@Article{信息:doi 10.2196 / / jmir.9.2。e14，作者=“Stepnowsky, Carl J和Palau, Joe J和Marler, Matthew R和Gifford, Allen L”，标题=“无线远程监护对阻塞性睡眠呼吸暂停依从性和治疗效果影响的试点随机试验”，期刊=“J Med Internet Res”，年=“2007”，月=“5”，日=“17”，卷=“9”，数=“2”，页=“e14”，关键词=“持续气道正压力治疗;CPAP;睡眠呼吸暂停综合征;治疗依从性;远程医疗;背景:阻塞性睡眠呼吸暂停(OSA)是一种普遍而严重的医学病症，其特征是睡眠期间反复出现完全或部分上呼吸道阻塞，常见于2%{\%}至4%{\%}的工作中年成年人。鼻持续气道正压通气(CPAP)是OSA的金标准治疗方法。由于CPAP治疗的依从性低得令人失望，因此需要有效的干预措施来提高OSA患者的CPAP依从性。目的:目的是确定与常规临床护理相比，无线远程监测CPAP依从性和疗效数据是否能提高CPAP依从性和改善OSA结局。 Methods: 45 patients newly diagnosed with OSA were randomized to either telemonitored clinical care or usual clinical care and were followed for their first 2 months of treatment with CPAP therapy. CPAP therapists were not blinded to the participants' treatment group. Results: 20 participants in each group received the designated intervention. Patients randomized to telemonitored clinical care used CPAP an average of 4.1 {\textpm} 1.8 hours per night, while the usual clinical care patients averaged 2.8 {\textpm} 2.2 hours per night (P = .07). Telemonitored patients used CPAP on 78{\%} {\textpm} 22{\%} of the possible nights, while usual care patients used CPAP on 60{\%} {\textpm} 32{\%} of the nights (P = .07). No statistically significant differences between the groups were found on measures of CPAP efficacy, including measures of mask leak and the Apnea-Hypopnea Index. Patients in the telemonitored group rated their likelihood to continue using CPAP significantly higher than the patients in the usual care group. Patients in both groups were highly satisfied with the care they received and rated themselves as ``not concerned'' that their CPAP data were being wirelessly monitored. Conclusions: Telemonitoring of CPAP compliance and efficacy data and rapid use of those data by the clinical sleep team to guide the collaborative (ie, patient and provider) management of CPAP treatment is as effective as usual care in improving compliance rates and outcomes in new CPAP users. This study was designed as a pilot---larger, well-powered studies are necessary to fully evaluate the clinical and economic efficacy of telemonitoring for this population. ", issn="1438-8871", doi="10.2196/jmir.9.2.e14", url="//www.mybigtv.com/2007/2/e14/", url="https://doi.org/10.2196/jmir.9.2.e14", url="http://www.ncbi.nlm.nih.gov/pubmed/17513285" }