Abstract:
PURPOSE/OBJECTIVES:To describe nighttime sleep-wake patterns during a 12-hour night shift among school-age children with cancer receiving inpatient chemotherapy and relationships among nighttime sleep, environmental stimuli, medication doses, and symptoms during that shift. DESIGN:Exploratory, descriptive, multiple-case study. SETTING:Inpatient pediatric oncology unit at a tertiary pediatric hospital in the western United States. SAMPLE:15 elementary school-age children with cancer receiving inpatient chemotherapy. METHODS:Wrist actigraphs measured sleep-wake patterns. Data loggers and sound pressure level meters measured bedside light, temperature, and sound levels. Medication doses and occurrences of pain, nausea, and vomiting were identified through chart review. MAIN RESEARCH VARIABLES:Minutes of sleep. FINDINGS:Sleep varied based on time of night (F = 56.27, p < 0.01), with sleep onset delayed past 10 pm. A basic mixed linear model identified significant fixed effects for sound (F = 50.87, p < 0.01) and light (F = 7.04, p < 0.01) on minutes of sleep. A backward regression model including sound, light, medication doses, pain, and nausea accounted for about 57% of the variance in sleep minutes (F = 62.85, p < 0.01). CONCLUSIONS:Sleep was marked by frequent awakenings, limiting children's ability to experience full sleep cycles. Multiple factors-in particular, excessive sound levels-compromise sleep quantity and quality throughout the night. IMPLICATIONS FOR NURSING:Efforts to develop and test individualized and system-based interventions to modify the hospital care environment to promote nighttime sleep are needed. Oncology nurses have the opportunity to influence the care environment at an individual level and to influence unit-based practices to promote a healthy nighttime sleep environment.
journal_name
Oncol Nurs Forumjournal_title
Oncology nursing forumauthors
Linder LA,Christian BJdoi
10.1188/12.ONF.553-561subject
Has Abstractpub_date
2012-11-01 00:00:00pages
553-61issue
6eissn
0190-535Xissn
1538-0688pii
E8MK322515K46Q16journal_volume
39pub_type
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
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abstract::In their article "Dimensions of the Supportive Role of the Nurse in Palliative Care" (ONF 17:87-94, 1990), the authors used a grounded-theory approach based on the actual experiences of an expert nurse in supportive care. In this article, the authors relate their concepts of support to existing nursing theory and to p...
journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
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abstract:PURPOSE/OBJECTIVES:To examine the currently available antiemetic medications and review their uses in the treatment of chemotherapy-induced nausea and vomiting (NV). DATA SOURCES:Published articles and book chapters. DATA SYNTHESIS:NV is a common yet potentially serious side effect of chemotherapy. Nurses must unders...
journal_title:Oncology nursing forum
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journal_title:Oncology nursing forum
pub_type: 杂志文章
doi:
更新日期:1991-01-01 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
pub_type: 杂志文章
doi:
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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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journal_title:Oncology nursing forum
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