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Factors Contributing to Sleep Disturbance in Inpatients With Cancer: A Cross-sectional Study.

Sandra Cabrera-Jaime1, Maria Montserrat Martí-Dillet, Pedro Roura-Martí

  • 1Author Affiliations: Department Research, Catalan Institute of Oncology-Hospital Germans Trias i Pujol, Universitat Autònoma de Barcelona; GRIN Group, IDIBELL, Institute of Biomedical Research; NURECARE-IGTP Foundation, Badalona (Dr Cabrera-Jaime); Catalan Institute of Oncology-Hospital Girona (Mmes Martí-Dillet, Hosa-Salor, Grabalosa-Valderas, and Company-Castelló and Dr Roura-Martí); and Catalan Institute of Oncology-Hospital Germans Trias i Pujol, NURECARE-IGTP Foundation, Badalona (Mrs Cabrera-Jaime), Spain.

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Sleep disturbances are common in hospitalized cancer patients, affecting over 60%. Environmental factors, pain, and noise significantly disrupt patient rest and sleep quality.

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Area of Science:

  • Oncology
  • Sleep Medicine
  • Patient Care

Background:

  • Sleep disturbances have significant physiological consequences.
  • Sleep issues are linked to various health problems, including cancer.

Purpose of the Study:

  • To assess the prevalence of sleep disturbances in hospitalized oncohematological patients.
  • To identify self-reported determinants of sleep disturbances in this population.

Main Methods:

  • Cross-sectional study in two specialized oncohematology units.
  • Stratified probability sampling used for patient selection.
  • Data collected via a validated questionnaire (Richards-Campbell Sleep Questionnaire and Pittsburgh Sleep Quality Questionnaire).

Main Results:

  • 61.5% of 621 oncohematological patients reported sleep disturbances.
  • Over 90% experienced nighttime awakenings (average 3.1 interruptions).
  • Key factors included awakenings, corridor noise, interruptions, room light, pain, and roommates.

Conclusions:

  • Hospitalized oncohematological patients frequently experience sleep disruptions.
  • Causes include environmental factors, pain, anxiety, and noise from clinical activities.
  • Hospital environment modifications can improve patient rest and sleep quality.