A systematic review of sleep in hospitalized pediatric cancer patients
Soeun Lee1, Gaya Narendran2, Lianne Tomfohr-Madsen3,4
1Department of Psychology, University of Guelph, Guelph, ON, Canada.
Insights
Pediatric cancer patients experience significant sleep disruptions in the hospital. Hospital environment factors like noise and light negatively impact sleep, necessitating interventions to improve sleep quality for these children.
Area of Science:
- Pediatric Oncology
- Sleep Medicine
- Hospital Environment Research
Background:
- Sleep disturbances are common in pediatric cancer patients.
- The hospital environment may contribute to poor sleep quality.
- Understanding these factors is crucial for patient care.
Purpose of the Study:
- To systematically review sleep disruptions in pediatric cancer patients.
- To identify hospital environmental factors associated with disturbed sleep.
- To discuss implications for improving patient sleep.
Main Methods:
- Systematic review of seven studies.
- Searched five databases: PubMed, PsychINFO, Medline, CancerLit, Google Scholar.
- Included 147 participants aged 1-18 years.
Main Results:
- Pediatric cancer patients exhibited disrupted sleep in the hospital compared to norms.
- Increased noise, light, and staff interruptions were linked to reduced sleep and more awakenings.
- Methodological limitations and future research directions were identified.
Conclusions:
- Hospital procedures should be informed by sleep disruption research.
- Develop screening tools for pediatric cancer patients at risk for sleep difficulties.
- Minimize hospitalization's role in chronic sleep disturbances.
Objective:
The purpose of this systematic review was to describe the occurrence of sleep disruptions in pediatric cancer patients and to identify and discuss the factors related to the hospital sleep environment that may be associated with disturbed sleep.
Methods:
A total of 108 articles were located in five databases (PubMed, PsychINFO, Medline, CancerLit, and Google Scholar), and seven met our inclusion criteria and formed the basis of this review.
Results:
Participants ranged from 1 to 18 years (n = 147). Data from objective and subjective assessments of sleep showed that child sleep was disrupted in the hospital when compared to previously established age-related norms. Noise, light levels, and staff room interruptions were associated with decreased total sleep minutes and increased nighttime awakenings. Methodological limitations of the current research as well as potential directions for future research are discussed.
Conclusions:
Investigations into the sources of increased sleep difficulties can be used to inform hospital procedures to create a more supportive sleep environment and more effective screening tools for patients who may be at greater risk for sleep difficulties. This may help to minimize the role that hospitalization plays in precipitating and perpetuating chronic sleep disturbances in pediatric cancer patients. Copyright © 2016 John Wiley & Sons, Ltd.
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