Devoted or negotiated routes of adherence: Narratives of patients with obstructive sleep apnoea using a continuous positive airway pressure device.
Margareta Aurén-MøklebyAnne Marit MengshoelPublished in: Nursing open (2019)
Two storylines portraying two different trajectories of continuous positive airway pressure use were identified: "A route of devotion" reflects patients experiencing immediate health benefits, which lead to committed use. "A route of negotiations" is characterized by more irregular use, and the perceived benefits were less evident than for those displaying a devoted route. Individuals adjust to a continuous positive airway pressure device differently based on their prior and present life situation and whether use of the device is experienced as an opportunity to regain ordinary life or as an obstacle to maintaining ordinary life.
Keyphrases
- positive airway pressure
- obstructive sleep apnea
- sleep apnea
- end stage renal disease
- depressive symptoms
- mental health
- public health
- chronic kidney disease
- newly diagnosed
- physical activity
- ejection fraction
- social support
- prognostic factors
- patient reported outcomes
- human health
- weight loss
- social media
- obese patients