scholarly journals Sleep Quality and Fatigue among Breast Cancer Patients Undergoing Chemotherapy

2019 ◽  
Author(s):  
Mahrokh Imanian ◽  
Mahsa Imanian ◽  
Mahdi Karimyar
Keyword(s):  
Breast Cancer ◽  
Sleep Quality ◽  
Sleep Disorders ◽  
Cancer Patients ◽  
Breast Cancer Survivors ◽  
Breast Cancer Patients ◽  
Quality Of Sleep ◽  
The Mean ◽  
Cutting Point

Background: Breast cancer survivors make up a growing population facing treatment that poses long – standing adverse effects including chemotherapy- related sleep disorders and fatigue. There is limited knowledge of patients' lived experiences of chemotherapy- induced sleep disorders and fatigue. The aim of this study was to explore sleep quality and fatigue among breast cancer patients undergoing chemotherapy. Materials and Methods: One hundred fifteen patients were included in this census-based cross-sectional study. Data were collected through the Pittsburgh Sleep Quality Index and Brief Fatigue Inventory four days after the chemotherapy session. Statistical analysis was carried out using SPSS software version 13 and P<0.05 was considered statistically significant in all tests. Results: The mean hours of sleep were 5.6±1.83 in the range of 2 to 10 hours. The mean score of fatigue of participants was 5.59±1.67. Based on the cutting point, 57.4%, 20.9%, and 21.7% of participants had a moderate (4-6.9), mild (0.1-3.9), and severe (7-9.9) level of fatigue, respectively. The mean score of sleep quality among the participants was equal to 14.06±3.06, with a maximum and minimum of 7 and 21. The results of Spearman correlation coefficient showed that there is a significant relationship between fatigue and quality of sleep )0.210). Conclusion: Although the study findings revealed that patients with breast cancer undergoing chemotherapy experience different degrees of sleep disorders and fatigue, there is a need for more detailed studies to improve the quality of sleep and reduce fatigue in these patients due to the little attention paid to this issue in the medical field.

scholarly journals PENGARUH LATIHAN JALAN KAKI TERHADAP KUALITAS TIDUR PADA PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI DI RSUP DR. M DJAMIL PADANG

2020 ◽  
Vol 3 (1) ◽  
pp. Page16-27
Author(s):  
Weny Amelia ◽  
Mira Andika ◽  
Diana Yulanda
Keyword(s):  
Breast Cancer ◽  
Sleep Quality ◽  
Cancer Patients ◽  
Quality Index ◽  
Quality Score ◽  
P Value ◽  
Breast Cancer Patients ◽  
Quality Of Sleep ◽  
Walking Exercise

