Alanazi Mashael Turqi, Alanazi Nouf Turqi, Alfadeel Mona A, Bugis Bussma Ahmed
College of Medicine, Almaarefa University, Riyadh, Saudi Arabia.
School of Nursing, University at Buffalo, Buffalo, NY, USA.
Support Care Cancer. 2022 Mar;30(3):2891-2900. doi: 10.1007/s00520-021-06589-9. Epub 2021 Sep 30.
While cancer survival might be a relief from a near-death health condition, the after-recovery period also predisposes the survivors to deteriorated quality of life as well as sleep deprivation. Patients with cancer may experience post-traumatic stress disorder (PTSD) throughout the diagnostic process and even after diagnosis is completed, especially when facing the possibility of tumor recurrence. Survivors, in particular, are frequently in a condition of uncertainty due to the 15 to 20% chance of recurrence within 3 years of the main treatment. Despite the high rate of cancer survival, which is believed to be around 83%, assessing quality of life after a cancer diagnosis can help to improve such results.
This article aimed to describe the sleep patterns among uterine cancer survivors and verify psychological and physical factors affecting their general qualities of life. According to the qualitative study, uterine cancer survivors who receive treatment, whether pharmaceutical or therapeutic, have a higher quality of life than those who do not.
PRISMA reporting was used for this systematic review. Electronic databases that were searched include PubMed, Cochrane Trial Register, and ScienceDirect for studies evaluating the sleep deprivation and quality of life among uterine cancer survivors. Ten publications were chosen based on inclusion criteria that included uterine cancer survivors who had finished their treatments and addressed sleep quality or overall quality of life.
The main finding of the systematic review is that 61% of uterine cancer survivors had poor sleep quality, and 81% have a decreased quality of life.
According to the most recent research, uterine cancer survivors suffer from sleep deprivation, which leads to a lower quality of life. However, the same study reveals that uterine cancer survivors suffering with sleep loss use a variety of cognitive behavioral therapy to improve their quality of life. Maintaining a healthy diet, incorporating physical activity into daily routines, receiving cognitive behavior therapy, participating in relevant training programs, and obtaining frequent depression and sexual health screenings are just a few of the CBT mechanisms mentioned.
虽然癌症幸存者可能从濒死的健康状况中解脱出来，但康复期也会使幸存者面临生活质量下降和睡眠剥夺的问题。癌症患者在整个诊断过程中甚至在诊断完成后都可能经历创伤后应激障碍（PTSD），尤其是当面临肿瘤复发的可能性时。特别是幸存者，由于在主要治疗后的3年内有15%至20%的复发几率，他们经常处于不确定状态。尽管癌症生存率很高，据信约为83%，但评估癌症诊断后的生活质量有助于改善这些结果。
本文旨在描述子宫癌幸存者的睡眠模式，并验证影响其总体生活质量的心理和生理因素。根据定性研究，接受药物或治疗的子宫癌幸存者的生活质量高于未接受治疗的幸存者。
本系统评价采用PRISMA报告。检索的电子数据库包括PubMed、Cochrane试验注册库和ScienceDirect，以查找评估子宫癌幸存者睡眠剥夺和生活质量的研究。根据纳入标准选择了10篇出版物，纳入标准包括完成治疗并涉及睡眠质量或总体生活质量的子宫癌幸存者。
系统评价的主要发现是，61%的子宫癌幸存者睡眠质量差，81%的人生活质量下降。
根据最新研究，子宫癌幸存者存在睡眠剥夺问题，这导致生活质量较低。然而，同一项研究表明，患有睡眠不足的子宫癌幸存者使用多种认知行为疗法来提高生活质量。保持健康饮食、将体育活动纳入日常生活、接受认知行为疗法、参加相关培训项目以及频繁进行抑郁症和性健康筛查只是所提到的一些认知行为疗法机制。
