Journal of thoracic disease · 2025
Exploring the treatment journey of obstructive sleep apnoea: a scoping review on the perspectives of Chinese patients.
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Zhu Xueling, Bin Yu Sun, Smith Lorraine, Cistulli Peter A, Cheung Janet M Y
Аннотация
BACKGROUND: Obstructive sleep apnoea (OSA) is a common sleep-related breathing disorder globally. People of Chinese ethnicity have physiological vulnerabilities with one of the highest prevalence rates for OSA. However, little is known about the perspectives of the Chinese patients and the key factors underpinning their health behaviours and treatment engagement. This scoping review aims to systematically synthesise the literature to understand Chinese patient perspectives towards OSA and its management.
METHODS: A systematic search was conducted across CINAHL, Embase, Medline, PsycINFO, and Scopus in Chinese and English for studies including the concepts: obstructive sleep apnoea, Chinese adult patients, treatments [continuous positive airway pressure (CPAP), surgery, mandibular devices, pharmacotherapy, positional therapy, complementary therapies, lifestyle changes], and psycho-social-behavioural factors. Search results were screened, and data extracted by 2 independent reviewers.
RESULTS: Fifty-two studies conducted in mainland China, Hong Kong SAR, Taiwan region and Singapore were included in this review, comprising 16,828 adults (mean age: 48 years, 79% male). Evaluated outcomes included beliefs about OSA, treatment preferences, acceptance, satisfaction, and adherence. Considerable heterogeneity was observed in the measurement of treatment acceptance and satisfaction, coupled with insufficient reporting of factors influencing treatment preference. Notable limitations included the under-representation of women and migrant Chinese populations and limited coverage of health beliefs and health behaviour change.
CONCLUSIONS: Factors influencing patient engagement with OSA treatments are multifactorial. Patients' health beliefs and sociocultural factors play an important role in influencing treatment acceptance and adherence. Future research should focus on culturally appropriate care to promote behaviour change and provide culturally sensitive care.
METHODS: A systematic search was conducted across CINAHL, Embase, Medline, PsycINFO, and Scopus in Chinese and English for studies including the concepts: obstructive sleep apnoea, Chinese adult patients, treatments [continuous positive airway pressure (CPAP), surgery, mandibular devices, pharmacotherapy, positional therapy, complementary therapies, lifestyle changes], and psycho-social-behavioural factors. Search results were screened, and data extracted by 2 independent reviewers.
RESULTS: Fifty-two studies conducted in mainland China, Hong Kong SAR, Taiwan region and Singapore were included in this review, comprising 16,828 adults (mean age: 48 years, 79% male). Evaluated outcomes included beliefs about OSA, treatment preferences, acceptance, satisfaction, and adherence. Considerable heterogeneity was observed in the measurement of treatment acceptance and satisfaction, coupled with insufficient reporting of factors influencing treatment preference. Notable limitations included the under-representation of women and migrant Chinese populations and limited coverage of health beliefs and health behaviour change.
CONCLUSIONS: Factors influencing patient engagement with OSA treatments are multifactorial. Patients' health beliefs and sociocultural factors play an important role in influencing treatment acceptance and adherence. Future research should focus on culturally appropriate care to promote behaviour change and provide culturally sensitive care.