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Stress and sleep quality in palliative care
Hilal Zengin1, Bilge Dilek Soyaslan2
1Palliative care, Ministry of Health Ankara Gülhane Training and Research Hospital, Ankara, Etlik, Turkey.
BMJ Supportive & Palliative Care
|June 11, 2024
Summary
Palliative care patients often struggle with poor sleep quality and high stress levels. This study found that insufficient self-efficacy significantly impacts sleep efficiency and daytime function in these patients.
Area of Science:
- Palliative Care Medicine
- Sleep Medicine
- Psychosocial Oncology
Background:
- Palliative care patients face significant sleep disturbances due to complex health issues.
- Stress, chronic diseases, and psychosocial factors contribute to poor sleep quality in this population.
Purpose of the Study:
- To assess perceived stress and sleep quality in palliative care patients.
- To identify factors associated with stress and sleep quality in this cohort.
Main Methods:
- Cross-sectional, descriptive study conducted at a Turkish palliative clinic (November 2023 - February 2024).
- Utilized a data form, Perceived Stress Scale (PSS), and Pittsburgh Sleep Quality Index (PSQI).
- Statistical analysis included Kolmogorov-Smirnov, Shapiro-Wilk, Mann-Whitney U, and Kruskal-Wallis H tests.
Main Results:
- Average Perceived Stress Scale score: 35.81±7.45.
- Average Pittsburgh Sleep Quality Index score: 13.20±3.20.
- Insufficient self-efficacy was significantly correlated with poor habitual sleep efficiency, daytime dysfunction, and overall PSQI scores.
Conclusions:
- Patient characteristics influence sleep quality and perceived stress in palliative care.
- Sleep quality components and perceived stress are interconnected.
- Addressing psychosocial integrity is vital for comprehensive symptom management in palliative care.
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