2.50
Hdl Handle:
http://hdl.handle.net/10755/160511
Type:
Presentation
Title:
Outcomes of a Sleep Intervention Following Adjuvant Chemotherapy
Abstract:
Outcomes of a Sleep Intervention Following Adjuvant Chemotherapy
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Berger, Ann, RN, PhD, AOCN, FAAN
P.I. Institution Name:University of Nebraska Medical Center
Title:Associate Professor
Contact Address:College of Nursing, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA
Contact Telephone:402.559.4957
Problem and Purpose: Fatigue and insomnia are prevalent and distressing to women during and following adjuvant breast cancer chemotherapy (ABCC). Poor sleep adversely affects daytime activity and mood. This study examined the outcomes of a sleep intervention consisting of sleep hygiene counseling, relaxation therapy, sleep curtailment and stimulus control methods following ABCC. Theoretical Framework: Piper's Integrated Fatigue Model (innate host factors, patterns of sleep/wake, activity/exercise) Sample: Caucasian women (N=21) had surgery for Stage I or II breast cancer followed by out-patient Adriamycin-based chemotherapy (8 also had Taxol, 10 had radiation, 18 were taking Tamoxifen). They had no unstable co-morbidities, were ages 43-66 (X=55.3), most had some post-secondary education, were married & employed. Methods: A prospective, repeated measures design was used for this feasibility study. Reliable and valid instruments were used: Daily Diary, Pittsburgh Sleep Quality Index (PSQI), wrist actigraphs and Piper Fatigue Scale (PFS). An Individual Sleep Promotion Plan (ISPP) was negotiated by the researcher and woman at 30, 60 and 90 days after the last chemotherapy and reinforced one week later. Follow-up occurred 1 year after the first treatment. Epi-Info, Action 3 and SPSS were used to analyze the data. Results: Latency, time awake after sleep onset (WASO), sleep efficiency, total rest and feelings upon awakening data (diary & PSQI) demonstrated wide ranges, with means WNL for all except WASO. Actigraphic measures of mean activity (mesor and amplitude) slowly and steadily returned to normal by follow-up. Actigraphic measures revealed frequent (10-11) awakenings/night at early measures and less frequent ( 8.8 ) at follow-up. Fatigue (PFS) ranged from 3.2 -3.4 early, and was down to 2.87 at follow-up. Conclusions: The intervention promoted activity, quality sleep and mild fatigue levels. Reductions in the time WASO are needed and will be tested using an experimental design and a larger sample.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOutcomes of a Sleep Intervention Following Adjuvant Chemotherapyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160511-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Outcomes of a Sleep Intervention Following Adjuvant Chemotherapy</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Berger, Ann, RN, PhD, AOCN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">402.559.4957</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">aberger@unmc.edu</td></tr><tr><td colspan="2" class="item-abstract">Problem and Purpose: Fatigue and insomnia are prevalent and distressing to women during and following adjuvant breast cancer chemotherapy (ABCC). Poor sleep adversely affects daytime activity and mood. This study examined the outcomes of a sleep intervention consisting of sleep hygiene counseling, relaxation therapy, sleep curtailment and stimulus control methods following ABCC. Theoretical Framework: Piper's Integrated Fatigue Model (innate host factors, patterns of sleep/wake, activity/exercise) Sample: Caucasian women (N=21) had surgery for Stage I or II breast cancer followed by out-patient Adriamycin-based chemotherapy (8 also had Taxol, 10 had radiation, 18 were taking Tamoxifen). They had no unstable co-morbidities, were ages 43-66 (X=55.3), most had some post-secondary education, were married &amp; employed. Methods: A prospective, repeated measures design was used for this feasibility study. Reliable and valid instruments were used: Daily Diary, Pittsburgh Sleep Quality Index (PSQI), wrist actigraphs and Piper Fatigue Scale (PFS). An Individual Sleep Promotion Plan (ISPP) was negotiated by the researcher and woman at 30, 60 and 90 days after the last chemotherapy and reinforced one week later. Follow-up occurred 1 year after the first treatment. Epi-Info, Action 3 and SPSS were used to analyze the data. Results: Latency, time awake after sleep onset (WASO), sleep efficiency, total rest and feelings upon awakening data (diary &amp; PSQI) demonstrated wide ranges, with means WNL for all except WASO. Actigraphic measures of mean activity (mesor and amplitude) slowly and steadily returned to normal by follow-up. Actigraphic measures revealed frequent (10-11) awakenings/night at early measures and less frequent ( 8.8 ) at follow-up. Fatigue (PFS) ranged from 3.2 -3.4 early, and was down to 2.87 at follow-up. Conclusions: The intervention promoted activity, quality sleep and mild fatigue levels. Reductions in the time WASO are needed and will be tested using an experimental design and a larger sample.</td></tr></table>en_GB
dc.date.available2011-10-26T23:00:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:00:49Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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