Volume 29, Issue 99 And 100 (April- June 2016)                   IJN 2016, 29(99 And 100): 76-85 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jalali R, Rezaei M, Khaledi Paveh B, Aznab M, AmiriFard N, Mohammadi E. Sleep Disorder and its Correlates in Patients Undergoing Chemotherapy. IJN 2016; 29 (99 and 100) :76-85
URL: http://ijn.iums.ac.ir/article-1-2292-en.html
1- Assistant professor, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah,Iran
2- 2Assistant Professor, Department of Biostatistics and Epidemiology, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3- Instructor, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
4- Assistant professor, Taleghani hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
5- Assistant Professor, Department of Radiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
6- MS of critical car nursing, Students Research Committee, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. (Corresponding author). Tel: +989183447461. E-mail: mohamade8989@gmail.com
Abstract:   (9516 Views)

Abstract 

Background & Aims: Cancer patients undergoing chemotherapy suffer from major side effects including sleep disorders. The Sleep problems affected ability of patients to complete the treatment, recovery, survival and ultimately affected good quality of life. The aim of this study was to determine prevalence of sleep disorder and its related factors in cancer patients undergoing chemotherapy.

Material & Methods: This cross-sectional study was conducted at Kermanshah, Iran 2013. In overall, 140 cancer patients undergoing chemotherapy in two University affiliated hospitals, recruited in study by random sampling. Data were collected by standard questionnaires and for analyze the data, Chi-square, Mann– Whitney test; Kruskal Wallis test and correlation coefficient were used. P- value < 0.05 was considered significant.

Results: The overall prevalence of poor sleep quality was 51.4%. Statistical analysis showed that the history of previous surgical treatment (P= 0.027), hospitalized patients (P= 0.047), having fatigue (P= 0.012), having pain (P= 0.001) and pain intensity (P= 0.0001) were the main factors associated with poor sleep quality.

Conclusions: According to results of the present study, design and planning of nursing interventions focused on careful assessments and management of pain and fatigue is recommended to improving the patients sleep quality. 

Full-Text [PDF 921 kb]   (5001 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2016/02/21 | Accepted: 2016/05/15 | Published: 2016/05/15

