Department of Neurology, Catholic Kwandong University, International St. Mary's Hospital, Incheon 1600-8291, Korea.
Department of Internal Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon 1600-8291, Korea.
Int J Environ Res Public Health. 2019 Jul 10;16(14):2449. doi: 10.3390/ijerph16142449.
The improvement of sleep quality in patients with cancer has a positive therapeutic effect on them. However, there are no specific treatment guidelines for treating sleep disturbance in cancer patients. We investigated the effect of forest therapy on the quality of sleep in patients with cancer. This study was conducted on nine patients (one male, eight female; mean age, 53.6 ± 5.8 years) with gastrointestinal tract cancer. All patients participated in forest therapy for six days. They underwent polysomnography (PSG) and answered questionnaires on sleep apnea (STOP BANG), subjective sleep quality (Pittsburgh Sleep Quality Index, PSQI), sleepiness (Stanford and Epworth Sleepiness Scales), and anxiety and depression (Hospital Anxiety and Depression Scale) to evaluate the quality of sleep before and after forest therapy. Sleep efficiency from the PSG results was shown to have increased from 79.6 ± 6.8% before forest therapy to 88.8 ± 4.9% after forest therapy ( = 0.027) in those patients, and total sleep time was also increased, from 367.2 ± 33.4 min to 398 ± 33.8 min ( = 0.020). There was no significant difference in the STOP BANG score, PSQI scores, daytime sleepiness based on the results of the Stanford and Epworth Sleepiness Scales, and depression and anxiety scores. Based on the results of this study, we suggest that forest therapy may be helpful in improving sleep quality in patients with gastrointestinal cancers.
改善癌症患者的睡眠质量对他们具有积极的治疗作用。然而，目前针对癌症患者睡眠障碍的治疗尚无特定的指南。我们调查了森林疗法对癌症患者睡眠质量的影响。这项研究纳入了 9 名胃肠道癌患者（1 名男性，8 名女性；平均年龄 53.6±5.8 岁）。所有患者均接受了为期 6 天的森林疗法。他们接受了多导睡眠图（PSG）检查，并回答了关于睡眠呼吸暂停（STOP BANG）、主观睡眠质量（匹兹堡睡眠质量指数，PSQI）、嗜睡（斯坦福和埃普沃思嗜睡量表）以及焦虑和抑郁（医院焦虑和抑郁量表）的问卷，以评估森林疗法前后的睡眠质量。PSG 结果显示，睡眠效率从森林疗法前的 79.6±6.8%增加到森林疗法后的 88.8±4.9%（ = 0.027），总睡眠时间也从 367.2±33.4 分钟增加到 398±33.8 分钟（ = 0.020）。STOP BANG 评分、PSQI 评分、斯坦福和埃普沃思嗜睡量表评估的日间嗜睡、抑郁和焦虑评分均无显著差异。基于这项研究的结果，我们认为森林疗法可能有助于改善胃肠道癌患者的睡眠质量。
