scholarly journals Intervention to improve quality of sleep of palliative patient carers in the community: protocol for a multicentre randomised controlled trial

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Inmaculada Valero-Cantero ◽  
Yolanda Carrión-Velasco ◽  
Cristina Casals ◽  
Francisco Javier Martínez-Valero ◽  
Francisco Javier Barón-López ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Palliative Care ◽  
Sleep Quality ◽  
Music Therapy ◽  
Cancer Patients ◽  
Randomised Clinical Trial ◽  
Therapeutic Education ◽  
Increased Risk ◽  
Two Samples

Abstract Background Sleep disorders are commonly experienced by community caregivers for persons with cancer, with at least 72% reporting moderate to severe disorders. A consequence of this condition, which is associated with the presence of overload in the caregiver, is the increased risk of clinical depression. The aim of this study is to evaluate the effects of music on the sleep quality achieved by informal caregivers for cancer patients receiving home palliative care. In addition, we will assess the influence of specific variables that could modify these effects, analyse the correlates related to nocturnal wakefulness and consider the diurnal consequences according to the sleep characteristics identified. Methods This single-blind, multicentre, randomised clinical trial will focus on informal providers of care for cancer patients. Two samples of 40 caregivers will be recruited. The first, intervention, group will receive seven music-based sessions. The control group will be masked with seven sessions of therapeutic education (reinforcing previous sessions). Outcomes will be evaluated using the Pittsburgh Sleep Quality Index, a triaxial accelerometer, EuroQol-5D-5L, the Caregiver Strain Index, the Epworth Sleepiness Scale and the Client Satisfaction Questionnaire. The caregivers’ satisfaction with the intervention performed will also be examined. Discussion This study is expected to extend our understanding of the efficacy of music therapy in enhancing the sleep quality of caregivers for patients receiving home palliative care. To our knowledge, no reliable scientific investigations of this subject have previously been undertaken. Music is believed to benefit certain aspects of sleep, but this has yet to be proven and, according to a Cochrane review, high-quality research in this field is necessary. One of the main strengths of our study, which heightens the quality of the randomised clinical trial design, is the objective assessment of physical activity by accelerometry and the use of both objective and subjective measures of sleep in caregivers. Music therapy for the caregivers addressed in this study is complementary, readily applicable, provokes no harmful side effects and may produce significant benefits. Trial registration The IMECA study is registered at Clinical Trials.gov, ClinicalTrials.gov Identifier: NCT04491110. Registered 29 July, 2020.

The effects of animal-assisted interactions on quality of life in children with life-threatening conditions and their parents

2021 ◽  
Vol 27 (10) ◽  
pp. 524-530
Author(s):  
Haley Walker ◽  
Mary Chapman Miller ◽  
Brittany Cowfer ◽  
Terrah Akard ◽  
Mary Jo Gilmer
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Palliative Care ◽  
Primary Caregivers ◽  
Randomised Clinical Trial ◽  
Severe Stress ◽  
Quality Of Life Research ◽  
Threatening Condition ◽  
Life Threatening

Background: Children with advanced cancer and their primary caregivers may experience severe stress and anxiety in coping with their life-threatening condition. As a way to help reduce these stressors and increase overall quality of life, research suggests that animal-assisted interactions may be beneficial when integrated into palliative care. Aims: This pilot study aims to provide evidence for the feasibility and efficacy of a randomised clinical trial using animal-assisted interactions to help improve the quality of life for children with an advanced life-threatening condition and their primary caregivers. This protocol paper outlines the basis of the research, goals, experimental design and methodology.

