PATIENTS’ SLEEP QUALITY AND AFFECTING FACTORS ON POST MASTECTOMY

Abstract

Background: This descriptive and cross-sectional study was conducted to determine sleep quality and factors affecting sleep in patients who have been operated mastectomy surgery. Methods: The sample of the study is comprised of those patients (n=110) who visited general surgery clinic in an Education and Research Hospital in Ankara between January 1 and July 30, 2020 for checking after their mastectomy surgery, agreed to participate in the study and met research criteria. The informative form related to characteristics of patients and PSQI have been used while collecting data. The numbers and percentages related to data, t test, and Kruskal Vallis test have been used in the evaluation of data; Chi-Square and Fisher's Exact test were used for comparison of groups; Spearman's Correlation analysis have been employed for examining relationships. Written permission from the ethics committee and the institution, and written consent from the patients were obtained to conduct the study. Results: After mastectomy surgery of patients participated in the study, the average PSQI score of them was 10.19 ± 3.44 (2-18). After mastectomy surgery of the patients, it was determined that 60.9% of the patients had a decrease in sleep quality, 89.1% had poor sleep quality, and 81.8% had a change in the postoperative sleeping position. There was no statistically significant difference between the findings related to characteristics of the patients and the PSQI mean scores (p> 0.05). Conclusion: According to the result of the study, patients who have poor sleep quality and changes in their sleep habits after mastectomy surgery should be given training to improve sleep quality before discharging from hospital. In the field of nursing, it is recommended to conduct experimental studies to increase the sleep quality of patients.

Keywords

• Keywords: Nursing
• Mastectomy
• Pitsburgh Sleep Quality İndex
• Sleep
• Sleep Quality

References

1. 1.World Health Oragnization. World Health Organization: WHO: https://www.who.int/cancer/en/- 3 Mart 2019.
2. 2. American İnstitute for Cancer Research = Worldwide Cancer Data, Global Cancer Statistics For The Most Common Cancers. - 25 Mart 2019.
3. 3.Şencan, İ., & İnce, G.N. Türkiye kanser istatistikleri, Ankara: Türkiye Cumhuriyeti Sağlık Bakanlığı, 2016:32-50.
4. 4. Abdulbari Bener, R.A., Doodson, L., & Agathangelou, T. Depression, hopelessness and social support among breast cancer patients: in highly endogamous population Asian Pacific Journal of Cancer Prevention,2017,18:1889–1896.
5. 5. Heidari, M., & Ghodus, M. The relationship between body esteem and hope and mental health in breast cancer patients after mastectomy, Indian Journal of Palliative Care,2015, 21:198–202.
6. 6. Freysteinson, W. M., Deutsch, A. S., Lewis, C., Sisk, A., Wuest, L., & Cesario, S. K., The experience of viewing oneself in the mirror after a mastectomy, Oncology Nursing Forum,2012,39. 7. Kurtar, S., & Dinçer, N.Ü. Türkiye'de mastektomi sonrası hemşirelik bakımı literatür incelemesi, International Social Sciences Studies Journal, 2020:1462-1470.
7. 8. Yeşilyurt, D.S., & Fındık, Ü.Y. Informational needs of postmastectomy patients, Journal Breast Health,2016,12: 155–157. 9. Beverly, C. M., Naughton, M. J., Pennell, M. L., Foraker, R. E., Young, G., Hale, L., Change in longitudinal trends in sleep quality and duration following breast cancer diagnosis: results from the women’s health ınitiative, NPJ Breast Cancer , 2018: 4-15.
8. 10. Rogers, L.Q., Courneya, K.S., Oster, R.A., Anton, P.M., Robbs, R.S., Forero, A., & McAuley, E., Physical activity and sleep quality in breast cancer survivors: a randomized trial , Medicine Science Sports Exercise,2017:49,2009–2015. 11. Kurt, S., & Enç, N., Yoğun bakım hastalarında uyku sorunları ve hemşirelik bakımı, Türk Kardiyoloji Derneği Kardiyovasküler Hemşirelik Dergisi, 2013:1-8.

