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Putting evidence into practice: evidence-based interventions for sleep-wake disturbances
Margaretta S Page1, Ann M Berger, Lauran B Johnson
1University of California, San Francisco, USA. pagem@neurosurg.ucsf.edu
Clinical Journal of Oncology Nursing
|December 30, 2006
Summary
Sleep-wake disturbances affect many cancer patients, impacting their quality of life. Oncology nurses can help by screening for sleep issues and recommending evidence-based, non-pharmacologic interventions to improve sleep outcomes.
Area of Science:
- Oncology Nursing
- Sleep Medicine
Background:
- Symptom management is crucial in oncology nursing.
- Sleep-wake disturbances affect 30%-75% of cancer patients, negatively impacting quality of life.
- Limited research exists on interventions for sleep-wake disturbances in cancer patients.
Purpose of the Study:
- To present information on sleep-wake disturbances in cancer patients.
- To recommend evidence-based interventions for improving sleep in patients with cancer.
- To highlight the role of oncology nurses in managing sleep-wake disturbances.
Main Methods:
- Review of current literature on sleep-wake disturbances in cancer.
- Identification of nursing-sensitive patient outcomes related to sleep.
- Categorization of promising non-pharmacologic interventions.
Main Results:
- Several non-pharmacologic interventions show positive initial findings for sleep quality and daytime function.
- Cognitive-behavioral therapy, complementary therapies, psychoeducation, and exercise are promising intervention categories.
- No interventions currently have the highest recommendation for practice implementation.
Conclusions:
- Oncology nurses play a key role in screening for and managing sleep-wake disturbances.
- Tailored, evidence-based interventions can improve sleep outcomes for cancer patients.
- Resources like the Putting Evidence Into Practice (PEP) card can guide clinical practice.
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