The effect of setting sleep center on understanding obstructive sleep apnea_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

LI Hui ^1,8 , OUYANG Bin ^2,8 , WANG Jingchao ³ , CHEN Wen ⁴ , YANG Wenjie ⁵ , WANG Jun ⁶ , SUN Ya'nan ⁷ ,  LI Taoping ⁸

1. Department of Respiratory, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
2. Department of Respiratory, People’s Hospital of Hunan Province, Changsha, Hunan 410005, P. R. China;
3. Department of ICU, Affiliated Hospital of Inner Mongolia Medical College, Hohhot, Inner Mongolia 010050, P. R. China;
4. Department of Geratology, 303 Hospital of PLA, Nanning, Guangxi 530021, P. R. China;
5. Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan, Hubei 430022, P. R. China;
6. Department of Respiratory, Jiangyou People’s Hospital, Mianyang, Sichuan 621000, P. R. China;
7. Department of Otolaryngology, Qingdao Chengyang People’s Hospital, Qingdao, Shandong 266109, P. R. China;
8. Sleep Medicine Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P. R. China;

Corresponding?author：

LI Taoping, Email: nfyyltp@126.com

Keywords：

Sleep center; Obstructive sleep apnea; Medical staff; Knowledge; Attitude

DOI：

10.7507/1671-6205.201804022

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Objective To investigate the knowledge and attitude of medical professionals in various regions of China on obstructive sleep apnea (OSA) and to find out the influence of sleep center setting on the above results.Methods A self-designed questionnaire based on OSAKA questionnaire was designed. A total of 630 medical staff were investigated in 7 hospitals at different levels in various regions in China. The subjects were divided into two groups according to whether they had sleep center (including sleep monitoring room) or not. Survey data were analyzed.Results A total of 630 questionnaires were sent out, and 590 valid questionnaires were received, and the effective response rate was 93.65%. About half of those surveyed had sleep centers in the hospitals where they worked. There was no significant difference in three attitude problems and the choice of continuous positive airway pressure and surgical treatment between the two groups (all P>0.05). Subjects whose hospital had no sleep center were more prone to select weight loss (estimated parameters=0.513, P=0.046), no smoking and wine (estimated parameter=0.472, P=0.040), avoidance of overwork (estimated parameter=0.933, P=0.000), and drug (estimated parameter=0.802, P=0.000). The average correct rate of OSA knowledge was 45.59%±20.68%. Among them, the correct rate of response to treatment measures was the highest, and the correct rate of other knowledge points was poor. The average correct rate of total accuracy, symptoms and target organ damage in subjects whose hospital had sleep center was higher than that in subjects whose hospital had no sleep center, and there were significant differences (P=0.001, P=0.012, P=0.000). There was a positive correlation between the knowledge of OSA and their attitude towards OSA, treatment and further understanding of the knowledge (r=0.247, P=0.000).Conclusion It is necessary to strengthen propaganda and education of OSA, and the establishment of sleep center is helpful for medical personnel to know more about OSA and to develop sleep medicine.

Citation： LI Hui, OUYANG Bin, WANG Jingchao, CHEN Wen, YANG Wenjie, WANG Jun, SUN Ya'nan, LI Taoping. The effect of setting sleep center on understanding obstructive sleep apnea. Chinese Journal of Respiratory and Critical Care Medicine, 2019, 18(5): 473-478. doi: 10.7507/1671-6205.201804022 Copy

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4.	葛均波, 徐永健, 主編. 內科學. 北京: 人民衛生出版社, 2013, 128-131.
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7.	Bian H. Knowledge, opinions, and clinical experience of general practice dentists toward obstructive sleep apnea and oral appliances. Sleep Breath, 2004, 8(2): 85-90.
8.	Mahendran R, Subramaniam M, Chan YH. Medical students’ behaviour, attitudes and knowledge of sleep medicine. Singapore Med J, 2004, 45(12): 587-589.
9.	Southwell C, Moallem M, Auckley D. Cardiologist’s knowledge and attitudes about obstructive sleep apnea: a survey study. Sleep Breath, 2008, 12(4): 295-302.
10.	魏曉, 蔡曉嵐, 李學忠. 心臟內科臨床醫師對阻塞性睡眠呼吸暫停低通氣綜合征的認知度調查. 山東大學耳鼻喉眼學報, 2012, 26(2): 15-17.
11.	Luo M, Feng Y, Li TP. Sleep medicine knowledge, attitudes, and practices among medical students in Guangzhou, China. Sleep Breath, 2013, 17(2): 687-693.
12.	王武, 劉建紅, 雷志堅, 等. 廣西部分醫院相關科室醫師對阻塞性睡眠呼吸暫停低通氣綜合征知識掌握情況和態度調查分析. 內科, 2013, 8(1): 1-3.
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1. Menashe VD, Farrehiab C, Millerab M. Hypoventilation and cor pulmonale due to chronic upper airway obstruction. J Pediatric, 1965, 67(2): 198-203.
2. Herberg D. Sleep disorders and the Pickwick syndrome. Verh Dtsch Ges Inn Med, 1965, 71: 840-849.
3. 何權瀛, 陳寶元, 主編. 睡眠呼吸病學. 北京: 人民衛生出版社, 2009, 89-92.
4. 葛均波, 徐永健, 主編. 內科學. 北京: 人民衛生出版社, 2013, 128-131.
5. 何權瀛, 王莞爾. 阻塞性睡眠呼吸暫停低通氣綜合征診治指南(基層版). 中國呼吸與危重監護雜志, 2015, 14(4): 398-405.
6. BaHammam AS. Knowledge and attitude of primary health care physicians towards sleep disorders. Saudi Med J, 2000, 21(12): 1164-1167.
7. Bian H. Knowledge, opinions, and clinical experience of general practice dentists toward obstructive sleep apnea and oral appliances. Sleep Breath, 2004, 8(2): 85-90.
8. Mahendran R, Subramaniam M, Chan YH. Medical students’ behaviour, attitudes and knowledge of sleep medicine. Singapore Med J, 2004, 45(12): 587-589.
9. Southwell C, Moallem M, Auckley D. Cardiologist’s knowledge and attitudes about obstructive sleep apnea: a survey study. Sleep Breath, 2008, 12(4): 295-302.
10. 魏曉, 蔡曉嵐, 李學忠. 心臟內科臨床醫師對阻塞性睡眠呼吸暫停低通氣綜合征的認知度調查. 山東大學耳鼻喉眼學報, 2012, 26(2): 15-17.
11. Luo M, Feng Y, Li TP. Sleep medicine knowledge, attitudes, and practices among medical students in Guangzhou, China. Sleep Breath, 2013, 17(2): 687-693.
12. 王武, 劉建紅, 雷志堅, 等. 廣西部分醫院相關科室醫師對阻塞性睡眠呼吸暫停低通氣綜合征知識掌握情況和態度調查分析. 內科, 2013, 8(1): 1-3.
13. Schotland HM, Jeffe DB. Development of the obstructive sleep apnea knowledge and attitudes (OSAKA) questionnaire. Sleep Med, 2003, 4(5): 443-450.

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