2.50
Hdl Handle:
http://hdl.handle.net/10755/158151
Type:
Presentation
Title:
Sleep Disturbance and Fatigue in Korean Gastric Cancer Patients
Abstract:
Sleep Disturbance and Fatigue in Korean Gastric Cancer Patients
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Cho, Maria, RN, PhD
P.I. Institution Name:University of California, San Francisco
Title:Assistant Adjunct Professor
Contact Address:2511 Market Street, Oakland, CA, 94607, USA
Contact Telephone:415-476-6975
Co-Authors:J. Dodd, Kathryn A. Lee, Geraldine Padilla
Background: Sleep disturbance is a prominent complaint in cancer patients. S. Sleep disturbances experienced by cancer patients include awakening during the night, sleeping less than normal, difficulty with sleep onset, maintenance of sleep, and early morning awakening than healthy sleepers. There is little research on the sleep disturbance of Korean cancer patients with sleep disturbances. Since gastric cancer has one of the highest prevalence in Korea, this study used those patients. Purpose/Aims: To describe sleep disturbance and fatigue in patients with gastric cancer. Sample: Data obtained from convenient sample of 103 gastric cancer patients in an outpatient setting at a university hospital. Participants completed demographics and sleep diary on the day of treatment. For the 3-day sleep diary, of the 103, eight (7%) refused to complete it. Therefore, a total of 95 agreed to complete the sleep diary; however, 68 (73%) actually returned their completed sleep diary. Methods: Patients were asked to complete the sleep diary with modified short version (7-item) of the Lee Fatigue Scale prior to sleep (i.e., PM1, PM2, PM3) and upon awakening (i.e., AM1, AM2, AM3) for three consecutive days. Results: On the first night (i.e., PM1), the average level of fatigue prior to sleep onset ranged from 1 to 7.83 on the modified Lee Fatigue Scale with a mean of 5.12 (SD 1.72). Of the 68 patients who completed the first evening section of diary, 22 (32.4%) went to bed severely fatigued (>6) and 38 (55.9%) perceived themselves as moderately fatigued prior to bedtime. Only eight patients reported mild fatigue. Similar levels of fatigue were reported in the morning, as well, as demonstrated in the above table. The level of fatigue the first morning (i.e., AM1) ranged from 1.5 to 9.17 with the mean 5.03 (SD 1.77). Twenty-one (30.9%) woke up severely fatigued, 30 (44.1%) reported moderate fatigue and 17 (25%) patients woke up with mild fatigue. This pattern was similar across all three days when they reported their morning fatigue levels. In this study, for the patient, there were no statistically significant changes in fatigue over time and no statistically significant differences between morning and evening fatigue levels either. Implications: Although sleep is essential for all humans, sleep may be especially important for those who bear a burden of illness, such as cancer patients. The level of morning fatigue is supposed to be improved by adequate rest or sleep on a diurnal basis, however, for these study participants sleep did not seem to alleviate patients' morning fatigue. The study results provide strong support for the presence of sleep disturbance in gastric cancer patients. Health care professionals need to assess previous sleep problems in the nursing assessment of the patient when they come to the clinic for cancer treatment and develop risk profiles to anticipate which patients are likely to experience symptoms and then plan for services to support them.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSleep Disturbance and Fatigue in Korean Gastric Cancer Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158151-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Sleep Disturbance and Fatigue in Korean Gastric Cancer Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cho, Maria, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California, San Francisco</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Adjunct Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2511 Market Street, Oakland, CA, 94607, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">415-476-6975</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">maria.cho@nursing.ucsf.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">J. Dodd, Kathryn A. Lee, Geraldine Padilla</td></tr><tr><td colspan="2" class="item-abstract">Background: Sleep disturbance is a prominent complaint in cancer patients. S. Sleep disturbances experienced by cancer patients include awakening during the night, sleeping less than normal, difficulty with sleep onset, maintenance of sleep, and early morning awakening than healthy sleepers. There is little research on the sleep disturbance of Korean cancer patients with sleep disturbances. Since gastric cancer has one of the highest prevalence in Korea, this study used those patients. Purpose/Aims: To describe sleep disturbance and fatigue in patients with gastric cancer. Sample: Data obtained from convenient sample of 103 gastric cancer patients in an outpatient setting at a university hospital. Participants completed demographics and sleep diary on the day of treatment. For the 3-day sleep diary, of the 103, eight (7%) refused to complete it. Therefore, a total of 95 agreed to complete the sleep diary; however, 68 (73%) actually returned their completed sleep diary. Methods: Patients were asked to complete the sleep diary with modified short version (7-item) of the Lee Fatigue Scale prior to sleep (i.e., PM1, PM2, PM3) and upon awakening (i.e., AM1, AM2, AM3) for three consecutive days. Results: On the first night (i.e., PM1), the average level of fatigue prior to sleep onset ranged from 1 to 7.83 on the modified Lee Fatigue Scale with a mean of 5.12 (SD 1.72). Of the 68 patients who completed the first evening section of diary, 22 (32.4%) went to bed severely fatigued (&gt;6) and 38 (55.9%) perceived themselves as moderately fatigued prior to bedtime. Only eight patients reported mild fatigue. Similar levels of fatigue were reported in the morning, as well, as demonstrated in the above table. The level of fatigue the first morning (i.e., AM1) ranged from 1.5 to 9.17 with the mean 5.03 (SD 1.77). Twenty-one (30.9%) woke up severely fatigued, 30 (44.1%) reported moderate fatigue and 17 (25%) patients woke up with mild fatigue. This pattern was similar across all three days when they reported their morning fatigue levels. In this study, for the patient, there were no statistically significant changes in fatigue over time and no statistically significant differences between morning and evening fatigue levels either. Implications: Although sleep is essential for all humans, sleep may be especially important for those who bear a burden of illness, such as cancer patients. The level of morning fatigue is supposed to be improved by adequate rest or sleep on a diurnal basis, however, for these study participants sleep did not seem to alleviate patients' morning fatigue. The study results provide strong support for the presence of sleep disturbance in gastric cancer patients. Health care professionals need to assess previous sleep problems in the nursing assessment of the patient when they come to the clinic for cancer treatment and develop risk profiles to anticipate which patients are likely to experience symptoms and then plan for services to support them.</td></tr></table>en_GB
dc.date.available2011-10-26T20:33:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:33:36Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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