Effects of White Noise Intervention on Sleep Quality and Immunological Indicators of Patients with Breast Cancer Undergoing Neoadjuvant Chemotherapy

被引:0
作者
Yin, Gang [1 ]
Li, Na [2 ]
Xu, Dan [3 ]
Meng, Zhen [4 ]
Zheng, Shuyun [5 ]
Chen, Ying [6 ]
机构
[1] Univ Hlth & Rehabil Sci, Qingdao Cent Hosp, Qingdao Cent Hosp, Qingdao 266000, Peoples R China
[2] Univ Hlth & Rehabil Sci, Qingdao Cent Hosp, Intens Care Med Dept, Qingdao 266000, Peoples R China
[3] Univ Hlth & Rehabil Sci, Qingdao Cent Hosp, PICC Clin, Qingdao 266000, Peoples R China
[4] Zhangqiu Dist Peoples Hosp, Dept Ultrasound, Jinan 250200, Peoples R China
[5] Jinan Zhangqiu Dist Peoples Hosp, Dept Pediat, Jinan 250200, Peoples R China
[6] Qingdao Municipal Hosp, Dept Geriatr Hlth Internal Med, Qingdao 266000, Peoples R China
关键词
Breast cancer; Noise; Chemotherapy; Sleep quality; Immunological; MANAGEMENT; WOMEN;
D O I
10.4103/nah.nah_111_24
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Objective: Evaluate the effect of white noise intervention on sleep quality and immunological indicators of patients with breast cancer undergoing neoadjuvant chemotherapy (NAC). Methods: From January 2020 to December 2022, 104 newly diagnosed female patients (the number of people who met the inclusion criteria) with breast cancer who were confirmed to be preoperative NAC by puncture pathology were selected for a randomised single-blind trial. The patients were randomly divided into an observation group and a control group, with 52 cases in each group. The control group of patients received routine NAC treatment. The observation group played white noise at regular intervals every night on the basis of routine NAC, covering the entire treatment cycle. We evaluated the clinical efficacy, safety, sleep quality and immunological indicators of the two groups. Results: We found no statistically significant difference in the objective response rate between the two groups (P > 0.05). There was no statistically significant difference in the incidence of safety events between the two groups (P > 0.05). The total incidence of adverse reactions in the observation group was significantly lower than that in the control group (P < 0.05). After intervention, the sleep latency, subjective sleep quality, sleep duration, daytime function and sleep disorder scores of both groups decreased, and the observation group had significantly lower scores than the control group (P < 0.05). After intervention, both groups showed changes in immunoglobulin A (IgA), immunoglobulin G (IgG), immunoglobulin M (IgM), C-reactive protein and serum interleukin-6, but the differences between the groups were not statistically significant (P > 0.05). Conclusion: White noise intervention can improve the sleep quality of the NAC population with breast cancer and reduce the incidence of adverse reactions. In addition, it has no effect on the treatment efficacy, safety and immune indicators of patients.
引用
收藏
页码:577 / 583
页数:7
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