Evaluation of the Sleep Quality in Patients Undergoing Haematopoietic Stem Cell Transplantation
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Original Article
P: 40-44
March 2020

Evaluation of the Sleep Quality in Patients Undergoing Haematopoietic Stem Cell Transplantation

J Turk Sleep Med 2020;7(1):40-44
1. Acıbadem Altunizade Hastanesi, Erişkin Kemik İliği Transplantasyon Ünitesi, İstanbul, Türkiye
2. İstanbul Üniversitesi Cerrahpaşa Florence Nightingale Hemşirelik Fakültesi, İstanbul, Türkiye
No information available.
No information available
Received Date: 15.09.2020
Accepted Date: 06.11.2020
Publish Date: 24.12.2020
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ABSTRACT

Objective:

Hematopoietic stem cell transplantation (HSCT) might have early and late complications. One of the major problem is sleep disturbances. The aim of this study is to evaluate sleep quality of the patients who are undergoing hematopoietic stem cell transplantation, prevent the problems that may be faced according to outcome of the research and determine the nursing approaches in order to prevent for problems.

Materials and Methods:

This prospective study was performed in the adult bone marrow transplantation unit. The study sample consisted of 59 patients. The Pittsburg Sleep Quality index (PSQI) form was completed by the researchers. For statistical analysis, IBM SPSS Statistics 22 program used.

Results:

A total of 59 patients 44.1% were female, 55.9% were male. According to the distribution of PSQI total scores on the administration day 42.4%, first week 50.8% on the second week 50.8% of the patients had poor sleep quality. After the discharge, PSQI total scores indicated that at the first week 32.2%, second week 27.1% and the third week 25.4% of the patients had poor sleep quality. During the hospitalization period poor sleep quality significantly increased.

Conclusion:

It was observed that sleep quality was significantly impaired during the period of HSCT. For this reason, it is important to get information on the history of sleep quality and clinical follow-up by nurses when transplant patients are admitted to the clinic. Improving the care plan for the nurses on the sleep problems can positively affect the quality of life of the patients.

Keywords: Stem cell transplantation, sleep quality, hematological malignancy

References

1
Andrykowski M, Bishop M, Hahn E, Cella D, Beaumont J, Brady MJ, Horowitz MM, Sobocinski KA,  Rizzo JD, Wingard JR. Long-term health-related quality of life, growth, and spiritual well-being after hematopoietic stem-cell transplantation. J Clin Oncol 2005;23:599-608.
2
Flynn K, Shelby R, Mitchell S, Fawzy M, Hardy N, Husain A, Keefe FJ, Krystal AD, Porter LS, Reeve BB, Weinfurt KP. Sleep-wake functioning along the cancer continuum: focus group results from the Patient-Reported Outcomes Measurement Information System (PROMIS®). Psychooncology 2009;19:1086-93.
3
Grulke N, Albani C, Bailer H. Quality of life in patients before and after haematopoietic stem cell transplantation measured with the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire QLQ-C30. Bone Marrow Transplant 2011;47:473-82.
4
Bevans M, Mitchell S, Marden S. The symptom experience in the first 100 days following allogeneic hematopoietic stem cell transplantation (HSCT). Supportive Care Cancer 2008;16:1243-54.
5
Edman L, Larsen J, Hägglund H, Gardulf A, Professor A. Health-related quality of life, symptom distress and sense of coherence in adult survivors of allogeneic stem-cell transplantation. Eur J Cancer Care 2001;10:124-30.
6
Bush N, Haberman M, Donaldson G, Sullivan K. Quality of life of 125 adults surviving 6–18 years after bone marrow transplantation. Soc Sci Med 1995;40:479-90.
7
Nelson A, Coe C, Juckett M, Rumble M, Rathouz P, Hematti P, Costanzo ES. Sleep quality following hematopoietic stem cell transplantation: longitudinal trajectories and biobehavioral correlates. Bone Marrow Transplant 2014;49:1405-11.
8
Akhlaghi K, Ghalebandi M. Sleep quality and its correlation with general health in pre-university students of Karaj, Iran.  Iranian J Psychiatr Behav Sci 2009;3:44-9.
9
Karagözoğlu Ş, Çabuk S, Tahta Y, Temel F. Some factors ınfluencing the sleep of hospitalized adult patients. Turk Thorac J 2007;8:234-40.
10
Lee C, Low L, Twinn S. Older patients’ experiences of sleep in the hospital: disruptions and remedies. Open Sleep J 2008;1:29-33.
11
Buysse D, Reynolds C, Monk T, Berman S, Kupfer D. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatr Res 1989;28:193-213.
12
Şenol V, Soyuer F, Pekşen Akça R, Argün M. Adolesanlarda uyku kalitesi ve etkileyen faktörler. Kocatepe Tıp Derg 2012;13:93-102.
13
Boonstra L, Harden K, Jarvis S, Palmer S, Kavanaugh-Carveth P, Barnett J, Friese C. Sleep disturbance in hospitalized recipients of stem cell transplantation. Clin J Oncol Nurs 2011;15:271-6.
14
Rischer J, Scherwath A, Zander A, Koch U, Schulz-Kindermann F. Sleep disturbances and emotional distress in the acute course of hematopoietic stem cell transplantation. Bone Marrow Transplant 2009;44:121-8.
15
Önler E, Yılmaz A. Cerrahi Birimlerde Yatan Hastalarda Uyku Kalitesi. Florence Nightingale J Nurs 2008;16:114-21.
16
Andrykowski M, Carpenter J, Greiner C, Altmaier E, Burish T, Antin J, Gingrich R, Cordova MJ, Henslee-Downey PJ. Energy level and sleep quality following bone marrow transplantation. Bone Marrow Transplant 1997;20:669-79.
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