Effects of a multidisciplinary quality of life intervention on sleep quality in patients with advanced cancer receiving radiation therapy
| Autor: | William V. Bobo, Simon Kung, Preetha Sharone Rosen, Maria I. Lapid, Matthew M. Clark, Teresa A. Rummans, Jarrett W. Richardson, Pamela J. Atherton, Shehzad K. Niazi, Melanie T. Gentry |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment law.invention Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Intervention (counseling) Neoplasms Surveys and Questionnaires medicine Humans General Nursing Aged Radiotherapy business.industry Epworth Sleepiness Scale Cancer General Medicine Middle Aged medicine.disease Radiation therapy Psychiatry and Mental health Clinical Psychology 030220 oncology & carcinogenesis Physical therapy Quality of Life Female Sleep (system call) business Sleep 030217 neurology & neurosurgery |
| Zdroj: | Palliativesupportive care. 18(3) |
| ISSN: | 1478-9523 1478-9515 |
| Popis: | ObjectivesSleep disturbances are prevalent in cancer patients, especially those with advanced disease. There are few published intervention studies that address sleep issues in advanced cancer patients during the course of treatment. This study assesses the impact of a multidisciplinary quality of life (QOL) intervention on subjective sleep difficulties in patients with advanced cancer.MethodThis randomized trial investigated the comparative effects of a multidisciplinary QOL intervention (n = 54) vs. standard care (n = 63) on sleep quality in patients with advanced cancer receiving radiation therapy as a secondary endpoint. The intervention group attended six intervention sessions, while the standard care group received informational material only. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS), administered at baseline and weeks 4 (post-intervention), 27, and 52.ResultsThe intervention group had a statistically significant improvement in the PSQI total score and two components of sleep quality and daytime dysfunction than the control group at week 4. At week 27, although both groups showed improvements in sleep measures from baseline, there were no statistically significant differences between groups in any of the PSQI total and component scores, or ESS. At week 52, the intervention group used less sleep medication than control patients compared to baseline (p = 0.04) and had a lower ESS score (7.6 vs. 9.3, p = 0.03).Significance of resultsA multidisciplinary intervention to improve QOL can also improve sleep quality of advanced cancer patients undergoing radiation therapy. Those patients who completed the intervention also reported the use of less sleep medication. |
| Databáze: | OpenAIRE |
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