Davidson Judith R, Feldman-Stewart Deb, Brennenstuhl Sarah, Ram Shefali
Department of Oncology, Queen's University, Kingston, ONT, Canada.
Psychooncology. 2007 Nov;16(11):1028-38. doi: 10.1002/pon.1183.
Chronic insomnia affects approximately one quarter of cancer patients. Non-pharmacologic interventions are the treatment of choice for chronic insomnia, yet they are rarely offered to people with cancer. The study question was how to make these interventions available to cancer patients. Twenty-six cancer patients who had sleep difficulty participated in focus groups or one-to-one interviews. The key questions included: What would be the best way for you to find out about a service for insomnia treatment? What would make it easy/difficult for you to participate? Transcripts were examined independently by three readers who identified participants' answers to the questions, as well as themes that emerged from participants' reflections on their experience with cancer and sleep difficulty. The readers then worked together to reach consensus on a final classification system for describing the content of patients' responses. Participants provided many practical answers to our specific questions. In addition, the following themes emerged: sleep difficulty needs greater recognition by health professionals; patients wish to receive more information about sleep and sleep difficulty; and that although patients perceive sleep as being important, they are reluctant to report sleep problems to doctors. Furthermore, participants recommended that the assessment and treatment of sleep difficulty be integrated into the health care system while considering the cancer-treatment status and energy level of patients.
慢性失眠影响着约四分之一的癌症患者。非药物干预是慢性失眠的首选治疗方法，但癌症患者很少能获得此类干预。研究问题是如何让癌症患者能够获得这些干预措施。26名有睡眠困难的癌症患者参加了焦点小组或一对一访谈。关键问题包括：对你来说，了解失眠治疗服务的最佳方式是什么？什么会使你参与变得容易/困难？三名读者独立审查了访谈记录，他们确定了参与者对问题的回答，以及参与者对其癌症经历和睡眠困难的思考中出现的主题。然后，读者们共同努力，就描述患者回答内容的最终分类系统达成共识。参与者对我们的具体问题给出了许多切实可行的答案。此外，还出现了以下主题：睡眠困难需要医护人员给予更多关注；患者希望获得更多关于睡眠和睡眠困难的信息；尽管患者认为睡眠很重要，但他们不愿向医生报告睡眠问题。此外，参与者建议在考虑患者的癌症治疗状况和精力水平的同时，将睡眠困难的评估和治疗纳入医疗保健系统。
