
Gottlieb, D. J., & Punjabi, N. M. (2020). Diagnosis and management of obstructive sleep apnea: A review. Journal of the American Medical Association, 323(14), 1389-1400. https://doi.org/10.1001/jama.2020.3514
Hopcraft, M., & Tan, C. (2010). Xerostomia: An update for clinicians. Australian Dental Journal, 55(3), 238-244. https://doi.org/10.1111/j.1834-7819.2010.01229.x
Hu, S. T., Yu, C. C., Lee, P. S., & Tsao, L. I. (2014). Life experiences among obstructive sleep apnoea patients receiving continuous positive airway pressure therapy. Journal of Clinical Nursing, 23(1-2), 268-278. https://doi.org/10.1111/jocn.12414
Khan, N. N. S., Olomu, A. B., Bottu, S., Roller, M. R., & Smith, R. C. (2019). Semistructured motivational interviews of patients and caregivers to improve CPAP adherence: A qualitative analysis. Journal of Clinical Sleep Medicine, 15(12), 1721-1730. https://doi.org/10.5664/jcsm.8070
Lopez -Jornet, P., Berdugo, M. L., Fernandez-Pujante, A., Castillo, C. F., Zamora, L. C., Pons-Fuster, A., Silvestre, R. J., & Silvestre, F. J. (2016). Sleep quality in patients with xerostomia: A prospective and randomized case-control study. Acta Odontologica Scandinavica, 74(3), 224-228. https://doi.org/10.3109/00016357.2015.1099730
Matthias, M. S., Chumbler, N. R., Bravata, D. M., Yaggi, H. K., Ferguson, J., Austin, C., McClain, V., Dallas, M. I., Couch, C. D., Burrus, N., & Miech, E. J. (2014). Challenges and motivating factors related to positive airway pressure therapy for post-TIA and Stroke patients. Behavioral Sleep Medicine, 12(2), 143-157. https://doi.org/10.1080/15402002.2013.778200
Murray Thomson, W. (2014). Epidemiology of oral health conditions in older people. Gerodontology, 31, 9-16. https://doi.org/10.1111/ger.12085
Niklander, S., Veas, L., Barrera, C., Fuentes, F., Chiappini, G., & Marshall, M. (2017). Risk factors, hyposalivation and impact of xerostomia on oral health-related quality of life. Brazilian Oral Research, 31, e14-e14. https://doi.org/10.1590/1807-3107BOR-2017.vol31.0014
Nilius, G., Franke, K. J., Domanski, U., Schroeder, M., & Ruhle, K. H. (2016). Effect of CPAP and heated humidification with a heated breathing tube on adherence, quality of life, and nasopharyngeal complaints. Sleep & Breathing, 20(1), 43-49. https://doi.org/10.1007/s11325-015-1182-2
Pitts, N. B., Zero, D. T., Marsh, P. D., Ekstrand, K., Weintraub, J. A., Ramos-Gomez, F., Tagami, J., Twetman, S., Tsakos, G., & Ismail, A. (2017). Dental caries. Nature Reviews. Disease Primers, 3, 17030. https://doi.org/10.1038/nrdp.2017.30
Sanz, M., Marco Del Castillo, A., Jepsen, S., Gonzalez-Juanatey, J. R., D'Aiuto, F., Bouchard, P., Chapple, I., Dietrich, T., Gotsman, I., Graziani, F., Herrera, D., Loos, B., Madianos, P., Michel, J.-B., Perel, P., Pieske, B., Shechter, M., Tonetti, M., Vlachopoulos, C., & Wimmer, G. (2020). Periodontitis and cardiovascular diseases: Consensus report. Journal of Clinical Periodontology, 47(3), 268-288. https://doi.org/10.1111/jcpe.13189
Soudorn, C., Muntham, D., Reutrakul, S., & Chirakalwasan, N. (2016). Effect of heated humidification on CPAP therapy adherence in subjects with obstructive sleep apnea with nasopharyngeal symptoms. Respiratory Care, 61(9), 1151-1159. https://doi.org/10.4187/respcare.04536
Tsuda, H., Almeida, F. R., Tsuda, T., Moritsuchi, Y., & Lowe, A. A. (2010). Craniofacial changes after 2 years of nasal continuous positive airway pressure use in patients with obstructive sleep apnea. Chest, 138(4), 870-874. https://doi.org/10.1378/chest.10-0678
Ulander, M., Johansson, M. S., Ewaldh, A. E., Svanborg, E., & Broström, A. (2014). Side effects to continuous positive airway pressure treatment for obstructive sleep apnoea: Changes over time and association to adherence. Sleep & Breathing, 18(4), 799-807. https://doi.org/10.1007/s11325-014-0945-5
Villa, A., Connell, C., & Abati, S. (2014). Diagnosis and management of xerostomia and hyposalivation. Therapeutics and Clinical Risk Management, 45, 45-51. https://doi.org/10.2147/tcrm.s76282
Vuorjoki-Ranta, T. R., Lobbezoo, F., Vehkalahti, M., Tuomilehto, H., & Ahlberg, J. (2016). Treatment of obstructive sleep apnoea patients in community dental care: Knowledge and attitudes among general dental practitioners and specialist dentists. Journal of Oral Rehabilitation, 43(12), 937-942. https://doi.org/10.1111/joor.12441
Wetselaar, P., Manfredini, D., Ahlberg, J., Johansson, A., Aarab, G., Papagianni, C. E., Reyes, M. S., Koutris, M., & Lobbezoo, F. (2019). Associations between tooth wear and dental sleep disorders: A narrative overview. Journal of Oral Rehabilitation, 46(8), 765-775. https://doi.org/10.1111/joor.12807
Zarhin, D., & Oksenberg, A. (2017). Ambivalent adherence and nonadherence to continuous positive airway pressure devices: A qualitative study. Journal of Clinical Sleep Medicine, 13(12), 1375-1384. https://doi.org/10.5664/jcsm.6828