Desaulniers Genevieve A, Riley Linda, Vangle Kristen, Gilleland Jordan, Higgins Melinda, Wasilewski-Masker Karen
Clin J Oncol Nurs. 2015 Feb;19(1):81-8. doi: 10.1188/15.CJON.81-88.
Although sleep problems are common among adult cancer survivors, little is known about sleep problems in adolescent survivors of childhood cancer (ASCC).
This study sought to describe (a) the prevalence of self-reported sleep problems among ASCC before treatment, during treatment, following treatment, and in survivorship follow-up; (b) the relationship between sleep problems and self-reported adverse psychosocial outcomes; and (c) the relationship between sleep problems, treatment, and disease.
Baseline surveys were received from 173 ASCC aged 13-19 years. Chi-square analyses and odds ratios were used to determine associations between sleep problems and adverse psychosocial outcomes and treatment-related variables.
Sleep problems were reported before treatment (6%), during treatment (18%), after treatment (15%), and at present (11%). ASCC reporting sleep problems reported more adverse psychosocial outcomes than those without. Significant associations (p ≤ 0.05) between sleep problems and difficulty in school were identified at all time points. Sleep problems were associated with depressive symptoms, memory problems, and anxiety during and after treatment and at present.
尽管睡眠问题在成年癌症幸存者中很常见，但对于儿童癌症青少年幸存者（ASCC）的睡眠问题却知之甚少。
本研究旨在描述（a）ASCC在治疗前、治疗期间、治疗后以及生存随访期间自我报告的睡眠问题的患病率；（b）睡眠问题与自我报告的不良心理社会结果之间的关系；以及（c）睡眠问题、治疗和疾病之间的关系。
从173名年龄在13至19岁的ASCC患者处收集了基线调查数据。采用卡方分析和比值比来确定睡眠问题与不良心理社会结果以及治疗相关变量之间的关联。
在治疗前（6%）、治疗期间（18%）、治疗后（15%）以及目前（11%）均有睡眠问题报告。报告有睡眠问题的ASCC患者比没有睡眠问题的患者报告了更多不良心理社会结果。在所有时间点均发现睡眠问题与上学困难之间存在显著关联（p≤0.05）。睡眠问题与治疗期间、治疗后以及目前的抑郁症状、记忆问题和焦虑有关。
