Ferhan DOĞAN, Tuğba MENEKLİ

46936

Akciğer Kanserli Bireylerde Dispne ile Uyku Kalitesi Arasındaki İlişki

Amaç: Bu araştırmanın amacı, akciğer kanserli bireylerde dispne ile uyku kalitesi arasındaki ilişkiyi belirlemektir. Yöntem: Tanımlayıcı ilişkisel olarak yapılan bu araştırma, Ekim 2020- Mayıs 2021 tarihleri arasında yapılmıştır. Araştırmanın evrenini; İnönü Üniversitesi Turgut Özal Tıp Merkezi Medikal Onkoloji servisinde yatarak tedavi gören ve Kemoterapi Ünitesinde ayaktan tedavi gören tüm akciğer kanseri tanısı almış hastalar, örneklemini ise; bu hastalar arasından araştırmaya katılmayı kabul eden, araştırmaya alınma kriterlerine uyan hastalar oluşturmuştur. Çalışma 115 hasta ile tamamlanmıştır. Veriler Tanıtıcı Özellikler Veri Formu, Kanser Dispne Ölçeği ve Pittsburgh Uyku Kalite İndeksi ölçekleri kullanılarak toplanmıştır. Verilerin değerlendirilmesinde ANOVA, bağımsız örneklerde t-testi, Mann-Whitney U testi, Kruskal-Wallis Testi, Spearman ve Pearson korelasyon katsayıları ve lineer regresyon analizi kullanılmıştır. Bulgular: Akciğer kanserli hastaların yaş ortalaması 60.94±10.62, Kanser dispne ölçeği toplam puanı 27.43±11.71, Pittsburgh Uyku Kalitesi İndeksi ölçek toplam puanı 14.60±3.06 olarak saptanmıştır. Akciğer kanserli hastaların dispne ile uyku kalitesi arasında pozitif korelasyon olduğu (p<0.05), regresyon analizinde ise Kanser dispne ölçeği toplam puanının Pittsburgh Uyku Kalitesi İndeksi puanı üzerine pozitif yönde istatistiksel anlamlı etkisi olduğu saptanmıştır (p<0.05). Sonuç: Dispne ile uyku kalitesi arasında negatif yönde bir ilişki vardır. Hastaların dispne düzeyleri arttıkça, uyku bozukluğu düzeyleri de artmaktadır. Uyku bozukluğu yaşayan hastalarda dispnenin değerlendirilip, azaltılmasına yönelik girişimler planlanması önerilmektedir.
Anahtar Kelimeler:

Akciğer Kanseri, , Dispne, , Uyku Kalitesi

The Relationship Between Dyspnea and Sleep Quality in Lung Cancer Patients

Aim: The purpose of this study was to investigate the relationship between dyspnea and sleep quality in lung cancer patients. Methods: This descriptive correlational study was carried out between October 2020 and May 2021. The population of the study consisted of all patients who were diagnosed with lung cancer and receiving treatment as inpatients in the Medical Oncology inpatient clinics and outpatient Chemotherapy Unit at İnönü University Turgut Özal Medical Center. The sample included patients who met the inclusion criteria and agreed to participate in the study. The study was completed with 115 patients. The data were collected using a Personal Information Form, the Cancer Dyspnea Scale, and the Pittsburgh Sleep Quality Index. ANOVA, independent samples t-test, Mann-Whitney U test, Kruskal-Wallis Test, Spearman and Pearson correlation coefficients, and linear regression analysis were used to evaluate the data. Results: The mean age of the patients was 60.94±10.62, the mean Cancer Dyspnea Scale score was 27.43±11.71, and the mean total Pittsburgh Sleep Quality Index score was 14.60±3.06. There was a positive correlation between dyspnea scores and sleep quality (p<0.05), while the regression analysis results showed that the total Cancer Dyspnea Scale scores had a statistically significant positive effect on Pittsburgh Sleep Quality Index scores (p<0.05). Conclusion: There is a negative relationship between dyspnea and sleep quality. As the dyspnea level of patients increases, their sleep quality decreases. It is recommended to plan interventions to reduce dyspnea in patients with sleep disorders.
Keywords:

