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Onkologische Welt 2014; 05(01): 25-29
DOI: 10.1055/s-0038-1631539
Supportivtherapie
Schattauer GmbH

Schlafförderung bei onkologischen Patienten

Erste Ergebnisse einer Interventionsstudie am Universitätsklinikum TübingenSleep facilitation in cancer patients First results of an intervention study at the university hospital Tübingen
P. Renz
1   Universitätsklinikum Tübingen
,
J. Mohr
1   Universitätsklinikum Tübingen
› Author Affiliations
Further Information

Publication History

Publication Date:
03 February 2018 (online)

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Zusammenfassung

Schlafstörungen sind eines der belastendsten Symptome bei onkologischen Patienten. Die modulare Intervention der pflegewissenschaftlichen Studie am Uniklinikum Tübingen basiert auf Assessment, strukturierter Beratung mittels Infobroschüre, Schlaftagebuch und telefonischer Nachbetreuung zur Förde-rung der Patientenautonomie. Vor allem tagesklinische sowie Patienten mit Chemo- und Strahlentherapie profitieren von dem Angebot.

Summary

Sleep disorder is one of the most pressing and burdening symptoms for cancer patients. The modular intervention of the patient care study at the university hospital of Tübingen based upon assessment, structured counselling with information brochures, sleep diary and follow-up by phone calls to enhance patients autonomy. Especially ambulatory and patients receiving chemo- and radiation therapy do benefit from this offering.

Schlüsselwörter

Schlafstörungen - Interventionsstudie - Schlafförderung - Onkologie)

Keywords

Sleep disorder - intervention study - sleep facilitation - oncology
 

  • Literatur

  • 1 Aaronson NK. et al. The European Organization for Research and Treatment of Cancer QLQ-30: a quality-of-life instrument for use in international clinical trials in oncology. J Nat Cancer Inst 1993; 85 (05) 365-376.
    CrossrefGoogle Scholar
  • 2 Ancoli-Israel S, Cole R, Alessi C. et al. The role of actigraphy in the study of sleep and circadian rhythms. Sleep 2003; 26 (03) 342-392.
    CrossrefGoogle Scholar
  • 3 Bamberger GC. Lösungsorientierte Beratung. Weinheim, Basel: Beltz, 4. Auflage; 2010
    Google Scholar
  • 4 Benor DE, Delbar V, Krulik T. Measuring impact of nursing intervention on cancer patients’ ability to control symptoms. Cancer Nursing 1998; 21 (05) 320-334.
    CrossrefGoogle Scholar
  • 5 Berger AM, Kuhn BR, Farr LA. et al. Behavioral therapy intervention trial to improve sleep quality and cancer-related fatigue. Psychooncology 2009; 18 (06) 634-646.
    CrossrefGoogle Scholar
  • 6 Buysse DJ, Barzansky B, Dinges D. et al. Sleep, fatigue, and medical training: setting an agenda for optimal learning and patient care. Sleep 2003; 28 (02) 218-225.
    Google Scholar
  • 7 Buysse DJ. et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatric Research 1989; 28 (02) 193-213.
    CrossrefGoogle Scholar
  • 8 Clark J. et al. Sleep-wake disturbances in people with cancer part II: evaluating the evidence for clinical decision making. Oncol Nursing Forum 2004; 31 (04) 747-771.
    Google Scholar
  • 9 Davidson JR. et al. Nonpharmacologic group treatment of insomnia: a preliminary study with cancer survivors. Psychooncology 2001; 10 (05) 389-397.
    CrossrefGoogle Scholar
  • 10 Demiralp M, Oflaz F, Komurcu S. Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy. J Clin Nursing 2010; 19 (7-8) 1073-1083.
    CrossrefGoogle Scholar
  • 11 Dirksen SR, Epstein DR. Efficacy of an insomnia intervention on fatigue, mood and quality of life in breast cancer survivors. J Advanced Nursing 2008; 61 (06) 664-675.
    CrossrefGoogle Scholar
  • 12 Irwin MR, Cole JC, Nicassio PM. Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age. Health psychology: American Psychological Association 2006; 25 (01) 3-14.
    Google Scholar
  • 13 Krebsforschungszentrum. Krebsstatistiken: Wie häufig ist Krebs in Deutschland? 12.07.2012 unter http://www.krebsinformation.de/grundlagen/krebsstatistiken.php#inhalt2
  • 14 Mayer G, Fietze I, Fischer J. et al. (Hrsg.) S3-Leitlinie Nichterholsamer Schlaf / Schlafstörungen der Deutschen Gesellschaft für Schlafforschung und Schlafförderung (DGSM). Somnologie 2009; 13: 4-160.
    CrossrefGoogle Scholar
  • 15 NIH State of the Science Conference Statement on Manifestations and Management of Chronic Insomnia in Adults. Sleep 2005; 28 (09) 1049-1057.
    CrossrefGoogle Scholar
  • 16 Northouse LL. et al. The quality of life of African American women with breast cancer. Research in Nursing & Health 1999; 22 (06) 449-460.
    CrossrefGoogle Scholar
  • 17 Page MS, Berger AM, Johnson LB. Putting evidence into practice: evidence-based interventions for sleep-wake disturbances. Clin J Oncol Nursing 2006; 10 (06) 753-767.
    Google Scholar
  • 18 Price MA. Prevalence and predictors of insomnia in women with invasive ovarian cancer: anxiety a major factor. Eur J Cancer 2009; 45 (18) 3262-3270.
    CrossrefGoogle Scholar
  • 19 Quesnel C. et al. Efficacy of cognitive-behavioral therapy for insomnia in women treated for nonmetastatic breast cancer. J Consult Clin Psychology 2003; 71 (01) 189-200.
    CrossrefGoogle Scholar
  • 20 Renz P, Mohr J, Klump C. Entwicklung eines evidenzbasierten Beratungsprogrammes zur Schlafförderung bei onkologischen Patienten. Z f Pflegewissensch 2013. (in press)
    Google Scholar
  • 21 Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: Sleep and psychological effects. J Clin Oncology 2005; 23 (25) 6083-6096.
    CrossrefGoogle Scholar
  • 22 Sitzia J, Huggins L. Side effects of cyclophosphamide, methotrexate, and 5-fluorouracil (CMF) chemotherapy for breast cancer. Cancer Practice 1998; 6 (01) 13-21.
    CrossrefGoogle Scholar
  • 23 Smets EMA. et al. The Multidimensional Fatigue Inventory (MFI). Psychometric qualities of an instrument to assess Fatigue. J Psychosomatic Res 1995; 39 (05) 315-325.
    CrossrefGoogle Scholar
  • 24 Theobald DE. Cancer pain, fatigue, distress, and insomnia in cancer patients. Clin Cornerstone 2004; 6 (Suppl. 01) D15-21.
    CrossrefGoogle Scholar