Long-term Efficacy of Health Belief Model Nursing Intervention in Preventing and Treating Moderate to Severe OSAHS in Post-surgery Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Apnea-Hypopnea Index (AHI)
研究概览
简要总结
This study aimed to investigate the long-term preventive and therapeutic effects of a health belief model (HBM)-based nursing intervention compared to routine care in patients with moderate to severe Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) after surgery. The study assessed impacts on sleep parameters (Apnea-Hypopnea Index, Oxygen Desaturation Index, sleep quality via PSQI), self-management abilities, quality of life, OSAHS recurrence rate, and patient satisfaction.
详细描述
A total of 120 post-surgery patients with moderate to severe OSAHS were recruited and assigned to either a control group (n=60) receiving routine postoperative care or an observation group (n=60) receiving a health belief model-based nursing intervention in addition to routine care. Routine care included general postoperative education for OSAHS, dietary, and exercise guidance with monthly phone follow-ups. The HBM intervention, lasting one year, focused on perceived susceptibility (assessment, psychological intervention), perceived severity (education on risks), perceived benefits (weight/BP monitoring, dietary/exercise guidance, sleep posture aids, daily diary), and perceived barriers (frequent phone follow-ups, psychological support). Outcomes were measured at baseline, 6 months, and 12 months post-surgery, including polysomnography, Pittsburgh Sleep Quality Index (PSQI), self-management ability questionnaires, quality of life questionnaires, OSAHS recurrence, and patient satisfaction surveys.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged between 30 and 50 years old;
- •Sleep Apnea Hypopnea Index (AHI) > 21 events per hour;
- •Body Mass Index (BMI) ≥ 28 kg/m²;
- •The obstructive plane of OSAHS was either at the soft palate level or associated with narrowing at the tongue base level;
- •Surgical treatments included uvulopalatopharyngoplasty (UPPP) or UPPP combined with low-temperature plasma ablation of the tongue base/tongue body;
- •The patient had undergone surgical treatment for OSAHS;
- •The patient could comprehend the research details and voluntarily signed an informed consent form.
排除标准
- •Severe cardiovascular disease, kidney disease, liver disease, or dysfunction of other major organs;
- •Severe mental illness or cognitive dysfunction that would hinder understanding or adherence to research procedures;
- •Presence of other sleep disorders, such as central sleep apnea or insomnia;
- •Use of medications that could interfere with sleep patterns;
- •Pregnancy or lactation;
- •Patients unwilling to provide informed consent for the study.
研究组 & 干预措施
Observation Group
Participants received routine postoperative care plus a one-year health belief model nursing intervention. This included: comprehensive assessment and psychological interventions (Perceived Susceptibility); education on OSAHS risks and consequences (Perceived Severity); weekly weight/blood pressure monitoring, dietary/exercise guidance, sleep posture correction aids, and a daily health diary (Perceived Benefits); and regular phone follow-ups (2-3 times/week for 0-8 weeks post-discharge, bi-weekly up to 1 year) for support and addressing difficulties (Perceived Barriers).
干预措施: Health Belief Model Nursing Intervention (Behavioral)
Observation Group
Participants received routine postoperative care plus a one-year health belief model nursing intervention. This included: comprehensive assessment and psychological interventions (Perceived Susceptibility); education on OSAHS risks and consequences (Perceived Severity); weekly weight/blood pressure monitoring, dietary/exercise guidance, sleep posture correction aids, and a daily health diary (Perceived Benefits); and regular phone follow-ups (2-3 times/week for 0-8 weeks post-discharge, bi-weekly up to 1 year) for support and addressing difficulties (Perceived Barriers).
干预措施: Routine Care (Behavioral)
Control Group
Participants received routine postoperative care for OSAHS for one year, including general education, dietary and exercise guidance. Post-discharge monitoring was conducted via monthly phone calls.
干预措施: Routine Care (Behavioral)
结局指标
主要结局
Apnea-Hypopnea Index (AHI)
时间窗: Baseline (immediately after operation) and 6 months post-intervention.
Measured by Polysomnography (PSG). Lower values indicate better outcome.
OSAHS Recurrence Rate
时间窗: 6 months and 12 months post-operation.
Calculated as the percentage of patients experiencing relapse (defined by AHI levels and symptom reappearance) within one year. Lower rates indicate better outcome.
次要结局
- Pittsburgh Sleep Quality Index (PSQI) Score(Post-intervention (specific time point after 6 months or 1 year should be clarified, likely at 6 months and/or 1 year).)
- Oxygen Desaturation Index (ODI)(Baseline (immediately after operation) and 6 months post-intervention.)
- Self-Management Ability(Post-intervention (specific time point, likely at 6 months and/or 1 year).)
- Patient Satisfaction with Postoperative Care(6 months post-intervention.)
- Postoperative Quality of Life(Post-intervention (specific time point, likely at 6 months and/or 1 year).)
研究者
Shuai Chen
Principal investigator
The First Hospital of Hebei Medical University