Factors Affecting Sleep in Hospitalised Children and Adolescents with Cancer

Öz

Objective: Children and adolescents with cancer may have sleep problems. There are environmental and patient/disease-related factors affecting the sleep of a child with cancer. This study evaluates the factors affecting the sleep of children and adolescents with cancer. Method: The study was conducted as a descriptive study to determine the factors affecting sleep problems in children and adolescents with cancer. The data was collected using a survey of children and adolescents with cancer and their mothers. The researchers developed the two-part Factors Affecting the Sleep of children and adolescents with Cancer Survey. The sample included 75 children and adolescents with cancer. Results: Sixty-eight percent of the children stated that sleep was "bad" and six percent as "very bad" in the hospital, whereas 86% of the mothers said that their sleep was "bad/very bad" in the hospital. Hospital environments such as crowded rooms, frequent visits of the nurses for treatment at night, noise and light in the room, and odours in the room were the most reported environmental factors associated with sleep problems in children. Excessive urination, nausea, vomiting, pain, and nightmares were the most reported symptoms disturbing the sleep of the children. Conclusion: The hospital environment, including noise, light levels, and room interruptions, may disrupt sleep. Nurses and doctors should regularly assess sleep in all children hospitalised in the paediatric oncology ward. The patient's chemotherapy and fluid therapy should be planned according to sleep patterns. Nurses may be able to control some factors that affect sleep duration in hospitalised paediatric patients with cancer.

Anahtar Kelimeler

• Cancer
• children
• adolescent
• hospital
• sleep
• nurse

Kaynakça

1. 1. Magrath I, Steliarova-Foucher E, Epelman S, Ribeiro RC, Harif M, Li CK, et al. Paediatric cancer in low-income and middle-income countries. Lancet Oncol 2013; 14: e104-e116. https://doi: 10.1016/S1470-2045(13)70008-1 google scholar
2. 2. Erickson JM, Beck SL, Christian BR, et al. Fatigue, sleep-wake disturbances, and quality of life in adolescents receiving chemotherapy. J. Pediatr. Hematol. Oncol. 2011; 33: e17-e25. https://doi: 10.1097/MPH.0b013e3181f46a46 google scholar
3. 3. Van Litsenburg RR, Huisman J, Hoogerbrugge PM, Egeler RM, Kaspers GJ, Gemke RJ. Impaired sleep affects quality of life in children during maintenance treatment for acute lymphoblastic leukaemia: an exploratory study. Health Qual Life Outcomes 2011; 9: 25. google scholar
4. 4. Kaleyias J, Manley P, Kothare SV. Sleep disorders in children with cancer. Semin Pediatr Neurol 2012;19: 25-34. https://doi: 10.1016/j.spen.2012.02.013 google scholar
5. 5. Owens J. Classification and epidemiology of childhood sleep disorders. Prim Care 2008; 35: 533-546. https://doi: 10.1016/j. pop.2008.06.003. google scholar
6. 6. Sheikh, I. N., Roth M, Stavinoha PL. Prevalence of Sleep Disturbances in Paediatric Cancer Patients and Their Diagnosis and Management. Children 2021; 8(12):1100. google scholar
7. 7. Van Litsenburg RRL, Waumans RC, van den Berg G, Gemke RJ. Sleep habits and sleep disturbances in Dutch children: a population-based study. Eur. J. Pediatr. 2010; 169: 1009-1015. https://doi: 10.1007/s00431-010-1169-8 google scholar
8. 8. Rosen G, Brand SR. Sleep in children with cancer: case review of 70 children evaluated in a comprehensive paediatric sleep centre. Supportive Care in Cancer 2011;19:985-994. https://doi: 10.1007/s00520-010-0921-y google scholar

