Sleep disturbances in patients with lung cancer in Turkey.

Autor:	Bülbül Y; Department of Chest Diseases, Farabi Hospital, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey., Özlü T; Department of Chest Diseases, Farabi Hospital, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey., Arınç S; Clinic of Chest Diseases, Istanbul Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey., Akıncı Özyürek B; Clinic of Chest Diseases, Ankara Ataturk Chest Diseases and Chest Surgery Training and Research Hospital, Ankara, Turkey., Günbatar H; Department of Chest Diseases, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey., Şentürk A; Clinic of Chest Diseases, Ankara Ataturk Chest Diseases and Chest Surgery Training and Research Hospital, Ankara, Turkey., Bahadır A; Clinic of Chest Diseases, Istanbul Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey., Özçelik M; Division of Medical Oncology, Istanbul Lutfi Kırdar Kartal Training and Research Hospital, Istanbul, Turkey., Yılmaz U; Clinic of Chest Diseases, Izmir Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey., Akbay MÖ; Clinic of Chest Diseases, Istanbul Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey., Sağlam L; Department of Chest Diseases, Faculty of Medicine, Ataturk University, Erzurum, Turkey., Kılıç T; Department of Chest Diseases, Turgut Ozal Medical Center, Inonu University, Malatya, Turkey., Kırkıl G; Department of Chest Diseases, Faculty of Medicine, Fırat University, Elazig, Turkey., Özçelik N; Department of Chest Diseases, Farabi Hospital, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey., Alizoroğlu D; Clinic of Chest Diseases, Izmir Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey., Argun Barış S; Department of Chest Diseases, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey., Yavşan DM; Department of Chest Diseases, Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey., Şen HS; Department of Chest Diseases, Faculty of Medicine, Dicle University, Diyarbakır, Turkey., Berk S; Department of Chest Diseases, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey., Acat M; Department of Chest Diseases, Faculty of Medicine, Karabuk University, Karabuk, Turkey., Çakmak G; Clinic of Chest Diseases, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey., Yumuk PF; Division of Medical Oncology, Faculty of Medicine, Marmara University, Istanbul, Turkey., İntepe YS; Department of Chest Diseases, Faculty of Medicine Bozok University, Yozgat, Turkey., Toru Ü; Department of Chest Diseases, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey., Öktem Ayık S; Department of Chest Diseases, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey., Başyiğit İ; Department of Chest Diseases, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey., Özkurt S; Department of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey., Mutlu LC; Department of Chest Diseases, Faculty of Medicine, Namık Kemal University, Tekirdag, Turkey., Yaşar Z; Department of Chest Diseases, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey., Esme H; Clinic of Thoracic Surgery, Meram Training and Research Hospital, Konya, Turkey., Erol MM; Department of Thoracic Surgery, Faculty of Medicine, Uludag University, Bursa, Turkey., Oruç Ö; Clinic of Chest Diseases, Istanbul Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey., Erdoğan Y; Clinic of Chest Diseases, Ankara Ataturk Chest Diseases and Chest Surgery Training and Research Hospital, Ankara, Turkey., Asker S; Department of Chest Diseases, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey., Ulaş A; Clinic of Medical Oncology, Atatürk Education and Research Hospital, Ankara, Turkey., Erol S; Clinic of Chest Diseases, Izmir Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey., Kerget B; Department of Chest Diseases, Faculty of Medicine, Ataturk University, Erzurum, Turkey., Erbaycu AE; Clinic of Chest Diseases, Izmir Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey., Teke T; Department of Chest Diseases, Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey., Beşiroğlu M; Division of Medical Oncology, Faculty of Medicine, Marmara University, Istanbul, Turkey., Can H; Department of Family Medicine, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey., Dallı A; Department of Chest Diseases, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey., Talay F; Department of Chest Diseases, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Jazyk:	angličtina
Zdroj:	Tuberkuloz ve toraks [Tuberk Toraks] 2018 Dec; Vol. 66 (4), pp. 297-303.
DOI:	10.5578/tt.67689
Abstrakt:	Introduction: Sleep quality is known to be associated with the distressing symptoms of cancer. The purpose of this study was to analyze the impact of cancer symptoms on insomnia and the prevalence of sleep-related problems reported by the patients with lung cancer in Turkey. Materials and Methods: Assesment of Palliative Care in Lung Cancer in Turkey (ASPECT) study, a prospective multicenter study conducted in Turkey with the participation of 26 centers and included all patients with lung cancer, was re-evaluated in terms of sleep problems, insomnia and possible association with the cancer symptoms. Demographic characteristics of patients and information about disease were recorded for each patient by physicians via face-to-face interviews, and using hospital records. Patients who have difficulty initiating or maintaining sleep (DIMS) is associated with daytime sleepiness/fatigue were diagnosed as having insomnia. Daytime sleepiness, fatigue and lung cancer symptoms were recorded and graded using the Edmonton Symptom Assessment Scale. Result: Among 1245 cases, 48.4% reported DIMS, 60.8% reported daytime sleepiness and 82.1% reported fatigue. The prevalence of insomnia was 44.7%. Female gender, patients with stage 3-4 disease, patients with metastases, with comorbidities, and with weight loss > 5 kg had higher rates of insomnia. Also, patients with insomnia had significantly higher rates of pain, nausea, dyspnea, and anxiety. Multivariate logistic regression analysis showed that patients with moderate to severe pain and dyspnea and severe anxiety had 2-3 times higher rates of insomnia. Conclusions: In conclusion, our results showed a clear association between sleep disturbances and cancer symptoms. Because of that, adequate symptom control is essential to maintain sleep quality in patients with lung cancer.
Databáze:	MEDLINE
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