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Estrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidencia

dc.contributor.advisorVillar Centeno, Juan Carlos
dc.contributor.advisorEgea Mendoza, Carlos
dc.contributor.authorVargas Ramírez, Leslie Katherine
dc.coverage.spatialColombiaspa
dc.date.accessioned2022-07-11T15:43:53Z
dc.date.available2022-07-11T15:43:53Z
dc.date.issued2022
dc.identifier.urihttp://hdl.handle.net/20.500.12749/16878
dc.description.abstractLa apnea obstructiva del sueño (AOS) es una patología de alta prevalencia alrededor del mundo(1). El tratamiento está guiado por un abordaje multidisciplinar que permita corregir los eventos respiratorios, siendo necesario en una buena proporción de los casos el uso de dispositivos de presión positiva para tal fin (2). La terapia con presión positiva (PAP) ha demostrado beneficios en relación con mejoría de los síntomas de la enfermedad como la somnolencia diurna(3) y en mejoría de desenlaces clínicos como control de hipertensión arterial en poblaciones específicas (4), mejoría en la condición hemodinámica en pacientes con falla cardiaca(5), así como mayor éxito en el control de la fibrilación auricular (6). A pesar de los beneficios descritos es difícil lograr la adherencia adecuada al uso de la terapia PAP (7). Con el objetivo de mejorar esta adherencia las guías internacionales para el manejo de pacientes con apnea obstructiva del sueño recomiendan el uso de estrategias de educación, intervenciones comportamentales y apoyo basado en resolución de problemas que deben ser brindadas al paciente al inicio del tratamiento y durante el seguimiento (8,9). En los últimos años se han introducido nuevas tecnologías en el proceso de adaptación de los pacientes con AOS(10), siendo mayor el uso después del inicio de la pandemia de COVID19. Se desconoce la utilidad de estas herramientas para lograr una buena adherencia de los pacientes con AOS a los dispositivos de presión positiva.spa
dc.description.tableofcontents1. Título 4 2. Resumen 4 3. Abstract 6 4. Planteamiento del problema 8 5. Marco teórico 9 6. Estado del arte 15 7. Objetivo General 17 8. Objetivos Específicos 18 9. Metodología 19 9.1 Formulación de las preguntas clínicas 19 9.2 Desarrollo de preguntas PICO 19 9.3 Fuentes de información 21 9.4 Criterios de selección 21 9.5 Estrategias de búsqueda de la literatura 22 9.6 Proceso de selección de los estudios y recolección de datos 22 9.7 Evaluación del riesgo de sesgos 23 9.8 Análisis y síntesis 23 10.Resultados 24 10.1 Selección del cuerpo de la evidencia 24 10.2 Extracción de datos 26 10.3 Evaluación de riesgo de sesgos 34 10.4 Efectos de las intervenciones 35 11. Evaluación del cuerpo de la evidencia y generación de 43 recomendaciones 12. Bibliografía 50 13. Anexos 57spa
dc.format.mimetypeapplication/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleEstrategias utilizadas a través de nuevas tecnologías para mejorar la adherencia a los dispositivos de presión positiva en pacientes adultos con apnea obstructiva del sueño. Revisión sistemática de la literatura y recomendaciones basadas en síntesis de la evidenciaspa
dc.typeThesiseng
dc.title.translatedStrategies used through new technologies to improve adherence to positive pressure devices in adult patients with obstructive sleep apnea. Systematic review of the literature and recommendations based on evidence synthesisspa
dc.degree.nameMagíster en Métodos para la Producción y Aplicación de Conocimiento Científico en Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programMaestría en Métodos para la Producción y Aplicación de Conocimiento Científico en Saludspa
dc.description.degreelevelMaestríaspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsObstructive apneaspa
dc.subject.keywordsDisease managementspa
dc.subject.keywordsPressure devicesspa
dc.subject.keywordsBreathing disordersspa
dc.subject.keywordsRespiratory diseasesspa
dc.subject.keywordsTechnological innovationsspa
dc.subject.keywordsProduct developmentspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
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dc.contributor.cvlacVillar Centeno, Juan Carlos [0000068519]spa
dc.contributor.googlescholarVillar Centeno, Juan Carlos [nTlsWe0AAAAJ]spa
dc.contributor.orcidVillar Centeno, Juan Carlos [0000-0002-7047-7299]spa
dc.contributor.orcidEgea Mendoza, Carlos [0000-0002-7618-7444]spa
dc.contributor.scopusVillar Centeno, Juan Carlos [57193835436]spa
dc.contributor.researchgateVillar Centeno, Juan Carlos [Juan_Villar11]spa
dc.subject.lembCiencias médicasspa
dc.subject.lembTrastornos de la respiraciónspa
dc.subject.lembEnfermedades respiratoriasspa
dc.subject.lembInnovaciones tecnológicasspa
dc.subject.lembDesarrollo de productosspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.description.abstractenglishObstructive sleep apnea (OSA) is a highly prevalent pathology around the world (1). The treatment is guided by a multidisciplinary approach that allows correcting respiratory events, being necessary in many cases the use of devices of positive pressure for this purpose (2). Positive pressure therapy (PAP) has shown benefits in relation to improvement of disease symptoms such as daytime sleepiness (3) and improvement of clinical outcomes such as control of arterial hypertension in specific populations (4), improvement in the condition hemodynamics in patients with heart failure (5), as well as greater success in the control of atrial fibrillation (6). Despite the benefits described, it is difficult to achieve adequate adherence to the use of PAP therapy (7). With the aim of improving this adherence, the international guidelines for the management of patients with obstructive sleep apnea recommend the use of educational strategies, behavioral interventions and support based on problem solving that should be provided to the patient at the beginning of treatment and during follow-up (8,9). In recent years, new technologies have been introduced in the adaptation process of patients with OSA (10), with greater use after the onset of the COVID19 pandemic. The usefulness of these tools in achieving good adherence of OSA patients to positive pressure devices is unknown.spa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalApnea obstructivaspa
dc.subject.proposalManejo de enfermedadspa
dc.subject.proposalDispositivos de presiónspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TMspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.description.learningmodalityModalidad Presencialspa


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