Abstrak Kemoterapi merupakan salah satu modalitas pengobatan kanker untuk mengatasi stadium lokal maupun metastase. Masalah yang sering muncul pada pasien kanker payudara yang menjalani kemoterapi adalah gangguan tidur sehingga berpengaruh terhadap kualitas tidur pasien. Penurunan kualitas tidur yang dialami oleh pasien kanker payudara yang menjalani kemoterapi dapat diatasi dengan latihan jalan kaki. Latihan jalan kaki merupakan kegiatan atau aktivitas yang dilakukan dengan menggunakan kedua kaki yang diikuti dengan ayunan tangan atau bagian anggota tubuh secara sinergis. Tujuan penelitian ini adalah untuk melihat pengaruh latihan jalan kaki terhadap kualitas tidur padapasien kanker payudara yang menjalani kemoterapi.                    . Penelitian ini dilakukan di RSUP Dr. M.Djamil Padang. Waktu penelitian ini dimulai pada tanggal 4-9 September 2019. Penelitian ini menggunakan pre eksperimet design dengan rancangan one group pretest-posttest design. Pengumpulan data dilakukan dengan menggunakan kuesioner PSQI (Pittsburgh Quality Index) untuk mengetahui kualitas tidur pasien berupa latihan jalan kaki selama 30 menit dilakukan 3 kali dalam 3 hari. .                       Hasil penelitian dengan uji statistik uji paired sampel t-test didapatkan bahwa rata-rata skor kualitas tidur sebelum intervensi 12.16 dan rata-rata skor kualitas tidur setelah intervensi 7.16. Penelitian ini menemukan perbedaan bermakna peningkatan kualitas tidur sebelum dan setelah intervensi p value = 0,000 ( p< 0.05) sehingga dapat disimpulkan bahwa terdapat pengaruh latihan jalan kaki terhadap kualitas tidur pasien kanker payudara yang menjalani kemoterapi.                                       .                                                       Disarankan kepada perawat untuk memberikan edukasi latihan jalan kaki kepada pasien kanker payudara yang menjalani kemoterapi untuk meningkatkan kualitas tidur pasien, sehingga dapat meningkatkan kondisi kesehatan pasien secara umum yang nantinya dapat memperbaiki dan meningkatkan kualitas hidup pasien kanker payudara. Kata Kunci : Latihan Jalan kaki, Kualitas Tidur,  Kanker Payudara, Kemoterapi Abstract                     Chemotherapy is one of the modalities of cancer treatment to overcome the local stage and metastasis. The problem that often arises in breast cancer patients undergoing chemotherapy is sleep disorders that affect the patient's sleep quality. Decreased sleep quality experienced by breast cancer patients undergoing chemotherapy can be overcome by walking exercises. Walking exercises are activities or activities carried out using both legs followed by swinging hands or parts of the body synergistically. The purpose of this study was to look at the effect of walking training on sleep quality in breast cancer patients undergoing chemotherapy. .                     This research was conducted at the Dr. M.Djamil Padang. When this study began on September 4-9, 2019. This study used a pre-experimental design with one group pretest-posttest design. Data collection was carried out using a PSQI (Pittsburgh Quality Index) questionnaire to determine the quality of sleep of patients in the form of 30 minutes of walking exercises performed 3 times in 3 days. .                     The results of the study with the statistical test paired sample t-test found that the average sleep quality score before the intervention was 12.16 and the average sleep quality score after the intervention was 7.16. This study found a significant difference in the improvement of sleep quality before and after the intervention p value = 0,000 (p <0.05) so that it can be concluded that there is an effect of walking exercise on the sleep quality of breast cancer patients undergoing chemotherapy. .                     It is recommended to nurses to provide education on walking exercises to breast cancer patients undergoing chemotherapy to improve the quality of sleep of patients, so as to improve the general health condition of patients who can later improve and improve the quality of life for breast cancer patients. Keywords: Breast Cancer, Chemotherapy, Sleep Quality, Walking Exercise

scholarly journals The Sleep Quality of Breast Cancer Patients

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Devita Alifiyanti ◽  
Yanti Hermayanti ◽  
Dyah Setyorini
Keyword(s):  
Breast Cancer ◽  
Sleep Quality ◽  
Cancer Patients ◽  
Sampling Technique ◽  
The Body ◽  
Poor Sleep ◽  
Immune Functions ◽  
Breast Cancer Patients ◽  
Quality Of Sleep

The quality of sleep is required by breast cancer patients to regenerate and repair the body cells. When patients’ sleep is disturbed, it may be affected to the physiological conditions, such as decreased appetite, weight loss, anxiety, irritability, and changes in natural and cellular immune functions. Breast cancer therapies can affect the quality of sleep. This study aimed to determine the sleep quality of breast cancer patients that had treatments in a public hospital in Bandung. This research used the quantitative descriptive approach. The sample was selected using the consecutive sampling technique (n = 31). Data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Sleep quality was categorized as good when the total score was ≤ 5, and sleep quality was poor when the total score was > 5. The results of this study indicated that all respondents (100%) had poor sleep quality. The components that contributed to the assessment were sleep latency, sleep duration, sleep efficiency, and daytime dysfunction. The worst sleep quality with the highest score (18) occurred in respondents who had radiotherapy and mastectomy (2 persons), and respondents in advanced stage (3 persons). This study concludes that the pharmacological therapies and the stages of cancer contributed to the sleep quality of breast cancer patients. It is expected that health professionals and hospitals notice the patient’s sleeping needs during treatment at the hospital.

