Türkiye’de akciğer kanseri hastalarında uyku bozuklukları

Autor: YILMAZ BÜLBÜL, Tevfik ÖZLÜ, SİBEL ARINÇ, Berna AKINCI ÖZYÜREK, HÜLYA GÜNBATAR, Ayşegül ŞENTÜRK, Ayşe BAHADIR, MELİKE ÖZÇELİK, MEHMET UFUK YILMAZ, Makbule Ö. AKBAY, Leyla SAĞLAM, TALAT KILIÇ, GAMZE KIRKIL, NESLİHAN ÖZÇELİK, Dursun ALİZOROĞLU, SERAP ARGUN BARIŞ, Durdu M. YAVŞAN, Hadice S. ŞEN, SERDAR BERK, MURAT ACAT, Gülfidan ÇAKMAK, Perran F. YUMUK, YAVUZ SELİM İNTEPE, Ümran TORU, Sibel ÖKTEM AYIK, İLKNUR BAŞYİĞİT, Sibel ÖZKURT, Levent C. MUTLU, Zehra YAŞAR, Hıdır ESME, Mehmet M. EROL, Özlem ORUÇ, YURDANUR ERDOĞAN, SELVİ AŞKER, Arife ULAŞ, Serhat EROL, Bugra KERGET, AHMET EMİN ERBAYCU, TURGUT TEKE, Mehmet BEŞİROĞLU, Hüseyin CAN, Ayşe DALLI, Fahrettin TALAY
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Popis: Introduction: Sleep quality is known to be associated with the distressing symptoms of cancer. The purpose of this study was toanalyze the impact of cancer symptoms on insomnia and the prevalence of sleep-related problems reported by the patients with lungcancer in Turkey.Materials and Methods: Assesment of Palliative Care in Lung Cancer in Turkey (ASPECT) study, a prospective multicenter studyconducted in Turkey with the participation of 26 centers and included all patients with lung cancer, was re-evaluated in terms of sleepproblems, insomnia and possible association with the cancer symptoms. Demographic characteristics of patients and informationabout disease were recorded for each patient by physicians via face-to-face interviews, and using hospital records. Patients who havedifficulty 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.Results: Among 1245 cases, 48.4% reported DIMS, 60.8% reported daytime sleepiness and 82.1% reported fatigue. The prevalenceof insomnia was 44.7%. Female gender, patients with stage 3-4 disease, patients with metastases, with comorbidities, and with weightloss > 5 kg had higher rates of insomnia. Also, patients with insomnia had significantly higher rates of pain, nausea, dyspnea, andanxiety. Multivariate logistic regression analysis showed that patients with moderate to severe pain and dyspnea and severe anxietyhad 2-3 times higher rates of insomnia.Conclusion: 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: OpenAIRE