University of Pennsylvania.
Washington University.
Oncol Nurs Forum. 2024 Apr 18;51(3):210-222. doi: 10.1188/24.ONF.210-222.
To explore and characterize predisposing, precipitating, and perpetuating factors of subthreshold, moderate, and severe insomnia in cancer survivors.
SAMPLE & SETTING: 135 cancer survivors who self-reported symptom severity on the Insomnia Severity Index during the baseline phase of a randomized clinical trial on insomnia treatment.
METHODS & VARIABLES: Participants completed measures assessing predisposing factors (age, sex, race and ethnicity, body mass index), precipitating factors (number of years since cancer diagnosis, depression and anxiety symptoms, health-related quality of life), and perpetuating factors (frequency of consuming alcoholic and caffeinated beverages, napping behavior, dysfunctional beliefs about sleep).
In the multivariate model, being female was protective against insomnia, and being a person of color, having higher anxiety, having more depression symptoms, and having stronger dysfunctional beliefs about sleep were significantly associated with greater insomnia severity.
By fostering interprofessional collaboration and implementing evidence-based interventions, nurses can contribute to the well-being of cancer survivors and address their sleep-related challenges. This study underscores the importance of regular insomnia screenings for cancer survivors, with nurses as essential facilitators.
探讨和描述癌症幸存者亚临床、中度和重度失眠的诱发、促成和持续因素。
在一项关于失眠治疗的随机临床试验的基线阶段，自我报告失眠严重程度指数症状严重程度的 135 名癌症幸存者。
参与者完成了评估诱发因素（年龄、性别、种族和民族、体重指数）、促成因素（癌症诊断后年限、抑郁和焦虑症状、健康相关生活质量）和持续因素（饮酒和含咖啡因饮料的频率、午睡行为、对睡眠的功能失调信念）的措施。
在多变量模型中，女性是失眠的保护因素，而有色人种、焦虑程度较高、抑郁症状较多、对睡眠的功能失调信念较强与更严重的失眠严重程度显著相关。
通过促进跨专业合作和实施基于证据的干预措施，护士可以为癌症幸存者的福祉做出贡献，并解决他们的睡眠相关挑战。这项研究强调了对癌症幸存者进行定期失眠筛查的重要性，护士是必不可少的促进者。