Burden of Care and Its Relationship with Sleep Quality of Cancer Patients’ Caregivers

2021 ◽  
Author(s):  
Mohammadreza Boostaneh ◽  
Mohammad Zirak ◽  
Ramezan Fallah
Keyword(s):  
Sleep Quality ◽  
Cancer Patients ◽  
Poor Sleep ◽  
Burden Of Care ◽  
Quality Of Sleep ◽  
Study Results ◽  
Northwest Of Iran ◽  
The Mean ◽  
Convenience Sampling

Abstract Purpose: This study aimed to assess the burden of care and its relationship with sleep quality of cancer patients’ caregivers.Methods: This descriptive-correlational study was conducted in a referral center of cancer in Zanjan, northwest of Iran. 135 caregivers of cancer patients were recruited through convenience sampling method. The data were collected using a demographic characteristics questionnaire, Novak and Guest’s caregiver burden inventory and Pittsburgh sleep quality index (PSQI). The collected data was analyzed using descriptive and inferential statistics.Results: The mean (± SD) age of the participants was 39.71 (± 10.74) years. The mean (± SD) burden of care and sleep quality of the participants was 45.22 (± 17.75) and 8.88 (± 4.21), respectively. It was found that there is a significant positive relationship between burden of care and quality of sleep scores (r = 0.65, P < 0.001).Conclusion: cancer patients’ caregivers endure a remarkable burden of care and their sleep quality is undesirable. Results indicated that an increase in the burden of care reduces the caregiver’s quality of sleep. High burden of care and poor sleep quality may reduce the quality of the provided care that increase the costs and weakens the disease prognosis. According to the study results, reducing burden of care is an effective strategy regarding improving the caregivers’ quality of sleep that can improve the quality of provided cares by caregivers.

scholarly journals Changing goals in the management of breast carcinoma patients towards preservation of feminity and quality of life

2018 ◽  
Vol 4 (2) ◽  
pp. 96-98
Author(s):  
Soumi Pathak ◽  
Ajay Kumar Bhargava
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Health Care ◽  
Developing Countries ◽  
Breast Carcinoma ◽  
Cancer Patients ◽  
Breast Cancer Survivors ◽  
Breast Cancer Patients ◽  
Health Care Burden

Breast cancer is the commonest cancer in women worldwide. In the developing countries of Asia, the health care burden on account of breast cancer has been steadily mounting. Over 100,000 new breast cancer patients are estimated to be diagnosed annually in India.1 As per the ICMR-PBCR data, breast cancer is the commonest cancer among women in urban registries of Delhi, Mumbai, Ahmedabad, Calcutta, and Trivandrum where it constitutes > 30% of all cancers in females. Previous literature on mastectomy indicates that the operation may be perceived by the patient as a threat to her feminity. Breast cancer survivors have dissatisfaction with appearance, perceived loss of femininity and body integrity, self-consciousness about appearance, and dissatisfaction with surgical scars… Journal of Society of Anesthesiologists of NepalVol. 4, No. 2, 2017, Page: 96-98 

scholarly journals Health-related quality of life and its predictors among patients with breast cancer at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Selamawit Gebrehiwot Sibhat ◽  
Teferi Gedif Fenta ◽  
Beate Sander ◽  
Gebremedhin Beedemariam Gebretekle
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Patients ◽  
Addis Ababa ◽  
Breast Cancer Patients ◽  
Specialized Hospital ◽  
Tikur Anbessa Specialized Hospital ◽  
The Mean ◽  
Eortc Qlq

