Sleep wake disturbances in people with cancer and their caregivers: state of the science.
Sleep wake disturbances in people with cancer and their caregivers: state of the science.
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DOI：
10.1188/05.onf.e98-e126
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发表时间：
2005-11-03
影响因子：
1.9
通讯作者：
Hall, Martica
中科院分区：
文献类型：
--
作者：
Berger, Ann M;Parker, Kathy P;Hall, Martica
目的/目的：回顾癌症患者及其照护者睡眠/觉醒障碍的科学现状。数据来源：已发表的文章、书籍和书籍章节、会议记录、MEDLINE、护理和相关健康文献累积索引、PsycINFO和Cochrane图书馆计算机数据库。数据综合：科学家们已经开始研究睡眠/觉醒障碍的患病率以及癌症特有的睡眠障碍的病因学。由于缺乏睡眠/觉醒变量的明确定义，使用各种仪器，以及睡眠参数报告不一致，测量受到限制。与使用非药物干预有关的发现仅限于20项研究，证据的质量仍然很差。很少有药理学方法被研究，使用草药和补充补充剂的证据几乎不存在。结论：目前的知识表明，睡眠/觉醒障碍在癌症人群中普遍存在。很少有仪器在这一人群中得到验证。非药物干预显示出积极的结果，但设计问题和小样本限制了推广。关于药物、草药和补充补充剂的使用以及潜在的不良后果或与癌症治疗的相互作用，人们知之甚少。对护理的启示：所有患者和护理人员都需要对睡眠/觉醒障碍进行初步和持续的筛查。当有明显的睡眠/觉醒障碍时，需要进一步的评估和治疗。护理教育项目应包括有关健康和睡眠/觉醒模式中断的内容。对癌症患者睡眠/觉醒障碍的研究应该得到高度重视。
PURPOSE/OBJECTIVES: To review the state of the science on sleep/wake disturbances in people with cancer and their caregivers.DATA SOURCES: Published articles, books and book chapters, conference proceedings, and MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and the Cochrane Library computerized databases.DATA SYNTHESIS: Scientists have initiated studies on the prevalence of sleep/wake disturbances and the etiology of sleep disturbances specific to cancer. Measurement has been limited by lack of clear definitions of sleep/wake variables, use of a variety of instruments, and inconsistent reporting of sleep parameters. Findings related to use of nonpharmacologic interventions were limited to 20 studies, and the quality of the evidence remains poor. Few pharmacologic approaches have been studied, and evidence for use of herbal and complementary supplements is almost nonexistent.CONCLUSIONS: Current knowledge indicates that sleep/wake disturbances are prevalent in cancer populations. Few instruments have been validated in this population. Nonpharmacologic interventions show positive outcomes, but design issues and small samples limit generalizability. Little is known regarding use of pharmacologic and herbal and complementary supplements and potential adverse outcomes or interactions with cancer therapies.IMPLICATIONS FOR NURSING: All patients and caregivers need initial and ongoing screening for sleep/wake disturbances. When disturbed sleep/wakefulness is evident, further assessment and treatment are warranted. Nursing educational programs should include content regarding healthy and disrupted sleep/wake patterns. Research on sleep/wake disturbances in people with cancer should have high priority.