scholarly journals The Sleep Quality of Breast Cancer Patients

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Devita Alifiyanti ◽  
Yanti Hermayanti ◽  
Dyah Setyorini

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.

2017 ◽  
Vol 3 (2) ◽  
pp. 115
Author(s):  
Devita Alifiyanti ◽  
Yanti Hermayanti ◽  
Dyah Setyorini

ABSTRAK  Tidur berkualitas dibutuhkan oleh pasien kanker payudara agar kondisi dan daya tahan tubuh dapat dipertahankan optimal. Pada saat tidur  sel yang rusak  dapat diperbaiki. Perawat harus memfasilitasi kebutuhan tersebut dan harus mengetahui kualitas tidur pasien dengan terapi yang berbeda, sebagai dasar perencanaan asuhan. Penelitian ini bertujuan untuk meggambarkan kondisi kualitas tidur pasien yang sedang menjalankan terapi di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik consecutive sampling (n=31). Data dikumpulkan menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI). Kualitas tidur dikatakan baik bila skor total ≤ 5, dan kualitas tidur buruk bila skor total > 5. Hasil penelitian menunjukkan bahwa seluruh responden (100%) memiliki kualitas tidur yang buruk. Komponen yang paling banyak berkontribusi dalam penilaian tersebut adalah latensi tidur, durasi tidur, efisiensi kebiasaan tidur, dan disfungsi siang hari. Kualitas tidur terburuk dengan skor 18 terjadi pada responden yang menjalani radioterapi dengan mastektomi (2 orang) dan responden stadium lanjut (3 orang). Kesimpulan, bahwa terapi pengobatan yang dijalani dan kondisi kanker berkontribusi terhadap kualitas tidur pasien kanker payudara. Sejak pasien masuk perawat harus mengkaji kebutuhan tidur, menggali masalah kesulitan tidur, menjelaskan pengaruh tidur terhadap perbaikan sel, dan memberikan informasi tentang cara tidur berkualitas kepada pasien dan keluarganya untuk setting rumah sakit dan di rumah. Rumah Sakit harus memfasilitasi kebutuhan pasien agar tidak terganggu saat tertidur selama dalam perawatan.  ABSTRACT Deep sleep is needed by breast cancer patients to maintain health quality  optimally.  During that time the damaged cells can be repair. Nurses should facilitate the need and should know the sleep quality as the basis for nursing care. This study aims to describe  sleep quality of breast cancer patients with the treatmen at Dr. Hasan Sadikin Bandung.  This research uses quantitative descriptive method with consecutive sampling technique (n = 31). Data were collected using the Pittsburgh Sleep Quality Index (PSQI). Sleep quality was good when the total score ≤5.  Sleep quality was  poor when the total score >5. The results show that all respondents (100%) had poor sleep quality. The components which contribute to the condition were sleep latency, sleep duration, sleep efficiency and daytime dysfunction. The worst score sleep quality was 18 which occurred on mastectomy patient with radiotherapy (2) and  advanced stage patients (3).  To  conclude that treatment for cancer contribute to sleep quality of breast cancer patients.  Nurses should assess the needs of sleep, explore the problem of sleeping difficulties, explain the effect of sleep on cell repair, and provide information about  getting a good sleep at the  hospital or home settings. Hospital should  facilitate  the infrastructure to full fill tne  need.  


2020 ◽  
Vol 16 (2) ◽  
pp. 91
Author(s):  
Dian Anggraini ◽  
Dewi Marfuah ◽  
Susy Puspasari

Background : In the last five years, the prevalence of breast cancer in Indonesia has increased. The usual treatment for breast cancer is chemotherapy, which can cause physical problems that affect sleep quality. Sleep disorders are often experienced by breast cancer patients, where the impact affects the healing of the cancer and the immune system so that the condition and immune system cannot be maintained optimally in repairing body cells. Purpose: to determine the quality of sleep in breast cancer patients undergoing chemotherapy and to see which components have contributed to disturbing sleep quality. Methods: The study used a quantitative descriptive approach. Sampling technique accidental sampling with 100 respondent. The questionnaire used to measure sleep quality was the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The data analysis technique used univariate analysis, there are two interpretations on the PSQI. Sleep quality is good if the score is ≤ 5, sleep quality is bad if the score is> 5. Results: Most of the respondents have poor sleep quality. This research is expected to increase the role of nursing care and educator so that it can improve the quality of life of breast cancer patients undergoing chemotherapy


2020 ◽  
Vol 3 (1) ◽  
pp. Page16-27
Author(s):  
Weny Amelia ◽  
Mira Andika ◽  
Diana Yulanda

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


Author(s):  
Mahrokh Imanian ◽  
Mahsa Imanian ◽  
Mahdi Karimyar

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.


2021 ◽  
Author(s):  
Mohammadreza Boostaneh ◽  
Mohammad Zirak ◽  
Ramezan Fallah

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.


2019 ◽  
Vol 19 (3) ◽  
pp. 529
Author(s):  
Yofa Anggriani Utama

Cancer is one of the causes of death in both developed and developing countries, cancer is increasing in developing countries due to increasing lifestyle, breast cancer is a cancer that causes death in women in the world, breast cancer is the highest contributor to mortality in women in the world, 43.3 per 100,000. The purpose of this study was to determine the relationship of family support to the quality of life of breast cancer patients. The research design used was observational analytic with cross sectional approach. The sampling technique used purposive sampling technique, the study sample amounted to 63 breast cancer patients. The results show that there is a relationship between family support and the quality of life of breast cancer patients with a p value of 0.032. shows there is a relationship between family support for the quality of life of patients with breast cancer. Suggestions that nurses can improve the quality of nursing services, and provide motivation to patients and families of breast cancer in carrying out breast cancer treatment.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Citra Windani Mambang Sari ◽  
Upi Parida ◽  
Dian Adiningsih

Diabetes Mellitus (DM) is a chronical community health problem, and mostly suffered by the elderly. The elderly with DM have several symptoms at night that caused a sleep disorder and it may be affected by the poor quality of sleep.  The poor quality of sleep has several negative impacts to elderly including sleepy in the daylight, a lack of attention, memory disorders, depression, easy to fall, and reduce of the quality of life. There is a need for a study that assesses the sleep quality of elderly with DM. This study used descriptive quantitative approach. The samples were chosen using total sampling technique. This study involved 47 elderly with DM in the primary health center (PHC) Garuda. The data were collected using Pittsburgh Sleep Quality Index (PSQI) Questionnaire that has been adapted for elders. The data were analyzed using distribution frequency. The results showed that the majority of elderly had a poor sleep quality (51%). All elders in this study had sleep disorders, and some of them had behavior that affected   their sleep quality, such as sleeping in a bright room (n=25), sleeping in low temperature room (n=27), and consuming caffeine (n=28). Nurses in the community setting are expected to provide health education to maintenance a good sleep quality, such as the importance of sleeping in the dark and warm temperature room, and avoiding to consume caffeine.


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