Abstract Background Breast cancer is the second most prevalent malignancy in Ethiopia and severely affects patients’ health-related quality of life (HRQOL). We aimed to assess HRQoL, factors influencing HRQoL, and utilities among breast cancer patients at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods A hospital-based cross-sectional study was conducted in Tikur Anbessa Specialized Hospital from December 2017 to February, 2018. A total of 404 breast cancer patients were interviewed using the validated Amharic version of the European Organization for Research and Treatment of Cancer module (EORTC QLQ-C30), EORTC QLQ-BR23, and Euro Quality of Life Group’s 5-Domain Questionnaires 5 Levels (EQ-5D-5 L) instruments. Mean scores and mean differences of EORTC- QLQ-C30 and EORTC- QLQ-BR23 were calculated. One-way ANOVA test was employed to determine the significance of mean differences among dependent and independent variables while stepwise multivariate logistic regression was used to identify factors associated with the global quality of life (GQOL). Coefficients and level specific utility values obtained from a hybrid regression model for the Ethiopian population were used to compute utility values of each health state. Data was analyzed using SPSS version 23. Results The mean age of patients was 43.94 ± 11.72 years. The mean score for GQoL and visual analog scale was 59.32 ± 22.94 and 69.94 ± 20.36, respectively while the mean utility score was 0.8 ± 0.25. Predictors of GQoL were stage of cancer (AOR = 7.94; 95% CI: 1.83–34.54), cognitive functioning (AOR = 2.38; 95% CI: 1.32–4.31), pain (AOR = 7.99; 95% CI: 4.62–13.83), financial difficulties (AOR = 2.60; 95% CI: 1.56–4.35), and future perspective (AOR = 2.08; 95% CI: 1.24–3.49). Conclusions The overall GQoL of breast cancer patients was moderate. Targeted approaches to improve patients’ HRQoL should consider stage of cancer, cognitive functioning, pain, financial status and worries about the patient’s future health. This study also provides estimates of EQ-5D utility scores that can be used in economic evaluations.

scholarly journals TANGO: effect of tango Argentino on cancer-associated fatigue in breast cancer patients—study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Shiao Li Oei ◽  
Thomas Rieser ◽  
Sarah Becker ◽  
Jessica Groß ◽  
Harald Matthes ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Sleep Quality ◽  
Cancer Patients ◽  
Negative Impact ◽  
Controlled Trial ◽  
Breast Cancer Patients ◽  
Argentine Tango ◽  
Patient Reported

Abstract Background The majority of breast cancer patients suffer from persistent impairments after completion of their primary oncological therapy. Cancer-related fatigue (CRF) in particular is a multidimensional syndrome having a profound negative impact on the quality of life. To counter CRF symptoms, physical activities are suggested as first-line interventions, mind-body therapies have been shown to be effective, and music therapy can also reduce anxiety and stress in breast cancer patients. Tango therapy that combines various elements can have an impact on physical, psychological, and cognitive abilities and could therefore have a beneficial effect on breast cancer patients. The purpose of this study is to investigate whether a 6-week tango module is suited as a therapeutic approach for people after primary breast cancer therapy to favorably influence their quality of life, especially CRF levels. Methods Sixty patients with a diagnosis for stage I–III breast cancer 12–48 months before enrollment and with CRF (age > 18) will be recruited and randomized 1:1 to a tango or a waiting-list group. Movement concepts using elements of Argentine tango (self-awareness, musical and spatial perception, self-perception, playfulness, shared experience) will be examined with the participants during six consecutive weekly 1-h tango sessions. The primary outcome will be the improvement of CRF (German version of the Cancer Fatigue Scale), and the secondary outcomes will be the improvement in sleep quality (Pittsburgh Sleep Quality Index) and quality of life (EORTC-QLQ-C30). Patient-reported outcomes will be measured at baseline and 6 weeks later; follow-up will be performed 6, 12, and 24 months after baseline. An evaluation will be performed by means of descriptive data analyses. Discussion Argentine tango, as a music-based movement therapy, can influence different skills and may improve several outcomes. The therapeutic use of Argentine tango in the care of breast cancer patients has not yet been reported. It is anticipated that participants receiving the tango module will have improved CRF, sleep, and quality of life scores compared to a waitlist control. Trial registration German Clinical Trials Registry (DRKS) DRKS00021601. Retrospectively registered on 21 August 2020

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.

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