Romito F, Cormio C, De Padova S, Lorusso V, Berio M A, Fimiani F, Piattelli A, Palazzo S, Abram G, Dudine L, Guglielmi A, Galise I, Romito S, Mattioli V
Experimental Unit of Psycho-Oncology, Department of Critical Area and Surgery, National Cancer Research Center, Istituto Tumori 'Giovanni Paolo II', Bari, Italy.
Eur J Cancer Care (Engl). 2014 May;23(3):385-93. doi: 10.1111/ecc.12106. Epub 2013 Aug 16.
Sleep disturbances are among the most distressing symptoms in cancer: they often co-occur with fatigue, pain and psychological distress. Despite the negative impact on quality of life, patients rarely seek help for managing their sleep disturbances. This paper presents the results of a multicentre observational study on patients' attitudes towards their sleep problems. The study also investigates symptom correlates. Patients responded to a semi-structured interview and completed the following questionnaires: Pittsburgh Sleep Quality Index; Brief Fatigue Inventory; Hospital Anxiety and Depression Scale; and European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life QLQ-C30 Questionnaire (QLQ-C30). Four hundred and three cancer patients were enrolled in the study. Bad sleepers constituted 66% of the sample. Thirty-eight per cent of them had not turned to any professional to solve their sleep disturbances because they had various beliefs about the importance of the problem and the possibility to be treated. The main correlates of sleep disturbances were psychological distress, reduced physical functioning and reduced overall quality of life. In conclusion, there is a need to sensitise patients to actively search for a solution to their sleep disturbances so they can be solved along with other co-occurring symptoms. Doctors could also be encouraged to dedicate more attention to routinely asking cancer patients about eventual sleep disturbances.
它们常常与疲劳、疼痛和心理困扰同时出现。尽管对生活质量有负面影响，但患者很少寻求帮助来解决他们的睡眠障碍问题。本文介绍了一项关于患者对其睡眠问题态度的多中心观察性研究结果。该研究还调查了症状相关性。患者接受了半结构化访谈，并完成了以下问卷：匹兹堡睡眠质量指数；简明疲劳量表；医院焦虑抑郁量表；以及欧洲癌症研究与治疗组织（EORTC）生活质量QLQ-C30问卷（QLQ-C30）。403名癌症患者参与了该研究。睡眠不佳者占样本的66%。其中38%的人没有向任何专业人士求助来解决他们的睡眠障碍问题，因为他们对该问题的重要性以及可治疗性有各种看法。睡眠障碍的主要相关因素是心理困扰、身体功能下降和总体生活质量降低。总之，有必要让患者意识到要积极寻求解决其睡眠障碍的方法，以便这些问题能与其他同时出现的症状一起得到解决。还可以鼓励医生更加关注常规询问癌症患者是否存在最终的睡眠障碍问题。
