FeatureLife Changes in Individuals Diagnosed with Sleep Apnea While Accommodating to Continuous Positive Airway Pressure (CPAP) DevicesDickerson, Suzanne S. RN DNS1; Akhu-Zaheya, Laila RN PhD2Author Information 1 Suzanne S. Dickerson, RN DNS, is an associate professor at the University at Buffalo, State University of New York, School of Nursing. 2 Laila Akhu-Zaheya, RN PhD, is an assistant professor at Jordan University of Science and Technology and was a PhD candidate at the University at Buffalo. Correspondence to 1033 Kimball Tower, 3435 Main Street, Buffalo, NY 14214 or [email protected] Rehabilitation Nursing Journal: November 2007 - Volume 32 - Issue 6 - p 241-250 doi: 10.1002/j.2048-7940.2007.tb00181.x Buy Metrics Abstract Continuous positive airway pressure (CPAP) devices are effective in preventing the sequela of obstructive sleep apnea (OSA); however, compliance with the device is problematic. This study's purpose is to longitudinally discover OSA patients experiences with CPAP. A hermeneutic phenomenological approach was used to obtain narrative stories for interpretive analysis. 20 patients were prescribed CPAP at an urban sleep center. Five themes and one constitutive pattern included (1) trouble using CPAP, (2) needing to persist through initial and recurring frustration, (3) difficulty recognizing subtle improvements, (4) accessing help and problem solving, and (5) becoming part of the routine or abandoning the device. Perseverence through tribulations by developing a positive mind-set was the constitutive pattern. The implications are that rehabilitation nurses should understand the difficulties with CPAP compliance so that they may assist patients with device issues and offer encouragement. © 2007 Association of Rehabilitation Nurses.