48 阻塞性睡眠呼吸中止症婦女之生活經驗 1 2 3 4 5 6 * 1 2 3 4 5 6 摘要 背景目的方法結果結論 obstructive sleep apnea, OSA 10 OSA OSA OSA OSA 關鍵詞 : 前言 obstructive sleep apnea, Eckert, Malhotra, & Jordan, 2009 2010 OSA 2012 2010 OSA OSA 104 8 17 doi:10.6224/jn.62.6.48 * 11219 365 02 28227101 3184 E-mail leeing@ntunhs.edu.tw 引用格式 2015 62 6 48 56 [Lee, C. H., Lin, M. H., Chen, N. H., Ho, L. H., Lee, H. F., & Tsao, L. I. (2015). The experiences of obstructive sleep apnea in women. The Journal of Nursing, 62(6), 48 56.] doi:10.6224/jn.62.6.48
OSA 49 文獻探討 OSA 之相關概念與對個案的影響 American Academy of Sleep Medicine [AASM], 2014 polysomnography, PSG 10 4% 50% 2% 5 daytime sleepiness apnea hypopnea index, AHI 5 5 15 16-30 31 Tsioufis, Kasiakogias, Thomopoulos, Manolis, & Stefanadis, 2010 2010 OSA 2% 24% 2012 2-8 2006 OSA OSA 2011 Lavie, Lavie, & Herer, 2005; Patil, Schneider, Schwartz, & Smith, 2007 van der Kooy et al., 2006 continuous positive airway pressure, CPAP 95% 25 50% 2014 2012 CPAP Avlonitou, Kapsimalis, Varouchakis, Vardavas, & Behrakis, 2012 OSA 與女性相關之研究 Wahner-Roedler 2007 body mass index, BMI OSA Anttalainen et al., 2007 Lowenstein 2008 21 OSA OSA OSA Ma et al., 2010 婦女角色功能與生活經驗 2014 2012 2014 2005 2014 Denzin, 1989/2000 2009 Herth, 1998 2013 OSA OSA 方法 grounded theory CPAP OSA 護理雜誌 62 卷 6 期 中華民國 104 年 12 月
50 purposive sampling OSA saturation 45 75 24 A B C Denzin 1989/2000 ㈠ ㈡ ㈢ ㈣ ㈤ ㈥ trustworthiness Lincoln Guba 1985 credibility peer review member checks transferability OSA dependability confirmability 結果 OSA 40 72 54.3 3 30% AASM OSA 90% 69 25 111 28.3 1.5 108 > 3 8 80% 7 3 1 一 睡眠差而提不起勁的日子 ㈠ A G H I
OSA 51 中 B ㈡ 52 69 年 C A J 中 E ㈢ E H I 二 一波三折的尋醫歷程 ㈠ OSA 10 20 年 D H C ㈡ B H ㈢ E B A G 三 接受使用持續陽壓呼吸器的不一樣生活 ㈠ A D E 1 2 年 C ㈡ I E D F A G MC menstrual cycle 期 E 年 J 護理雜誌 62 卷 6 期 中華民國 104 年 12 月
52 ㈢ E H 7 8 7 8 B I H J 討論 OSA 一 睡眠差而提不起勁的日子 2011 Lavie et al., 2005; Patil et al., 2007 2012 2010 OSA van der Kooy et al., 2006 2012 2011 2011 二 一波三折的尋醫歷程 OSA Wahner-Roedler 2007 OSA 2011 OSA OSA 三 接受使用持續陽壓呼吸器的不一樣生活 95% Brin, Reuveni, Greenberg, Tal, & Tarasiuk, 2005 OSA CPAP Huang, Chu, Liu, & Yu, 2015; Sharma et al., 2011 Hu, Yu, Lee, & Tsao, 2013; Kreivi, Virkkula, Lehto, & Brander, 2010
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56 The Experiences of Obstructive Sleep Apnea in Women Chao-Hui Lee 1 Mei-Hsiang Lin 2 Ning-Hung Chen 3 Lun-Hui Ho 4 Hsiu-Fang Lee 5 Lee-Ing Tsao 6 * 1 MS, RN, Certified Quality Manager, Department of Administration, Chang Gung Memorial Hospital, Linkou; 2 EdD, RN, Associate Professor, Graduate Institute of Health Allied Education, and School of Nursing, National Taipei University of Nursing and Health Sciences; 3 MD, Director, Sleep Center, Chang Gung Memorial Hospital, Taoyuan, and Department of Pulmonary and Critical Care Medicine, Chang Gung Medical Hospital, Linkou; 4 MHA, RN, Deputy Director, Department of Nursing, Chang Gung Memorial Hospital, Linkou; 5 MS, RN, Supervisor, Department of Nursing, Chang Gung Memorial Hospital, Linkou; 6 DNSc, RN, Professor and Dean, College of Nursing, and Vice President, National Taipei University of Nursing and Health Sciences. Abstract Background: Obstructive sleep apnea (OSA) is a potentially lethal respiratory sleep disorder. However, few studies have studied OSA women. Purpose: The purpose of the current study was to explore the life experiences of women with OSA. Method: A qualitative study using the grounded theory method was used to establish a descriptive theory. Results: The results were expressed in terms of three stages with related categories. Stage 1: No interest days due to poor sleep, including uncontrollable sleep, perceived health deteriorates, and poor female image harmed by snoring ; Stage 2: Indecision and disappointments during treatment seeking, including doctor shopping, being urged by others to seek medical help, and being shocked by the severity of disease ; and Stage 3: Accepting a new lifestyle with a continuous positive pressure respirator, including adaptation of the new sleep, adequate sleep, and secret worry of being an OSA woman. Conclusions: Based on the findings of the present study, medical knowledge and treatments related to OSA should be widely promoted with appropriate professional education and counseling services in order to enhance the awareness of patients and to facilitate their acceptance of the healing process using a continuous positive airway pressure respirator. Key Words: obstructive sleep apnea (OSA), continuous positive airway pressure (CPAP), women s health, qualitative research. Accepted for publication: August 17, 2015 *Address correspondence to: Lee-Ing Tsao, No. 365, Ming-Te Rd., Peitou District, Taipei City 11219, Taiwan, ROC. Tel: +886 (2) 2822-7101 ext. 3184; E-mail: leeing@ntunhs.edu.tw