Objective To explore the effect of health education and progressive muscle relaxation ( PMR ) on adherence to continuous positive airway pressure ( CPAP ) treatment in patients with obstructive sleep apnea - hypopnea syndrome ( OS-AHS ) . Methods Seventy - six OSAHS patients were randomly assigned to a control group and a trial group, with 38 patients in each group. Patients in the trial group received health education plus PMR, and those in the control group received routine education and follow - up. The CPAP adherence rates and the changes of subjective somnolence, sleep quality, and anxiety were compared between the two groups, respectively 4, 8 and 12 weeks after the intervention. Results Through 4, 8 and 12 weeks intervention, the CPAP adherence rate in the trial group was significantly improved ( P < 0. 05 ); and the average period of CPAP was significantly longer in the trial group than in the control group ( P <0. 05 ). And after 12 weeks intervention the scores of Ep-worth Sleepiness Scale ( ESS ), Pittsburgh Sleep Quality Index ( PSQI) and Self - Rating Anxiety Scale ( SAS ) in the trial group were significantly reduced as compared with those in the control group ( P <0. 05 ). Conclusion The health education plus PMR can effectively raise the adherence to CPAP treatment in OSAHS patients, at least within 12 weeks. And it can also improve the patient's quality of sleep and relieve the over - somnolence and anxiety at daytime.%目的 探讨健康教育+渐进性肌肉放松训练联合干预对阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者持续气道正压通气(CPAP)治疗依从性的影响.方法 将76例OSAHS患者随机分为干预组及对照组,每组38例,对照组给予常规健康教育及回访,干预组采用健康教育+渐进性肌肉放松训练进行干预,比较干预后4、8、12周两组患者CPAP治疗依从情况及干预前后患者主观嗜睡、睡眠质量及焦虑情绪情况.结果 经过4、8、12周干预后,干预组的CPAP治疗依从率显著高于对照组,差异有统计学意义(P＜0.05);干预4、8、12周后,干预组平均每天使用CPAP的时间均显著长于对照组,差异有统计学意义(P＜0.05);干预12周后,干预组的Epworth嗜睡量表(ESS)、匹茨堡睡眠质量指数量表(PSQI)及焦虑自评量表(SAS)得分下降幅度均显著大于对照组,差异有统计学意义(P＜0.05).结论 健康教育+渐进性肌肉放松训练能有效提高OSAHS患者的CPAP治疗依从性,至少能延长至CPAP治疗12周时间内,同时能有效改善患者的睡眠质量,缓解白天过度嗜睡和焦虑情绪.
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