References
1. Mansano-Schlosser TC, Ceolim MF. Factors associated with sleep quality in the elderly receiving chemotherapy. Rev Lat Am Enfermagem. 2012;20(6):1100-8. [DOI:10.1590/S0104-11692012000600012] [PMID]
2. Kanavos P. The rising burden of cancer in the developing world. Ann Oncol. 2006;17(suppl 8): 15-23. [DOI:10.1093/annonc/mdl983] [PMID]
3. Buysse DJ, Hall ML, Strollo PJ, Kamarck TW, Owens J, Lee L, et al. Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. J Clin Sleep Med. 2008;4(6):563-71. [PMID] [PMCID]
4. Rad AK, Noroozi M, AhmariTehran H, Rahmani A. [Quality of sleep and related factors in Breast Cancer Patients Receiving Chemotherapy in Qom 2011]. Iranian Quarterly Journal of Breast Diseases. 2012;4(4):51-60.
5. Liu L, Fiorentino L, Rissling M, Natarajan L, Parker BA, Dimsdale JE, et al. Decreased health-related quality of life in women with breast cancer is associated with poor sleep. Behav Sleep Med. 2013;11(3):189-206. [DOI:10.1080/15402002.2012.660589] [PMID] [PMCID]
6. Gooneratne NS, Dean GE, Rogers AE, Nkwuo JE, Coyne JC, Kaiser LR. Sleep and quality of life in long-term lung cancer survivors. Lung Cancer. 2007;58(3):403-10. [DOI:10.1016/j.lungcan.2007.07.011] [PMID] [PMCID]
7. Mohammadi SZ, Shahparian M. [Evaluation of Sleep Problems and Its Associated Factors in Male Patients with Systolic Heart Failure]. Qom University of Medical Sciences Journal. 2013;6(4):64-73.
8. Imeri L, Opp MR. How (and why) the immune system makes us sleep. Nature Reviews Neuroscience. 2009;10(3):199-210. [DOI:10.1038/nrn2576] [PMID] [PMCID]
9. Shakhar K, Valdimarsdottir HB, Guevarra JS, Bovbjerg DH. Sleep, fatigue, and NK cell activity in healthy volunteers: significant relationships revealed by within subject analyses. Brain Behav Immun. 2007;21(2):180-4. [DOI:10.1016/j.bbi.2006.06.002] [PMID]
10. Palesh OG, Roscoe JA, Mustian KM, Roth T, Savard J, Ancoli-Israel S, et al. Prevalence, demographics, and psychological associations of sleep disruption in patients with cancer: University of Rochester Cancer Center–Community Clinical Oncology Program. J Clin Oncol. 2010;28(2):292-8. [DOI:10.1200/JCO.2009.22.5011] [PMID] [PMCID]
11. Roscoe JA, Kaufman ME, Matteson-Rusby SE, Palesh OG, Ryan JL, Kohli S, et al. Cancer-related fatigue and sleep disorders. The Oncologist. 2007;12(Supplement 1):35-42. [DOI:10.1634/theoncologist.12-S1-35] [PMID]
12. Ryan JL, Carroll JK, Ryan EP, Mustian KM, Fiscella K, Morrow GR. Mechanisms of cancer-related fatigue. The oncologist. 2007;12(Supplement 1):22-34. [DOI:10.1634/theoncologist.12-S1-22] [PMID]
13. Isaac T, Stuver SO, Davis RB, Block S, Weeks JC, Berry DL, et al. Incidence of severe pain in newly diagnosed ambulatory patients with stage IV cancer. Pain Research and Management. 2012;17(5):347-52. [DOI:10.1155/2012/542354] [PMID] [PMCID]
14. Van den Beuken-van Everdingen M, De Rijke J, Kessels A, Schouten H, Van Kleef M, Patijn J. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol. 2007;18(9):1437-49. [DOI:10.1093/annonc/mdm056] [PMID]
15. Palesh O, Peppone L, Innominato PF, Janelsins M, Jeong M, Sprod L, et al. Prevalence, putative mechanisms, and current management of sleep problems during chemotherapy for cancer. Nat Sci Sleep. 2012;4:151-62. [DOI:10.2147/NSS.S18895] [PMID] [PMCID]
16. Tzeng JI, Fu Y-W, Lin C-C. Validity and reliability of the Taiwanese version of the Pittsburgh Sleep Quality Index in cancer patients. Int J Nurs Stud. 2012;49(1):102-8. [DOI:10.1016/j.ijnurstu.2011.08.004] [PMID]
17. Abbasi S, Mehdizadeh S, Payami Bousari M. [Relationship between general health level and sleep quality in chemical warfare victims with bronchiolitis obliterans]. Journal Mil Med. 2012;14(1):15-9.
18. Halvani GH, Zare M, Mirmohammadi SJ. [The relation between shift work, sleepiness, fatigue and accidents in iranian industrial mining group workers]. Ind Health. 2009;47(2):134-8. [DOI:10.2486/indhealth.47.134] [PMID]
19. N Nahamin M, Hasankhani H, Ghaderi F, Lakdizaji S. [Fatigue and demographic factors influencing on it in dialyzed patients]. education. 2005;7:7.
20. Massaccesi M, Deodato F, Caravatta L, Macchia G, Padula GD, Di Rito S, et al. Incidence and management of noncancer pain in cancer patients referred to a radiotherapy center. Clin J Pain. 2013;29(11):944-7. [DOI:10.1097/AJP.0b013e31827eb5e6] [PMID]
21. Saini A, Berruti A, Ferini-Strambi L, Castronovo V, Rametti E, Giuliano PL, et al. Restless legs syndrome as a cause of sleep disturbances in cancer patients receiving chemotherapy. J Pain Symptom Manage. 2013;46(1):56-64. [DOI:10.1016/j.jpainsymman.2012.06.018] [PMID]
22. Beck SL, Berger AM, Barsevick AM, Wong B, Stewart KA, Dudley WN. Sleep quality after initial chemotherapy for breast cancer. Support Care Cancer. 2010;18(6):679-89. [DOI:10.1007/s00520-009-0662-y] [PMID] [PMCID]
23. Chen M-L, Yu C-T, Yang C-H. Sleep disturbances and quality of life in lung cancer patients undergoing chemotherapy. Lung Cancer. 2008;62(3):391-400. [DOI:10.1016/j.lungcan.2008.03.016] [PMID]
24. Mystakidou K, Parpa E, Tsilika E, Pathiaki M, Patiraki E, Galanos A, et al. Sleep quality in advanced cancer patients. J Psychosom Res. 2007;62(5):527-33. [DOI:10.1016/j.jpsychores.2006.11.008] [PMID]
25. Eyigor S, Eyigor C, Uslu R. Assessment of pain, fatigue, sleep and quality of life (QoL) in elderly hospitalized cancer patients. Arch Gerontol Geriatr. 2010;51(3):e57-e61. [DOI:10.1016/j.archger.2009.11.018] [PMID]
26. Jafarian Amiri S, Zabihi A, Babaie F, Sefidchian A, Bijanee A. [Sleep quality and associated factors in hospitalized patients in Babol, Iran]. Bimonthly Journal of Hormozgan University of Medical Sciences. 2011;15(2):144-51.
27. Colagiuri B, Christensen S, Jensen AB, Price MA, Butow PN, Zachariae R. Prevalence and predictors of sleep difficulty in a national cohort of women with primary breast cancer three to four months postsurgery. J Pain Symptom Manage. 2011;42(5):710-20. [DOI:10.1016/j.jpainsymman.2011.02.012] [PMID]
28. Van Onselen C, Paul SM, Lee K, Dunn L, Aouizerat BE, West C, et al. Trajectories of sleep disturbance and daytime sleepiness in women before and after surgery for breast cancer. J Pain Symptom Manage. 2013;45(2):244-60. [DOI:10.1016/j.jpainsymman.2012.02.020] [PMID] [PMCID]
29. Barichello E, Sawada NO, Sonobe HM, Zago MMF. Quality of sleep in postoperative surgical oncologic patients. Rev Lat Am Enfermagem. 2009;17(4):481-8. [DOI:10.1590/S0104-11692009000400008] [PMID]
30. Sanford SD, Wagner LI, Beaumont JL, Butt Z, Sweet JJ, Cella D. Longitudinal prospective assessment of sleep quality: before, during, and after adjuvant chemotherapy for breast cancer. Support Care Cancer. 2013;21(4):959-67. [DOI:10.1007/s00520-012-1612-7] [PMID]
31. Liu L, Rissling M, Natarajan L, Fiorentino L, Mills PJ, Dimsdale JE, et al. The longitudinal relationship between fatigue and sleep in breast cancer patients undergoing chemotherapy. Sleep. 2012;35(2):237-45. [DOI:10.5665/sleep.1630] [PMID] [PMCID]
32. Sharma N, Hansen CH, O'Connor M, Thekkumpurath P, Walker J, Kleiboer A, et al. Sleep problems in cancer patients: prevalence and association with distress and pain. Psycho‐Oncology. 2013;22(5):1198. [DOI:10.1002/pon.3294]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb