Qualidade do sono e fadiga em mulheres com câncer de mama durante o tratamento quimioterápico
DOI:
https://doi.org/10.5902/2179769232732Palavras-chave:
Enfermagem, Neoplasias da mama, Quimioterapia, Sono, FadigaResumo
Objetivo: identificar a ocorrência de alterações no sono antes, durante e após o tratamento quimioterápico e correlacionar as alterações do sono com episódios de fadiga em mulheres com câncer de mama. Método: participaram do estudo 26 mulheres seguidas no Ambulatório de Mastologia de um hospital universitário que responderam o Pittsburgh Sleep Quality Index e a Functional Assessment of Cancer Therapy Fatigue para avaliar o sono e a fadiga respectivamente, em três momentos. Resultados: as participantes apresentaram distúrbios do sono, ao longo do tratamento, caracterizados por calor noturno e dificuldade em iniciar o sono e que influenciaram na piora da qualidade do mesmo. Houve correlação entre qualidade do sono e fadiga, sendo que a má qualidade do sono aumentou os episódios de fadiga. Conclusão: a identificação da ocorrência destes eventos durante a quimioterapia favorece que a equipe profissional realize orientações para manejo adequado dos eventos adversos.Downloads
Referências
Ferreira RGR, Franco LFR. Efeitos colaterais decorrentes do tratamento quimioterápico no câncer de mama: revisão bibliográfica. Revista da Universidade Vale do Rio Verde. [internet] 2017 Ago [acesso em 2018 Abr 12];15(2):633-638. Disponível em: http://periodicos.unincor.br/index.php/revistaunincor/article/view/3759/pdf_725 doi: http://dx.doi.org/10.5892/ruvrd.v15i2.3759.
Chaoul A, Milbury K, Spelman A, Basen-Engquist K, Hall MH, Wei Q, et al. Randomized trial of Tibetan yoga in patients with breast cancer undergoing chemotherapy. Cancer. [internet] 2018 Jan [cited 2018 Jun 26];124(1):36-45. Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1002/cncr.30938.
Amorim JR, Silva IA, Shimizu IS. Avaliação da qualidade do sono em pacientes com câncer de mama em quimioterapia. Rev bras mastologia. [internet] 2017 Set [acesso em 2018 Abr 12];27(1):3-7. Disponível em: http://www.rbmastologia.com.br/wp-content/uploads/2017/01/MAS-v27n1_3-7.pdf doi: 10.5327/Z201700010002RBM.
Lamino DA, Pimenta CAM, Braga PE, Mota DDCF. Fadiga clinicamente relevante em mulheres com câncer de mama: prevalência e fatores associados. Investig enferm. [internet] 2015 Jan [acesso em 2018 Jun 24];17(1):65-76. Disponível em: http://www.redalyc.org/html/1452/145233516005/.
Fakih R, Rahal M, Hilal L, Dany M, Karam S, Shehab L, et al. Prevalence and severity of sleep disturbances among patients with early breast cancer. Indian journal of palliative care. [internet] 2018 Jan [cited 2018 Jun 14];24(1):35-38. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5801627/ doi:10.4103/IJPC.IJPC_137_17.
Levkovich I, Cohen M, Pollack S, Drumea K, Fried G. Cancer-related fatigue and depression in breast cancer patients postchemotherapy: different associations with optimism and stress appraisals. Palliat Support Care. [internet] 2015 Oct [cited 2018 May 02];13(5):1141-1151. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25201115 doi: 10.1017/S147895151400087X.
Jim HS, Jacobsen PB, Phillips KM, Wenham RM, Roberts W, Small BJ. Lagged relationships among sleep disturbance, fatigue, and depressed mood during chemotherapy. Health psychol. [internet] 2013 Jul [cited 2018 Jun 23];32(7):768-74. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3700563/. doi: 10.1037/a0031322.
Whisenant M, Wong B, Mitchell SA, Beck SL, Mooney K. Distinct Trajectories of Fatigue and Sleep Disturbance in Women Receiving Chemotherapy for Breast Cancer. Oncol nurs forum. [internet] 2017 Nov [cited 2018 Jun 26];44(6):739-750. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856248/pdf/nihms948252.pdf.
Siegel S, Castellan JRNJ. Estatística não paramétrica para ciências do comportamento. Porto Alegre (SC): Artmed; 2006.
Yellen SB, Cella DF, Webster K, Blendowski C, Kaplan E. Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. J Pain Symptom Manage. [internet] 1997 Feb [cited 2018 Apr 02];13(2):63-74. Available from: https://www.jpsmjournal.com/article/S0885-3924(96)00274-6/pdf.
