From diagnosis to long-term management: the experiences of older New Zealanders with obstructive sleep apnoea

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dc.citation.issue2
dc.citation.volume10
dc.contributor.authorGibson R
dc.contributor.authorCampbell A
dc.contributor.authorMather S
dc.contributor.authorNeil A
dc.coverage.spatialAustralia
dc.date.available2018-06
dc.date.issued2018-06-28
dc.description.abstractINTRODUCTION: In New Zealand (NZ), access to public sleep services is limited to people deemed with the highest need. The prevalence of obstructive sleep apnoea (OSA) increases with age, but the symptoms and the treatment pathway is expected to differ for older compared to younger patients. This study explored the experience of older people regarding diagnosis and treatment services for OSA in order to inform considerations required in primary health and sleep services. METHODS: Patients who were initiated on Continuous Positive Airway Pressure (CPAP) therapy at the age of 65 years or older were invited to one of three 1.5-h focus group discussions. In total, 16 patients attended; nine were accompanied by their spouse or partner. Discussions were semi-structured and explored experiences with the OSA pathway, from diagnosis through to long-term management. RESULTS: Thematic analysis highlights the key symptoms of OSA. Patients’ experiences with diagnostic and treatment services were generally positive. However, there was an overarching need for greater knowledge and follow up regarding OSA and CPAP therapy. Most patients were happy with CPAP treatment. Issues associated with long-term use, comfort and daily management were highlighted, and strategies used to overcome them discussed. DISCUSSION: Focus groups reported similar experiences, positively endorsing the health value of OSA diagnosis and CPAP therapy. Mechanisms and resources are required at a primary healthcare level in order to raise awareness around sleep and aging, OSA and CPAP. This would aid earlier and more appropriate diagnosis and management of OSA and help overcome some of the gaps identified in this study.
dc.description.publication-statusPublished
dc.format.extent140 - 149
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/30068469
dc.identifierHC17072
dc.identifier.citationJ Prim Health Care, 2018, 10 (2), pp. 140 - 149
dc.identifier.doi10.1071/HC17072
dc.identifier.eissn1172-6156
dc.identifier.elements-id415844
dc.identifier.harvestedMassey_Dark
dc.languageeng
dc.publisherRoyal New Zealand College of General Practitioners
dc.relation.isPartOfJ Prim Health Care
dc.rights© Royal New Zealand College of General Practitioners 2018 This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectComorbidity
dc.subjectContinuous Positive Airway Pressure
dc.subjectFemale
dc.subjectFocus Groups
dc.subjectHumans
dc.subjectMale
dc.subjectNew Zealand
dc.subjectPatient Compliance
dc.subjectPatient Satisfaction
dc.subjectPrevalence
dc.subjectSleep Apnea, Obstructive
dc.subjectSocioeconomic Factors
dc.subject.anzsrc1110 Nursing
dc.subject.anzsrc1117 Public Health and Health Services
dc.titleFrom diagnosis to long-term management: the experiences of older New Zealanders with obstructive sleep apnoea
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Humanities and Social Sciences
pubs.organisational-group/Massey University/College of Humanities and Social Sciences/School of Psychology
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