Abstract:
PURPOSE/OBJECTIVES:To evaluate outcomes of an intervention designed to promote sleep and modify fatigue after adjuvant breast cancer chemotherapy. DESIGN:Prospective, repeated measures, quasi-experimental, feasibility study. SETTING:Midwestern urban oncology clinics. SAMPLE:21 female participants, ages 43-66 years (meanX = 55.3) with stage I or II breast cancer status post four cycles of doxorubicin chemotherapy. Eight had four additional cycles of paclitaxel, 10 also had radiation, and 18 took tamoxifen. METHODS:each woman continued to revise her Individualized Sleep Promotion Plan (ISPP), developed during her first cycle of chemotherapy, that included sleep hygiene, relaxation therapy, stimulus control, and sleep restriction components. The daily diary, Pittsburgh Sleep Quality Index, wrist actigraph, and Piper Fatigue Scale were used for seven days 30, 60, and 90 days after the last chemotherapy treatment and one year after the first chemotherapy treatment. MAIN RESEARCH VARIABLES:Adherence and sleep and wake, fatigue, and ISPP components. FINDINGS:Adherence to the ISPP components remained high at all times (77%-88%) except for stimulus control (36%-56%). Sleep outcome means and the actigraph revealed that (a) sleep latency remained less than 30 minutes per night, (b) the time awake after sleep onset exceeded the desired less than 30 minutes per night, (c) sleep efficiency scores ranged from 82%-92%, (d) total rest time ranged from seven to eight hours per night, (e) feelings on arising ranged from 3.7-3.8 (on a 0-5 scale), (f) nighttime awakenings ranged from 10-11 per night, and (g) daytime naps ranged from 10-15 minutes in length. Fatigue remained low, from 2.9-3.5 on a 0-10 scale. CONCLUSIONS:Adherence rates remained high for most components. Sleep and wake patterns were within normal limits except for the number and duration of night awakenings. Fatigue remained low. IMPLICATIONS FOR NURSING:Future testing using an experimental design will focus on increasing ISPP adherence and decreasing nighttime awakenings. Adopting behavioral techniques to promote sleep may result in improved sleep and lower fatigue after chemotherapy.
journal_name
Oncol Nurs Forumjournal_title
Oncology nursing forumauthors
Berger AM,VonEssen S,Kuhn BR,Piper BF,Agrawal S,Lynch JC,Higginbotham Pdoi
10.1188/03.ONF.513-522subject
Has Abstractpub_date
2003-05-01 00:00:00pages
513-22issue
3eissn
0190-535Xissn
1538-0688journal_volume
30pub_type
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journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章
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abstract:PURPOSE/OBJECTIVES:To examine the feasibility of using an emotional expression intervention with patients with cancer and test the hypothesis that emotional expression improves psychosocial adjustment. DESIGN:Sequentially randomized pretest/post-test design with repeated measures. SETTING:Two radiation therapy (RT) f...
journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1999-06-01 00:00:00
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
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doi:
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journal_title:Oncology nursing forum
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Oncology nursing forum
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