9. 9. Olson K. Sleep-related disturbances among adolescents with cancer: a systematic review. Sleep Med. 2014; 15:496-501. https://doi: 10.1016/j.sleep.2014.01.006. google scholar
10. 10. Lewandowski AS, Ward TM, Palermo TM. Sleep problems in children and adolescents with common medical conditions. Paediatric Clinics 2011; 58:699-713. https://doi: 10.1016/j.pcl.2011.03.012. google scholar
11. 11. Rosen GM, Shor AC, Geller TJ. Sleep in children with cancer. Curr. Opin. Pediatr. 2008; 20:676-681. https://doi:10.1097/ MOP.0b013e328312c7ad google scholar
12. 12. Ward TM, Rankin S, Lee KA. Caring for children with sleep problems. J. Pediatr. Nurs. 2007; 22: 283-296. https://doi: 10.1016/j.pedn.2007.02.006 google scholar
13. 13. Walker AJ, Pongsing Y, Nail L, Pedhiwala N, Leo M, Price J, et al. Sleep-Wake Patterns of School-Age Children and Adolescents Before Diagnosis and During Induction Chemotherapy for Acute Lymphocytic Leukaemia. J Pediatr Nurs 2011; 26: e37-e44. https://doi: 10.1016/j.pedn.2011.02.006 google scholar
14. 14. Walter LM, Nixon GM, Davey MJ, Downie PA, Horne RS. Sleep and fatigue in paediatric oncology: A review of the literature. Sleep Med Rev 2015; 24:71-82. https://doi: 10.1016/j. smrv.2015.01.001. google scholar
15. 15. Hinds PS, Hockenberry M, Rai SN, Zhang L, Razzouk BI, McCarthy K. et al. Nocturnal awakenings, sleep environment interruptions, and fatigue in hospitalised children with cancer. Oncol. Nurs. Forum 2007; 34: 393 google scholar
16. 16. Meltzer LJ, Davis KF, Mindell JA. Patient and parent sleep in a children’s hospital. Pediatr Nurs. 2012;38:64-71. google scholar
17. 17. Walker AJ, Johnson KP, Miaskowski C, Lee K A, Gedaly-Duff, V. Sleep quality and sleep hygiene behaviours of adolescents during chemotherapy. J. Clin. Sleep Med. 2010; 6:439-444. google scholar
18. 18. Rosen GM. Sleep in children who have cancer. J. Clin. Sleep Med. 2007;2:491-500. https://doi.org/10.1016/j.jsmc.2007.05.011 google scholar
19. 19. Linder LA, Christian BJ. Nighttime sleep disruptions, the hospital care environment, and symptoms in elementary school-age children with cancer. Oncol. Nurs. Forum 2012; 39:553-561. https://doi.org/10.1188/12.ONF.553-561 google scholar
20. 20. Daniel LC, Schwartz LA, Mindell JA, Tucker CA, Barakat LP. Initial validation of the sleep disturbances in paediatric cancer model. J Pediatr Psychol 2016; 41: 588-599. google scholar
21. 21. Wu WW, Tang CC, Jou ST, Yu TH. Associations between fatigue, sleep disturbance, physical activity, and quality of life for children with cancer: a correlational study. Cancer Nurs 2022; 45(6):421-429. https://doi.org/10.1097/NCC.0000000000001001 google scholar
22. 22. Traube C, Rosenberg L, Thau F, Gerber LM, Mauer EA, Seghini T. Sleep in hospitalised children with cancer: a cross-sectional study. Hospital Paediatrics 2020; 10: 969-976. google scholar
23. 23. Linder LA, Christian BJ. Characteristics of the nighttime hospital bedside care environment (sound, light, and temperature) for children with cancer. Cancer Nurs 2011; 34: 176. google scholar
24. 24. Wright M. Children receiving treatment for cancer and their caregivers: a mixed methods study of their sleep characteristics. Pediatr Blood Cancer 2011;56:638-645. https:// doi.org/10.1002/pbc.22732 google scholar
25. 25. Rodriguez EM, Dunn MJ, Zuckerman T, Vannatta K, Gerhardt CA, Compas BE. Cancer-related sources of stress for children with cancer and their parents. J. Pediatr. Psychol. 2012;37:185-197. https://doi: 10.1093/jpepsy/jsr054. google scholar
26. 26. Hooke MC, Linder LA. Symptoms in children receiving treatment for cancer-part I: fatigue, sleep disturbance, and nausea/ vomiting. J Pediatr Oncol Nurs 2019; 36(4): 244-261. google scholar
27. 27. Meltzer LJ, Moore M. Sleep disruptions in parents of children and adolescents with chronic illnesses: prevalence, causes, and consequences. J Pediatr Psychol 2008;33: 279-291. doi:10.1093/ jpepsy/jsm118 google scholar
28. 28. Lee S, Narendran G, Tomfohr-Madsen L, Schulte F. A systematic review of sleep in hospitalised paediatric cancer patients. Psycho-Oncol. 2017; 26: 1059-1069. https://doi: 10.1002/pon.4149 google scholar
29. 29. Palermo TM, Wilson AC, Lewandowski AS, Toliver-Sokol M, Murray CB. Behavioural and psychosocial factors associated with insomnia in adolescents with chronic pain. PAIN® 2011; 152: 8994. https://doi: 10.1016/j.pain.2010.09.035 google scholar
30. 30. Setoyama A, Ikeda M, Kamibeppu K. Objective assessment of sleep status and its correlates in hospitalised children with cancer: Exploratory study. Pediatr Int 2016;58: 842-849. https:// doi: 10.1111/ped.12927 google scholar
31. 31. Hybschmann J, Topperzer MK, Gj^rde LK, Born P, Mathiasen R, Sehested AM. Sleep in hospitalised children and adolescents: A scoping review. Sleep Med Rev 2021;59: 101496. google scholar