Effect of Music Therapy Combined With Aerobic Exercise on Sleep Quality Among Patients With Chemotherapy After Radical Mastectomy: Results From a Randomized Controlled Trial

2021 ◽  
Author(s):  
Li Chang ◽  
Yan Wang ◽  
Jie Zhang ◽  
Wenqian Zhao ◽  
Lei Yang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Sleep Quality ◽  
Music Therapy ◽  
Aerobic Exercise ◽  
Cancer Patients ◽  
Intervention Group ◽  
Radical Mastectomy ◽  
Breast Cancer Patients ◽  
Post Test

Abstract Background: The morbidity and mortality of breast cancer have gradually increased in recent years, seriously threatening women's health. Sleep disorder is one of the most common symptoms in patients with breast cancer. In recent years, with the increasing awareness of the importance of the quality of life of cancer patients, reducing symptoms and improving the quality of sleep have become the focus of cancer research. Some studies shown that music therapy can effectively promote the sleep quality. Other studies have indicated that aerobic exercise has the positive effect on sleep quality. However, the effects of these interventions on sleep quality of breast cancer patients, especially those in the chemotherapy after radical mastectomy is still unclear.Objective: The aim of this study was to explore the effect of music therapy combined with aerobic exercise on the sleep quality of patients undergoing chemotherapy after radical mastectomy.Methods: A randomized controlled trial was conducted at Breast Disease Diagnosis and Treatment Center, Shaanxi Province Tumor Hospital from November 2017 to January 2019.A total of 100 female breast cancer patients who underwent modified radical mastectomy (MRM) or extensive radical mastectomy (ERM), were recruited through convenient sampling, and randomly allocated into an intervention group of 51 patients and a control group with 49 patients respectively. The intervention group accepted music therapy combined with aerobic exercise from the first to the sixth admission to hospital for chemotherapy in addition to the routine nursing care, while the control group received only routine nursing care. Sleep quality of these patients were measured 3 times, eg, at the end of 10 days, the first cycle of chemotherapy, the third cycle of chemotherapy and the end of the sixth cycle of chemotherapy using Pittsburgh sleep quality index (PSQI), and to compare the total score of sleep quality and the difference of each factor between the two groups. A linear mixed model was used to measure the effect on PSQI of patients after controlling for other confounding factors.Results: The mean score of sleep quality of breast cancer patients who received chemotherapy after radical mastectomy, were 8.86±2.34.The patients with PSQI score greater than 7 points accounted for approximately 89.0%. Moreover, there were more than half of the patients with scores of subjective sleep quality, sleep duration, sleep disturbance and daytime dysfunction higher than 2 points. 56.0% of patients had the problem of poor subjective sleep quality; 42.0% of patients had the trouble in falling asleep; 34.0% of patients had sleep disturbance (easy to get up, get up early, frequently to go toilet at night). About 34.0% of patients slept less than 6 hours, and had daytime dysfunction such as energy shortage and fatigue.Significant improvements from baseline in all indices for sleep quality measurement were observed throughout the intervention period from 1st post-test to 3rd post-test.With the increase of chemotherapy cycle, the total score of PSQI and the score of sleep quality in the intervention group showed a decreasing trend. However, change in PSQI-total had increased from 1st post-test to 3rd post-test gradually increased in the intervention group (difference between groups: -1.31(-2.05,-0.57)to -2.102(-2.84,-1.36)) .On the contrary, significant increases in changes of the PSQI-total in control groups from 1st post-test to 3rd post-test was clear (difference between groups: 0.55 (-0.18,1.2752) to 2.75 (2.02,3.47)).Limitations: The data were self-reported, which could be influenced by many potential factors, and no biomarkers or physiological measurements were done, which need to be further explored. What’s more, bigger sample size was needed in the future studies to enhance the representativeness of the subjects.Conclusions: Music therapy combined with aerobic exercise intervention can significantly improve the sleepy quality of female breast cancer patients with chemotherapy after radical mastectomy, and it has a good continuous improvement effect on many aspects of reactive sleep.

