Importance of nurse intervention in the adaptation of patient treated with CPAP

Abstract

Thanks to the nurse taxonomy NANDA, NIC, NOC (NNN), for nursing practice, now plays an important role of nursing in patient education and in monitoring treatment. With this descriptive study, we tried to highlight the important role of nurses in patients treated with CPAP on Sleep Disorders Unit of the Costa del Sol Health Agency. Cross-sectional study. Subjects : Patients with OSA treated with CPAP. Study period: Database Sleep Disorders Unit of the Health Agency Costa del Sol, up to May 2013. Once the pulmonologist prescribes CPAP treatment, the patient is referred to the Sleep Unit to initiate therapy. This begins the nurse-patient relationship. In the introduction of treatment, The nurse teaches the correct use of the device ( RemStar™ M Series by RESPIRONICS©), and reviews the results of short-term treatment, the causes of their illness and possible solutions, thus reducing the anxiety response to their fears and unknowns. This emphasizes the Nurse role for ”Decreased anxiety” and ”Management of therapeutic treatment.” Cited in a month in consulting adaptation, which prizes its compliance and re-educating the patient/caregiver. We work here to identify ”Defaulting treatment” and ”deficient knowledge” to get a better CPAP treatment patient compliance. We review the device and incidences. We solve problems for patients with respect to CPAP use. The patient is reviewed in 2–3 months for autoCPAP adjustment ( RemStar™ Auto by RESPIRONICS© and Autoset™ Spitirit by ResMed©). In consultation with autoCPAP Certification, re-evaluation of the patient and their adaptation to treatment. Is performed for 2–3 nights. Autoset titration pressure is adjusted, as reported by autoCPAP, if require. If the patient is adapted and the nurse sees a good management of therapeutic treatment, the patient is placed on once a year annual review in consultation. At that time we evaluate the patient’s current situation and its ”effective therapeutic management.” The patient has a Hotline to the sleep unit sleep for that year if any issues or concerns present regarding treatment. In addition to the appointments protocol, the nurses manage non compliant patients (compliance <3 h/night). The nurses analyze the reason for low compliance and resolve the problem over the telephone, through the intervention of the technical team home of VitalAire or assisting them in their rehabilitation consultation. Of the 2250 active patients as of May 2013, 215 patients are complying with treatment with CPAP (9.5% of total). Of these 215 patients, 145 patients (67% of non-compliance) are retrofitted to treatment after surgery nurse and only 45 patients (31% of non-compliant treatment) are written off because of intolerance or voluntary low compliance. By continuing nursing intervention in these patients, the correct use of the treatment occurred for 95% of all patients. It is therefore effective to uses nursing intervention and monitoring of patients with CPAP. sleep nurse department of agencia sanitaria costa del sol.