2022; 5(4): 18-28

DOI: 10.32114/CCI.2022.5.4.18.28
Published online: 2022-12-31 (first online 2022-12-28)

Sleep quality during hospitalization in critically ill cancer patients in Sri Lanka.

Piumi Sandamali [1] , Nadini J. Vithana [1] , Ishara G. Lakmali [1] , Jathungei I. Madhushani [1] , Vimukthi Rasadari [1] , Chamilya H. Perera [1] , Nishadi D. Dharmarathna [1] , Akila R. Jayamaha [2] .

[1] Faculty of Nursing, KAATSU International University, Sri Lanka.
[2] Faculty of Graduate Studies, KAATSU International University Sri Lanka.

    Abstract:

Abstract [EN]   - INTRODUCTION: : Sleep is vital for physical, psychological, emotional, and cognitive well-being. Cancer becomes life-threatening once it affects major organs and their ability to function. Sleep disturbance is one of the most common complaints in patients with cancer which interferes with the symptom burden, coping ability, and treatment effectiveness. Current study aimed to assess sleep quality and its associated factors among critically ill cancer patients who were admitted to the Apeksha Hospital, Sri Lanka. MATERIAL AND METHODS: A descriptive cross-sectional study was conducted among 384 patients with cancer, who were admitted to Apeksha Hospital. Pretested interviewer-administered questionnaire was used for data collection. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Sleep quality was classified as good (Global PSQI score ≤5) and poor (Global PSQI score >5). The data were analyzed using descriptive statistics and associations between categorical variables were assessed by performing a Chi-square test. IBM SPSS Version 26 was used as the analytical tool. RESULTS: Of 384 patients with cancer, 58.9% (n=226) were females. Most of the patients (78.4%, n=301) were adults (25-64 years), and 63.0% (n=242) were married. Breast cancers (20.1%), blood cancers (19.3%), and ovarian cancers [13.8%) were the most common cancers reported by the study participants. The mean Global PSQI score was 10.27±3.48 (range 3-20) and 95.3% of the participants were categorized as having poor sleep quality. Age (p=0.002), income (p=0.050), engaging in leisure time activities (p=0.036), social media use (p=0.022), and fatigue (p=0.012), and level of pain (p<0.001) were significantly associated with the sleep quality of patients with cancer. CONCLUSIONS: Poor sleep quality is highly prevalent among patients with cancer and evidence-based interventions should be implemented to improve sleep quality.

Streszczenie [PL]   - WSTĘP: Sen jest niezbędny dla dobrego samopoczucia fizycznego, psychicznego, emocjonalnego i poznawczego. Rak staje się zagrożeniem dla życia, gdy atakuje główne narządy i ich zdolność do funkcjonowania. Zaburzenia snu są jedną z najczęstszych dolegliwości u pacjentów z chorobą nowotworową, która zaburza nasilenie objawów, zdolność radzenia sobie i skuteczność leczenia. Obecne badanie miało na celu ocenę jakości snu i związanych z nim czynników wśród krytycznie chorych pacjentów z rakiem, którzy zostali przyjęci do szpitala Apeksha na Sri Lance. MATERIAŁ I METODY: Przeprowadzono opisowe badanie przekrojowe wśród 384 pacjentów z chorobą nowotworową przyjętych do szpitala Apeksha. Do zbierania danych wykorzystano wstępnie przetestowany kwestionariusz administrowany przez ankietera. Jakość snu oceniono za pomocą Pittsburgh Sleep Quality Index (PSQI). Jakość snu została sklasyfikowana jako dobra (globalny wynik PSQI ≤5) i zła (globalny wynik PSQI >5). Dane analizowano za pomocą statystyk opisowych, a powiązania między zmiennymi kategorycznymi oceniano za pomocą testu chi-kwadrat. Jako narzędzie analityczne wykorzystano IBM SPSS wersja 26. WYNIKI: Spośród 384 pacjentów z chorobą nowotworową 58,9% (n=226) stanowiły kobiety. Większość pacjentów (78,4%, n=301) to osoby dorosłe (25-64 lata), a 63,0% (n=242) było w związku małżeńskim. Raki piersi (20,1%), krwi (19,3%) i jajników (13,8%) były najczęstszymi nowotworami zgłaszanymi przez uczestników badania. Średni wynik Global PSQI wyniósł 10,27 ± 3,48 (zakres 3-20), a 95,3% uczestników zostało sklasyfikowanych jako osoby o złej jakości snu. Wiek (p=0,002), dochód (p=0,050), aktywność w czasie wolnym (p=0,036), korzystanie z mediów społecznościowych (p=0,022) i zmęczenie (p=0,012) oraz poziom bólu (p<0,001) ) były istotnie związane z jakością snu pacjentów z rakiem. WNIOSKI: Niska jakość snu jest bardzo powszechna wśród pacjentów z chorobą nowotworową i należy wdrożyć interwencje oparte na dowodach w celu poprawy jakości snu.

    Citation:

VANCOUVER FORMAT

Sandamali P, Vithana NJ, Lakmali IG, Madhushani JI, Rasadari V, Perera CH, et al. Sleep quality during hospitalization in critically ill cancer patients in Sri Lanka. Crit. Care Innov. 2022; 5(4): 18-28.
DOI: 10.32114/CCI.2022.5.4.18.28

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