PERAN EDUKATOR PERAWAT MELALUI TERAPI NON FARMAKOLOGI DALAM UPAYA MENINGKATKAN KUALITAS TIDUR PASIEN KANKER PAYUDARA

2021 ◽  
Vol 2 (1) ◽  
pp. 52
Author(s):  
Dian Anggraini ◽  
Dewi Marfuah ◽  
Susy Puspasari
Keyword(s):  
Breast Cancer ◽  
Health Education ◽  
Sleep Quality ◽  
Music Therapy ◽  
Cancer Patients ◽  
Muscle Tone ◽  
Pharmacological Therapy ◽  
Breast Cancer Patients ◽  
Quality Sleep

Background: Quality sleep is needed by breast cancer patients in order to maintain good physical condition and immune system. Nurses have a role as educators who provide health education. Health education that can be given is non-pharmacological therapy, namely music therapy and PMR to improve sleep quality. Health education for patients is felt to be very important considering that patients are not always hospitalized so that it is hoped that with health education, patients can carry out care independently at home.Methods: The way of implementing community service activities is carried out by exposing non-pharmacological therapies with nurses who are in charge of the chemotherapy room. After being given the material, the selected nurse will apply the therapy to the patient in order to improve the quality of sleep for breast cancer patients who are given chemotherapy.Results: The provision of music therapy and PMR had a positive effect on breast cancer patients undergoing chemotherapy. Most of the patients involved in this service reported an improvement in the quality of sleep.Discussion: Good quality sleep is needed by breast cancer patients to regenerate and repair body cells. Music therapy combined with PMR is effective in reducing physical arousal activity which results in decreased muscle tone so that sleep quality can be fulfilled.

scholarly journals Effects of simultaneous care on quality of life of advanced cancer patients. A multicenter controlled randomised clinical trial

2016 ◽  
Vol 27 ◽  
pp. iv55
Author(s):  
V. Franciosi ◽  
G. Caruso ◽  
C. Degli Esposti ◽  
L. Cavanna ◽  
R. Berte' ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Randomised Clinical Trial ◽  
Advanced Cancer Patients

Effect of music therapy on symptoms, adverse events, and quality of life of breast cancer patients undergoing chemotherapy: A randomized clinical trial.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e24140-e24140
Author(s):  
Rachel Jorge Dino Cossetti Leal ◽  
Talita Uchoa Lima ◽  
Emanuel Cabral Pereira ◽  
Raniere Victor Braga Nascimento ◽  
Eduardo José Silva Gomes Oliveira ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Clinical Trial ◽  
Adverse Events ◽  
Music Therapy ◽  
Randomized Clinical Trial ◽  
Cancer Patients ◽  
Breast Cancer Patients ◽  
Subjective Impression

e24140 Background: Music can influence human behavior and may be used as complementary therapy in health care. Objective: To assess the effect of music therapy on symptoms, adverse events and quality of life (QoL) of breast cancer patients undergoing chemotherapy (CT). Methods: Non-blinded, randomized clinical trial. Patients were randomized into two groups: musical group (MG) or control group (CG), and followed during the first 3 cycles of CT. Sociodemographic data, WHOQOL-BREF, BDI-II, BAI and Chemotherapy Toxicity Scale were assessed. Patients were evaluated after each of the first three CT cycles. MG underwent a 30-minute musical intervention prior to CT. There was no intervention in the CG. Results: Higher QoL scores on functional scales were observed for the MG in comparison to the CG after the first and third sessions of chemotherapy. Depression (p < 0.001) and anxiety scores (p < 0.001) and vomiting (p 0.01) incidence were lower for the MG in the third CT session. All participants in the MG reported positive changes in life in the Subjective Impression of the Subject questionnaire, as well as improvement in fatigue and reduced stress levels. Conclusions: Improvements in QoL, anxiety, depression, and incidence of vomiting were associated with music therapy intervention, suggesting a positive effect of music therapy on adverse events of cancer CT. Clinical trial information: RBR-88r347 .

scholarly journals Clinical trial of effect of music-therapy on sleep quality in blood cancer patients

2016 ◽  
Vol 25 (sup1) ◽  
pp. 124-125 ◽  
Author(s):  
Farnaz Dehkhoda ◽  
Seema Vinayak ◽  
Rohin Vinayak
Keyword(s):  
Clinical Trial ◽  
Sleep Quality ◽  
Music Therapy ◽  
Cancer Patients ◽  
Blood Cancer
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