Lung Cancer, , Dyspnea, , Sleep Quality,

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  • Yates P, Schofield P, Zhao I, Currow D. Supportive and palliative care for lung cancer patients. J Thorac Dis. 2013;5 Suppl 5(Suppl 5):S623-8.
  • Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49.
  • Cleeland CS, Mendoza TR, Wang XS, Woodruff JF, Palos GR, Richman SP, et al. Levels of symptom burden during chemotherapy for advanced lung cancer: differences between public hospitals and a tertiary cancer center. Journal of clinical oncology. 2011;29(21):2859.
  • Viniol A, Beidatsch D, Frese T, Bergmann M, Grevenrath P, Schmidt L, et al. Studies of the symptom dyspnoea: a systematic review. BMC family practice. 2015;16(1):1-11.
  • Delmas P. Dyspnea, a symptom with multifactorial causes. Revue de L'infirmiere. 2013(187):34-6.
  • Damani A, Ghoshal A, Salins N, Deodhar J, Muckaden M. Prevalence and intensity of dyspnea in advanced cancer and its impact on quality of life. Indian journal of palliative care. 2018;24(1):44.
  • Dean GE, Weiss C, Jungquist CR, Klimpt ML, Alameri R, Ziegler PA, et al. Nurse-delivered brief behavioral treatment for insomnia in lung cancer survivors: A pilot RCT. Behavioral sleep medicine. 2020;18(6):774-86.
  • Tanaka K, Akechi T, Okuyama T, Nishiwaki Y, Uchitomi Y. Development and validation of the Cancer Dyspnoea Scale: a multidimensional, brief, self-rating scale. British journal of cancer. 2000;82(4):800-5.
  • Chen M-L, Yu C-T, Yang C-H. Sleep disturbances and quality of life in lung cancer patients undergoing chemotherapy. Lung Cancer. 2008;62(3):391-400.
  • Akyuz RG, Ugur O, Elcigil A. Sleep quality in lung cancer patients. Asian Pacific Journal of Cancer Prevention. 2013;14(5):2909-13.
  • Delgado-Guay M, Yennurajalingam S, Parsons H, Palmer JL, Bruera E. Association between self-reported sleep disturbance and other symptoms in patients with advanced cancer. Journal of pain and symptom management. 2011;41(5):819-27.
  • Avancini A, Sartori G, Gkountakos A, Casali M, Trestini I, Tregnago D, et al. Physical activity and exercise in lung cancer care: will promises be fulfilled? The oncologist. 2020;25(3):e555-e69.
  • Chokroverty S. Sleep disturbances in general medical disorders. Sleep Disorders Medicine: Springer; 2017. p. 997-1057.
  • Dean GE, Sabbah EA, Yingrengreung S, Ziegler P, Chen H, Steinbrenner LM, et al. Sleeping with the enemy: sleep and quality of life in patients with lung cancer. Cancer nursing. 2015;38(1):60-70.
  • Efe F, Olgun N. The effect of education on dyspnea, fatigue and life quality concerning heart failure patients. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2011;18(1):1-13.
  • Campbell ML. Dyspnea prevalence, trajectories, and measurement in critical care and at life's end. Current opinion in supportive and palliative care. 2012;6(2):168-71.
  • Bitek DE, Tokem Y. Investigating the Validity and Reliability of Cancer Dyspnea Scale in Turkish Cancer Patients. İzmir Katip Çelebi University Faculty of Health Science Journal. 2021;6(1):155-62.
  • Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • Agargun M. Pittsburgh uyku kalitesi indeksinin gecerligi ve guvenirligi. Turk Psikiyatri Dergisi. 1996;7:107-15.
  • Hukire SW, Poovishnu Devi T. Impact of Dyspnea on Functional Capacity in Breast Cancer Patients. Indian Journal of Public Health Research & Development. 2020;11(5).
  • Pezzuto A, Mariotta S, Fioretti F, Uccini S. Metastasis to the colon from lung cancer presenting with severe hyponatremia and dyspnea in a young male: A case report and review of the literature. Oncology Letters. 2013;5(5):1477-80.
  • Hui D, Morgado M, Vidal M, Withers L, Nguyen Q, Chisholm G, et al. Dyspnea in hospitalized advanced cancer patients: subjective and physiologic correlates. Journal of palliative medicine. 2013;16(3):274-80.
  • Mayda A, Kasap H, Yildirim C, Yilmaz M, Derdiyok Ç, Ertan D, et al. Prevalence of sleep disorders in 4-5-6. class students of medical faculty. Journal of Duzce University Health Sciences Institute. 2012;2(2):8-11.
  • Shuman AG, Duffy SA, Ronis DL, Garetz SL, McLean SA, Fowler KE, et al. Predictors of poor sleep quality among head and neck cancer patients. The Laryngoscope. 2010;120(6):1166-72.
  • Hayashino Y, Yamazaki S, Takegami M, Nakayama T, Sokejima S, Fukuhara S. Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index: results from a population-based survey. Sleep medicine. 2010;11(4):366-71.
  • Yavuzşen T, Alacacioğlu A, Çeltik A, Yilmaz U. Cancer and Insomnia. Turkish Oncol Journal. 2014;29:112-9.
  • Arslan S, Fadıloğlu Ç. The Effect of Sleep Problems on Quality Oo Life in Cancer. Journal of Research and Development in Nursing. 2009;2:16-28.
  • Liu S, Zhang H, Wang F, Zhang Y. Specific nursing effectively improves dyspnea and sleep quality of patients with lung cancer undergoing chemotherapy. International Journal of Clinical and Experimental Medicine. 2020;13(11):8206-15.
Medical Research Reports-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2017
  • Yayıncı: M. Tayyib KADAK
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