Differences in Sleep Disturbance and Fatigue Between Patients with Breast and Prostate Cancer at the Initiation of Radiation Therapy

被引:50
|
作者
Garrett, Kristin [1 ]
Dhruva, Anand [2 ]
Koetters, Theresa [1 ]
West, Claudia [1 ]
Paul, Steven M. [1 ]
Dunn, Laura B. [2 ]
Aouizerat, Bradley E. [1 ,3 ]
Cooper, Bruce A. [1 ]
Dodd, Marylin [1 ]
Lee, Kathryn [1 ]
Wara, William [4 ]
Swift, Patrick [5 ]
Miaskowski, Christine [1 ]
机构
[1] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Sch Med, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Inst Human Genet, San Francisco, CA 94143 USA
[4] Kaiser Permanente, San Francisco, CA USA
[5] Alta Bates Comprehens Canc Ctr, Berkeley, CA USA
基金
美国国家卫生研究院;
关键词
Sleep disturbance; fatigue; radiation therapy; breast cancer; prostate cancer; actigraphy; QUALITY-OF-LIFE; PSYCHOMETRIC EVALUATION; RADICAL PROSTATECTOMY; ONCOLOGY OUTPATIENTS; CIRCADIAN-RHYTHMS; SEX-DIFFERENCES; INSOMNIA; WOMEN; PREVALENCE; MEN;
D O I
10.1016/j.jpainsymman.2010.11.010
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Context. Little is known about the occurrence and severity of sleep disturbance and fatigue between patients with common cancer diagnoses. Objectives. Study purposes were to evaluate for differences in the occurrence rates of sleep disturbances and fatigue; evaluate for differences in the severity of sleep disturbance using both subjective and objective measures; and evaluate for differences in the severity of self-reported fatigue in patients with breast and prostate cancer at the initiation of radiation therapy (RT). Methods. Patients with breast (n=78) and prostate (n=82) cancer were evaluated before the initiation of RT using the Pittsburgh Sleep Quality Index, General Sleep Disturbance Scale, Lee Fatigue Scale, and wrist actigraphy. Differences in sleep disturbance and fatigue between groups were evaluated using independent sample t-tests and Chi-square analyses. Results. Occurrence rates for sleep disturbance (P < 0.0001) and fatigue (P=0.03) were significantly higher in patients with breast compared with prostate cancer. Patients with breast cancer self-reported significantly higher levels of sleep disturbance (P=0.008) and fatigue (P=0.005) than patients with prostate cancer. However, using actigraphy, patients with prostate cancer had poorer sleep efficiency (P=0.02) than patients with breast cancer. Conclusion. Based on self-report, patients with breast cancer experience sleep disturbance more frequently and with greater severity than patients with prostate cancer. Objective measures of sleep disturbance suggest that prostate cancer patients have more severe sleep disturbance than breast cancer patients. All the patients experienced poor sleep quality and fatigue, which suggests that oncology patients need to be assessed for these symptoms. J Pain Symptom Manage 2011;42:239-250. (C) 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:239 / 250
页数:12
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