9. 12. Yılmaz, M., Evaluation of sleep disorders in nonmetastatic breast cancer patients based on pittsburgh sleep quality ındex, Journal of Cancer Research and Therapeutics, 2020:1274-1278. 13. Fortner, B.V., Stepanski, E.J., Wang, S.C., Kasprowicz, S., & Durrence, H.H., Sleep and Quality of Life İn Breast Cancer Patients, Journal of Painand Symptom Management, 2002: 471-480. 14.Velioğlu, P., Hemşirelikte kavram ve kuramlar İstanbul: Akademi, 2012: 155-195.
10. 15. Akdemir, N., & Birol, L., İç hastalıkları ve hemşirelik bakımı, Ankara: Nobel, 2011:240-278.
11. 16. John Mark McLain, Wateen H Alami , Zachary T Glovak , Chris R Cooley , Susan J Burke , J Jason Collier , Helen A Baghdoyan , Michael D Karlstad , 1ve Ralph Lydic, Sleep fragmentation delays wound healing in a mouse model of type 2 diabetes, Sleep Search Society,2018:41.
12. 17. Erdost, Ş.K., & Çetinkale, O. Yara bakımı ve tedavisi, İstanbul: İstanbul Üniversitesi Cerrahpaþa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Sempozyum Dizisi 2008:187-225.
13. 18. Erdemir, F., Hemşirelik tanıları el kitabı, İstanbul: Nobel, 2012:481-569
14. 19. Buysse DJ, R. C. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213.
15. 20. Mehmet Yücel Ağargün, H.K., Pittsburgh uyku kalitesi indeksinin geçerliliği ve güvenirliliği, Türk Psikiyatri Dergisi, 1996:7(2):107-111. 21.Yılmaz, D., F.Tanrıkulu, & Y.Dikmen., Research on sleep quality and the factors affecting the sleep quality of the nursing students, Current Health Science Journal, 2017:20-24.
16. 22. Bower, J.E., Ganz, P.A., Irwin, M.R., Kwan, L., Breen, E.C., & Cole,S.W., Inflammation and behavioral symptoms after breast cancer treatment: do fatigue, depression, and sleep disturbance share a common underlying mechanism?, Journal of Clinical Oncology, 2011:3517–3522.
17. 23.Fakih, R., Rahal, M., Hilal, L., Hamieh, L., Dany, M., Karam, S., Prevalence and severity of sleep disturbances among patients with early breast cancer, Indian Journal of Palliative Care, 2018:35–38.
18. 24.Taylor, T.R., Huntley, E.D., Makambi, K., Sween, J., Adams-Campbell, L.L., Frederick, W., & Mellman, T.A., Understanding sleep disturbances in African-American breast cancer survivors: a pilot study. Psychooncology, 2012:896–902.
19. 25.Pazarcıkcı, F. Kemoterapi Alan Kanser Hastalarında Uyku Kalitesinin Değerlendirilmesi. Mehmet Akif Ersoy Üniversitesi Saglık Bililimleri Enstitüsü Dergisi,2017, s- 11-21.
20. 26. Berman, A., Sleep. A. Berman, S. Snyder, & G. Frandsen içinde, Kozier and Erbs Fundamental of Nursing, Concepts, Process, practice, Pearson. 2016:1066-1086.
21. 27. J.Madrid-Valeroa, J. uan, José M. Martínez-Selva, Bruno Ribeiro do Couto, Juan F. Sánchez-Romera, ve Juan R. Ordoñana, Age and gender effects on the prevalence of poor sleep quality in the adult population, Gaceta Sanitaria, 2017:31(1):18-22.
22. 28. Arslan, S., & Fadıloğlu, Ç., Kanserde uyku sorunlarının yaşam kalitesi üzerine etkisi. Hemşirelikte Araştırma ve Geliştirme Dergisi 2009:16-27.
23. 29. Colagiuri, B., & Søren Christensen, M. B., Prevalence and predictors of sleep difficulty in a national cohort of women with primary breast cancer three to four months postsurgery, Journal of Pain and Symptom Management, 2011: 42(45):710-20
24. 30. Ertuğrul, A., & Rezaki, M., Uykunun nörobiyolojisi ve bellek üzerine etkileri, Türk Psikiyatri Dergisi, 2004,15(4):300-308.
25. 31. Lafcı, D., Meme kanseri, uyku ve müzik tedavisi, Uludağ Üniversitesi Tıp Fakültesi Dergisi,2018:44(1):61-64.
26. 32.Ekinci, Y., Kanser Hastalarında Yorgunluğu Etkileyen Faktörlerin Belirlenmesi, Yüksek Lisans Tezi, Ankara: Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, 2016.
27. 33. Garrison, M.M., Liekweg, K., & Dimitri A. Christakis., Media use and child sleep: the ımpact of content, timing, and environment, Pediatrics, 2011:29-35.
28. 34. Aksu, N.T., & Erdoğan, A., Akciğer rezeksiyonu yapılan hastalarda uyku kalitesinin değerlendirilmesi, Journal of Turkish Sleep Medicine, 2017:35-42.
29. 35. Yılmaz, H., & Tuncel, D., Uyku Bozukluklarında Tedavi Rehberi, 2014. https://www.noroloji.org.tr/TNDData/Uploads/files/uyku%20bozukluklar%C4%B %202014. Tarih: 21.09.2020. 36. Hillman, D.R., Postoperative sleep disturbances understanding and emerging therapies, Elsevier Mosby,2017,35(1):1-24.
30. 37.Vargas, S., Antoni, M.H., Carver, C.S., Lechner, S.C., Wohlgemuth, W., Llabre., Sleep quality and fatigue after a stress management ıntervention for women with early-stage breast cancer in southern florida, International Journal of Behavioral Medicine, 2014: 971–981.
31. 38. Onselen, C.V. Paul, S. M., Lee, K., Dunn, L., Aouizerat, B. E., West, C., Trajectories of sleep disturbance and daytime sleepiness in women before and after surgery for breast cancer, Journal of Pain Symptom Manage, 2013:244–260.