Application of WeChat mini-program in improving treatment compliance and outcome of patients with obstructive sleep apnea-hypopnea syndrome receiving continuous positive airway pressure

Hu Yaqin; Liu Xuelai; Luo Rui; Hu Jie; Wei Lei; Chen Hongjiang

doi:10.13406/j.cnki.cyxb.003552

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Application of WeChat mini-program in improving treatment compliance and outcome of patients with obstructive sleep apnea-hypopnea syndrome receiving continuous positive airway pressure

Clinical research | 更新时间：2025-10-21

- Application of WeChat mini-program in improving treatment compliance and outcome of patients with obstructive sleep apnea-hypopnea syndrome receiving continuous positive airway pressure
- Journal of Chongqing Medical University Vol. 49, Issue 7, Pages: 890-894(2024)
- 作者机构：
  
  重庆市人民医院/重庆大学附属人民医院耳鼻咽喉头颈外科，重庆 401147
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.003552
  CLC： 856.76
- Received：25 March 2024，
  
  Revised：2024-04-09，
  
  Accepted：10 April 2024，
  
  Published：28 July 2024
- 稿件说明：
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胡娅琴,刘雪莱,罗锐,等.微信小程序改善阻塞性睡眠呼吸暂停低通气综合征患者CPAP治疗依从性及疗效的应用研究[J].重庆医科大学学报,2024,49(7):890-894.

Hu Yaqin,Liu Xuelai,Luo Rui,et al.Application of WeChat mini-program in improving treatment compliance and outcome of patients with obstructive sleep apnea-hypopnea syndrome receiving continuous positive airway pressure[J].Journal of Chongqing Medical University,2024,49(7):890-894.
胡娅琴,刘雪莱,罗锐,等.微信小程序改善阻塞性睡眠呼吸暂停低通气综合征患者CPAP治疗依从性及疗效的应用研究[J].重庆医科大学学报,2024,49(7):890-894. DOI： 10.13406/j.cnki.cyxb.003552.

Hu Yaqin,Liu Xuelai,Luo Rui,et al.Application of WeChat mini-program in improving treatment compliance and outcome of patients with obstructive sleep apnea-hypopnea syndrome receiving continuous positive airway pressure[J].Journal of Chongqing Medical University,2024,49(7):890-894. DOI： 10.13406/j.cnki.cyxb.003552.

摘要

目的

评价基于微信小程序的移动管理平台是否改善阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea hypopnea syndrome，OSAHS）患者持续正压通气治疗（continuous positive airway pressure，CPAP）的疗效及依从性。

方法

选择2022年6月至2022年12月在重庆市人民医院确诊为中重度OSAHS并进行CPAP治疗的68例患者为研究对象。入组患者分为微信小程序管理组（

=36）和传统门诊随访组（

=32）。在第3个月和第6个月评估患者CPAP治疗疗效及依从性、CPAP治疗的不良反应和主观睡眠质量。

结果

与门诊随访组比较，微信小程序组在治疗后3个月的睡眠呼吸暂停指数（apnea-hypopnea index，AHI）及Epworth嗜

睡程度评价（Epworth sleepiness scale score，ESS）评分更低（

0.05），但在治疗后6个月的AHI和ESS与门诊随访组比较差异无统计学意义（

0.05）。与门诊随访组比较，微信小程序组在治疗后3个月和6个月每晚使用CPAP时间及每月使用的天数更多（

0.05）。

结论

基于微信小程序的OSAHS移动管理平台能够有效提高OSAHS患者CPAP的依从性及改善短期疗效。

Abstract

Objective

To investigate whether the mobile management platform based on WeChat mini-program can improve the outcome and compliance of patients with obstructive sleep apnea hypopnea syndrome（OSAHS） receiving continuous positive airway pressure（CPAP） treatment.

Methods

A total of 68 patients who were diagnosed with moderate to severe OSAHS and received CPAP treatment in Chongqing General Hospital from June to December 2022 were enrolled as subjects and were divided into WeChat mini-program management group with 36 patients and traditional outpatient follow-up group with 32 patients. The patients were assessed in terms of the efficacy of CPAP treatment，compliance with CPAP treatment，adverse reactions of CPAP treatment，and subjective sleep quality at 3 and 6 months.

Results

Compared with the traditional outpatient follow-up group，the WeChat mini-program management group had significantly lower apnea-hypopnea index（AHI） and Epworth Somnolence Scale（ESS） score at 3 months after treatment（

0.05），while there were no significant differences in AHI and ESS score between the two groups at 6 months after treatment（

0.05）. Compared with the traditional outpatient follow-up group，the WeChat mini-program management group had a significantly longer time of using CPAP per night and a significantly higher number of days of using CPAP per month at 3 and 6 months after treatment（

0.05）.

