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Yıl:2022; Cilt: 9; Sayı: 3>> Özet
TAM METİN
Türk Uyku Tıbbı Dergisi; 2022;9(3):204-208
COVID-19 Pandemisinin Obstrüktif Uyku Apne Sendromlu Hastalarda PAP Tedavisinin Takibine Etkisi
E Kılıçparlar Cengiz, A Neyal, Y Ekmekyapar Fırat, A M Neyal
Dr. Ersin Arslan Training and Research Hospital, Gaziantep
Amaç: Koronavirüs hastalığı-2019 (COVID-19) pandemisi, obstrüktif uyku apne sendromu (OUAS) açısından hastalığa özgü bazı problemlerin tekrar düşünülmesini gerektirmiştir. Bu çalışmada, OUAS nedeniyle pozitif hava yolu basıncı uygulayan (PAP) cihazları kullanmakta olan hastaların pandemi sürecinde karşılaştıkları sorunların tespit edilmesi amaçlanmıştır. Gereç ve Yöntem: Retrospektif dosya taramasıyla PAP kullanmakta olan OUAS hastalarından dahil edilme kriterlerini karşılayanlar telefonla aranarak bu anket çalışmasına davet edilmiştir. Katılmayı kabul edenlere pandemi sürecinin günlük yaşamlarını, OUAS tedavilerini ve cihaz kullanımlarını etkileyip etkilemediği sorularak cevaplar kaydedilmiştir. Bulgular: Çalışmaya alınan 50 hastanın (37 erkek/13 kadın) 11’inin COVID-19 enfeksiyonunu geçirdiği tespit edilmiştir, ancak hiç birinde hastalık belirtileri şiddetli izlenmemiştir. Hasta grubunun yarısında pandemi günlük yaşam aktivitelerini orta ve ileri derecede olumsuz etkilemiştir. Sekiz hasta pandemi döneminde cihazla ilgili sorun yaşadığını (üç hasta cihaza uyum sağlayamadığını, üç hasta maske ile ilgili sorun yaşadığını, iki hasta ise cihaz ayarlarının yetersiz geldiğini) bildirmiştir. Pandemi sırasında beş hastanın cihazı düzensiz kullanmaya başladığı, 10 hastanın ise cihaz kullanmayı bıraktığı anlaşılmıştır. Sonuç: COVID-19 pandemisi hasta grubunun yarısında günlük yaşam aktivitelerini orta ve ileri derecede olumsuz etkilemiş, hastaların kayda değer bir bölümünde PAP cihazları ile ilgili ciddi sorunlar yaşanmıştır. Bu dönemde COVID-19 hastalığı dışındaki hastalıkların takip ve tedavi süreci sekteye uğramış, bu durum OUAS hastalarının pandemi döneminde yalnız kalmasına neden olmuştur. Hastalarla bağlantıda kalmayı sağlayacak telekonsültasyon, telefon destek hatları gibi uzaktan izlem araçlarının hızla yaygınlaştırılabileceği sistemleri kurmak hastaya tıbbi destek sağlanabilmesi için yararlı olabilir. Böyle bir süreçte hastanın takibinde destek alınabilecek diğer branşlardaki paydaşların belirlenmesi bundan sonra karşılaşılabilecek benzer süreçlerde hastaların sürekli ve iyi bir sağlık hizmeti almasına imkan sağlayabilir.
The Effect of the COVID-19 Pandemic on the Follow-up of the PAP Treatment in Patients with Obstructive Sleep Apnea Syndrome
Objective: Coronavirus disease-2019 (COVID-19) pandemic mentioned some disease-specific problems related to obstructive sleep apnea syndrome (OSAS). This study determined problems faced by patients using positive airway pressure (PAP) devices due to OSAS during the COVID-19 pandemic. Materials and Methods: Patients with OSAS using PAP were retrospectively identified. The cases that were contacted by phone were invited to complete the survey. Patients who agreed to participate in the study were asked whether the pandemic process affected their daily lives, OSAS treatment and PAP device use, and their responses were recorded. Results: Fifty patients (37 men/13 women) included in this study. Eleven cases had a history of COVID-19 infection; however, the disease symptoms were not severe in any case. Half of the patients reported that daily living was moderately or severely affected during the pandemic. Eight patients experienced problems with their PAP devices, five patients started to use the PAP devices irregularly during the pandemic, and 10 cases completely stopped using them. Conclusion: A significant portion of the patients experienced serious problems with PAP devices and the daily living activities were affected in half of the them during the pandemic. However, the follow-up and treatment services for many chronic diseases, as for OSAS, have been interrupted in this period that obligate the patients to handle their condition on their own. To provide continuous and adequate health care for OSAS patients under similar conditions in the future, it may be beneficial to establish widespread remote telecommunication systems in advance.

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