{"created":"2023-07-27T06:54:55.292758+00:00","id":50502,"links":{},"metadata":{"_buckets":{"deposit":"9d41c504-cb3c-4b1a-b399-faedf15321fb"},"_deposit":{"created_by":3,"id":"50502","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"50502"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00050502","sets":["1132:1137:3467:3805"]},"author_link":["29595","91382","91378","91383","29596","91381"],"item_7_alternative_title_2":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"CPAP 使用者のアドヒアランスの性質分けの試み〜「使用率」と「使用日の平均使用時間」による4 群比較〜"}]},"item_7_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-02-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"22","bibliographicPageStart":"11","bibliographicVolumeNumber":"43","bibliographic_titles":[{"bibliographic_title":"Journal of wellness and health care"},{"bibliographic_title":"Journal of wellness and health care","bibliographic_titleLang":"en"}]}]},"item_7_creator_34":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"加藤, 千夏"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"稲垣, 美智子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"多崎, 恵子"}],"nameIdentifiers":[{}]}]},"item_7_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"[Aim] The definition of good adherence to continuous positive airway pressure (CPAP)\ntherapy for obstructive sleep apnea syndrome (OSA) is a utilization rate of ≥70% and a\nmean usage time on usage days of ≥ 4 hours, and users who deviate from this definition\nare regarded as having poor adherence. Personalized guidance is required to improve the\nadherence of users with poor adherence. Hence, a more detailed classification is needed\nrather than simply classifying users as having poor and good adherence. Thus, this study\naimed to clarify the significance of classification of adherence into four groups based on\nthe two indices of utilization rate (%) and mean usage time (hours).\n[Method] This study examined CPAP users at the CPAP specialist outpatient department\nfrom October to November 2016. In total, 535 patients were included, and information\non CPAP adherence, physical data at initial consultation, and data on motivation for\nconsultation were collected. The survey period was set as 2 months. The CPAP users\nwere divided into four groups, and a 4-group comparison was conducted on factors that\naffect adherence, using the χ ² test, the Kruskal-Wallis test, and the pairwise method.\nThe utilization rate was set as the vertical axis and the mean usage time on usage days\nwas set as the horizontal axis to create a scatter plot. The four segments were created by\nintersecting the axes with the values of “70%” and “4 hours”, with the top right set as\nthe good adherence group “≥70%/≥ 4 hours”; moving counterclockwise, the next segments\nwere set as the insufficient adherence time group “≥70%/<4 hours,” poor adherence group\n“≤70%/<4 hours,” and insufficient adherence days group “<70%, ≥ 4 hours.”\n[Results] The good adherence group (n=393) accounted for 70% of users; the remaining\n30%, conventionally classified together as users with poor adherence, were distributed into\ninsufficient adherence time group (n=31), poor adherence group (n=49), and insufficient\nadherence days group (n=62). No significant differences in sex or residual AHI were\nobserved, but significant difference was observed in age, usage history, and BMI between\nthe good adherence group and poor adherence group. The percentage of patients with\nhypertension was significantly different between the good adherence group and insufficient\nadherence days group. There was a significant difference in the percentage of patients\nwho sought consultation due to subjective symptoms between the insufficient adherence\ndays group and insufficient adherence time group. The percentage of patients who sought\nconsultation due to a recommendation by a company medical checkup showed a significant\ndifference between the good adherence group and insufficient adherence days group.\n[Conclusion] These results suggest that adherence can be divided into four groups based\non utilization rate and mean usage time on usage days, and that these classifications may\nbe helpful for constructing a guidance management system that emphasizes personalized\nguidance systems.","subitem_description_type":"Abstract"}]},"item_7_heading_33":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"Original Article","subitem_heading_language":"en"}]},"item_7_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00056811","subitem_identifier_reg_type":"JaLC"}]},"item_7_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Wellness and Health Care Society "}]},"item_7_publisher_19":{"attribute_name":"出版者（別名）","attribute_value_mlt":[{"subitem_publisher":"ウェルネス・ヘルスケア学会 "}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2434-1509","subitem_source_identifier_type":"ISSN"}]},"item_7_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kato, Chinatsu"}],"nameIdentifiers":[{"nameIdentifier":"91378","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Inagaki, Michiko"}],"nameIdentifiers":[{"nameIdentifier":"29596","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"40115209","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=40115209"},{"nameIdentifier":"40115209","nameIdentifierScheme":"研究者番号","nameIdentifierURI":"https://nrid.nii.ac.jp/nrid/1000040115209"}]},{"creatorNames":[{"creatorName":"Tasaki, Keiko"}],"nameIdentifiers":[{"nameIdentifier":"29595","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"70345635","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=70345635"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-02-03"}],"displaytype":"detail","filename":"2434-1509_43-2-11-22.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"2434-1509_43-2-11-22.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/50502/files/2434-1509_43-2-11-22.pdf"},"version_id":"999298e1-4001-4d06-b5bd-ed934af899cb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"CPAP","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"adherence","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"utilization rate","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mean usage times","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Sleep Apnea Syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Classification of adherence of CPAP users: a four-group comparison based on utilization rate and mean usage time on usage days","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Classification of adherence of CPAP users: a four-group comparison based on utilization rate and mean usage time on usage days"}]},"item_type_id":"7","owner":"3","path":["3805"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-02-03"},"publish_date":"2019-02-03","publish_status":"0","recid":"50502","relation_version_is_last":true,"title":["Classification of adherence of CPAP users: a four-group comparison based on utilization rate and mean usage time on usage days"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-07-27T15:37:22.328756+00:00"}