Ishikawa NM, Thuler LCS, Giglio AG, Baldotto CSR, Andrade CJC, Derchain SFM. Reproducibility of functional assessment of cancer therapy-fatigue (FACT-F) questionnaire for cancer patients. Appl cancer res. [internet] 2008 [cited 2018 Apr 02];28(2):55-61. Available from: https://www.researchgate.net/publication/266160631_Reproducibility_of_Functional_Assessment_of_Cancer_Therapy-_Fatigue_FACT-F_Questionnaire_for_Cancer_Patients.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The pittsburg sleep quality index: A new instrument for psychiatric practice and research. J psychiatr res. [internet] 1989 May [cited 2018 Apr 05];28(2):193-213. Available from: https://linkinghub.elsevier.com/retrieve/pii/0165-1781(89)90047-4.
Bertolazi NA, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep medicine. [internet] 2011 Jan [cited 2018 Apr 05];12(1):70-5. Available from: https://www.sleep-journal.com/article/S1389-9457(10)00380-1/fulltext doi: http://dx.doi. org/10.1016/j.sleep.2010.04.020.
Savard J, Ivers H, Savard MH, Morin CM. Cancer treatments and their side effects are associated with aggravation of insomnia: results of a longitudinal study. Cancer. [internet] 2015 May [cited 2018 May 03];121(10):1703–1711. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/cncr.29244. doi: 10.1002/cncr.29244.
Harris B, Ross J, Sanchez-Reilly S. Sleeping in the arms of cancer: a review of sleeping disorders among patients with cancer. Cancer J. [internet] 2014 Sep-Oct [cited 2018 May 03];20(5):299–305. Available from: https://insights.ovid.com/pubmed?pmid=25299138 doi: 10.1097/PPO.0000000000000067.
Sanford SD, Wagner LI, Beaumont JL, Butt Z, Sweet JJ, Cella D. Longitudinal prospective assessment of sleep quality: before, during, and after adjuvant chemotherapy for breast cancer. Support Care Cancer. [internet] 2013 Apr [cited 2018 Oct 12];21(4):959-67. Available from: https://link.springer.com/article/10.1007%2Fs00520-012-1612-7 doi: 10.1007/s00520-012-1612-7. Epub 2012 Oct 3.
Tian L, Lin L, Li HL, Chen KJ, Zhang XJ, Qian SJ et al. Prevalence and associated factors of cancer related fatigue among patients in Eastern China. Oncologist. [internet] 2016 Nov [cited 2018 Oct 15];21(11):1349-1354. Available from: https: https://www.ncbi.nlm.nih.gov/pubmed/27449523/ doi:10.1634/theoncologist.2015-0537
Overcash J, Tan A, Patel K, Noonan A. Factors associated with poor sleep in older women diagnosed with breast cancer. Oncol Nurs Forum. [internet] 2018 May [cited 2018 Oct 15];45(3):359-371. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29683125/ doi: 10.1188/18.ONF.359-371.
Fisher WI, Johnson AK, Elkins GR, Otte JL, Burns DS, Yu M, et al. Risk factors, pathophysiology, and treatment of hot flashes in cancer. CA Cancer J Clin. [internet] 2013 May [cited 2018 May 03];63(3):167–92. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640615/ doi: 10.3322/caac.21171.
Mansano-Schlosser TC, Ceolim MF. Fatores associados à má qualidade do sono em mulheres com câncer de mama. Rev latinoam enferm. [internet] 2017 Mar [acesso em 2018 Mai 01];25:e2858. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363332/ doi: 10.1590/1518-8345.1478.2858.
Cheng H, Sit JWH, So WKW. The symptom burden in breast cancer survivors. Curr Breast Cancer Rep. [internet] 2016 Mar [cited 2018 Apr 29]:8(1):40-6. Available from: https://link.springer.com/article/10.1007/s12609-016-0201-z doi: 10.1007/s12609-016-0201-z.
Schmidt ME, Wiskemann J, Schneeweiss A, Potthoff K, Ulrich CM, Steindorf K. Determinants of physical, affective, and cognitive fatigue during breast cancer therapy and 12 months follow-up. Int J Cancer. [internet] 2018 Mar [cited 2018 May 04];142(6):1148-1157. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/ijc.31138 doi: 10.1002/ijc.31138.
Vincent AJ, Ranasinha S, Sayakhot P, Mansfield D, Teede HJ. Sleep difficulty mediates effects of vasomotor symptoms on mood in younger breast cancer survivors. Climacteric. [internet] 2014 Oct [cited 2018 Oct 12];17(5):598-604. Available from: https://www.tandfonline.com/doi/full/10.3109/13697137.2014.900745 doi: 10.3109/13697137.2014.900745.
Schmidt ME, Wiskemann J, Armbrust P, Schneeweiss A, Ulrich CM, Steindorf K. Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled trial. Int j cancer. [internet] 2015 Jul [cited 2018 Jun 24];137(2):471-80. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/ijc.29383.
Yamamoto S, Tazumi K, Arao H. Support not corresponding to transition to a new treatment: Women’s perceptions of support provided by their male partners during hormonal therapy. Int J Qual Stud Health Well-being. [internet] 2015 [cited 2018 Oc 12];10(29283):1-9. Available from: https://doi.org/10.3402/qhw.v10.29283.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Este trabalho está licenciado sob uma Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
