Lourenço Adriano, Dantas Amanda Almeida Gomes, de Souza Jane Carla, Araujo Camilla Medeiros, Araujo Diego Neves, Lima Illia Nadinne Dantas Florentino, Dantas Diego de Sousa
Graduate Program of Rehabilitation Sciences, Federal University of Rio Grande do Norte, Santa Cruz, Brazil.
Graduate Program of Public Health, Federal University of Rio Grande do Norte, Santa Cruz, Brazil.
Eur J Cancer Care (Engl). 2020 Oct 8:e13339. doi: 10.1111/ecc.13339.
To evaluate the sleep quality and its association with disability, fatigue and quality of life of breast cancer survivors.
This is a cross-sectional pilot study developed with breast cancer survivors. The data collection instruments consisted of general and clinical information on the disease and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0); Pittsburgh Sleep Quality Index (PSQI); Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F); and Disabilities of the arm and Shoulder (DASH). Descriptive statistical analysis, correlation tests, tests for means comparison and linear regression were performed. Cohen's d analysed the effect size. The significance was set at p < 0.05.
71,9% of women had poor sleep quality. Subjective poor sleep quality was a predictor of worse scores for fatigue (p = 0.007), quality of life by FACT-G (p = 0.010) and FACIT-F (p = 0.004), the functional performance of upper limbs (p = 0.001) and disability (p = 0.003).
Breast cancer survivors with subjective poor sleep quality had more fatigue, less upper limb-related functional performance, more disability and worse quality of life.
评估乳腺癌幸存者的睡眠质量及其与残疾、疲劳和生活质量的关联。
这是一项针对乳腺癌幸存者开展的横断面试点研究。数据收集工具包括关于该疾病的一般和临床信息以及世界卫生组织残疾评定量表2.0（WHODAS 2.0）；匹兹堡睡眠质量指数（PSQI）；慢性病治疗功能评估-疲劳量表（FACIT-F）；以及手臂和肩部功能障碍量表（DASH）。进行了描述性统计分析、相关性检验、均值比较检验和线性回归分析。科恩d值分析了效应大小。显著性水平设定为p < 0.05。
71.9%的女性睡眠质量较差。主观睡眠质量差是疲劳得分更高（p = 0.007）、FACT-G生活质量得分更高（p = 0.010）、FACIT-F得分更高（p = 0.004）、上肢功能表现更差（p = 0.001）以及残疾程度更高（p = 0.003）的一个预测因素。
主观睡眠质量差的乳腺癌幸存者疲劳程度更高、上肢相关功能表现更差、残疾程度更高且生活质量更差。