Conclusion

The OSAHS mobile management platform based on WeChat mini-program can effectively improve the treatment compliance and short-term outcome of patients with OSAHS receiving CPAP treatment.

关键词

Keywords

references

阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南 [J ] . 中华耳鼻咽喉头颈外科杂志， 2009 ， 44 （ 2 ）： 95 - 96 .

Guideline for the diagnosis and surgical treatment of obstructive sleep apnea hypopnea syndrome [J ] . Chinese Journal of Otorhinolaryngology Head and Neck Surgery ， 2009 ， 44 （ 2 ）： 95 - 96 .

Patel SR ， Sawyer AM ， Gottlieb DJ . Con：can comparing adherent to non-adherent patients provide useful estimates of the effect of CPAP? [J ] . Sleep ， 2024 ：zsae063．

Rotty MC ， Suehs CM ， Mallet JP ， et al . Mask side-effects in long-term CPAP-patients impact adherence and sleepiness：the InterfaceVent real-life study [J ] . Respir Res ， 2021 ， 22 （ 1 ）： 17 ．

Kakkar RK ， Berry RB . Positive airway pressure treatment for obstructive sleep apnea [J ] . Chest ， 2007 ， 132 （ 3 ）： 1057 - 1072 ．

Daabek N ， Tamisier R ， Foote A ， et al . Impact of healthcare non-take-up on adherence to long-term positive airway pressure therapy [J ] . Front Public Health ， 2021 ， 9 ： 713313 ．

Logan AG . Transforming hypertension management using mobile health technology for telemonitoring and self-care support [J ] . Can J Cardiol ， 2013 ， 29 （ 5 ）： 579 - 585 ．

Pei G ， Ou Q ， Lao M ， Wang L ， Xu Y ， Tan J ， Zheng G . APAP Treatment Acceptance Rate and Cost-Effectiveness of Telemedicine in Patients with Obstructive Sleep Apnea：A Randomized Controlled Trial . Nat Sci Sleep . 2023 Aug 4 ; 15 ： 607 - 622 . doi： 10.2147/NSS.S416221 http://dx.doi.org/10.2147/NSS.S416221 .

Farzandipour M ， Arani MH ， Sharif R ， et al . Improving asthma control and quality of life via a smartphone self-management app：a randomized controlled trial [J ] . Respir Med ， 2024 ， 223 ： 107539 ．

Anderson K ， Burford O ， Emmerton L . App chronic disease checklist：protocol to evaluate mobile apps for chronic disease self-management [J ] . JMIR Res Protoc ， 2016 ， 5 （ 4 ）： e204 ．

中华医学会 . 成人阻塞性睡眠呼吸暂停基层诊疗指南（实践版·2018） [J ] . 中华全科医师杂志， 2019 ， 18 （ 1 ）： 30 - 35 .

Chinese Medical Association . Guidelines for primary care management of obstructive sleep apnea in adults [J ] ． Chinese Medical Association Journal ， 2019 ， 18 （ 1 ）： 30 - 35 .

Patel SR ， Bakker JP ， Stitt CJ ， et al . Age and sex disparities in adherence to CPAP [J ] . Chest ， 2021 ， 159 （ 1 ）： 382 - 389 ．

Smith CE ， Dauz ER ， Clements F ， et al . Telehealth services to improve nonadherence：a placebo-controlled study [J ] . Telemed J E Health ， 2006 ， 12 （ 3 ）： 289 - 296 ．

Murase K ， Tanizawa K ， Minami T ， et al . A randomized controlled trial of telemedicine for long-term sleep apnea continuous positive airway pressure management [J ] . Ann Am Thorac Soc ， 2020 ， 17 （ 3 ）： 329 - 337 ．

Labarca G ， Schmidt A ， Dreyse J ， et al . Telemedicine interventions for CPAP adherence in obstructive sleep apnea patients：systematic review and meta-analysis [J ] . Sleep Med Rev ， 2021 ， 60 ： 101543 ．

Hwang D ， Chang JW ， Benjafield AV ， et al . Effect of telemedicine education and telemonitoring on continuous positive airway pressure adherence. the tele-OSA randomized trial [J ] . Am J Respir Crit Care Med ， 2018 ， 197 （ 1 ）： 117 - 126 ．

Aardoom JJ ， Loheide-Niesmann L ， Ossebaard HC ， et al . Effectiveness of electronic health interventions in improving treatment adherence for adults with obstructive sleep apnea：meta-analytic review [J ] . J Med Internet Res ， 2020 ， 22 （ 2 ）： e16972 ．

Ahonen H ， Broström A ， Fransson EI ， et al . “ The terrible dryness woke me up，I had some trouble breathing”-Critical situations related to oral health as described by CPAP-treated persons with obstructive sleep apnea . J Sleep Res . 2022 Dec ; 31 （ 6 ）： e13670 .

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