Assessment of sleep characteristics using Fitbit Charge 4 in head and neck cancer patients undergoing palliative chemotherapy and radiotherapy: a prospective observational study.

IF 2.7 Q2 HEALTH CARE SCIENCES & SERVICES
Palliative Care and Social Practice Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI:10.1177/26323524241283067
Anuj Jain, Jha Suryavanshi, Vaishali Waindeskar, Manish Gupta, Ashutosh Kaushal, Harish Kumar
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Abstract

Background: Sleep disturbance is prevalent among cancer patients. The quantification of this sleep disturbance is missing, especially in palliative care settings.

Aim: The aim of this study was to study the sleep patterns of the patients undergoing palliative chemotherapy and radiotherapy for head and neck cancer (HNC) using a Fitbit Charge 4 sleep-tracking device.

Design: Prospective observational study.

Setting: A total of 110 HNC patients undergoing palliative chemotherapy and radiotherapy at a tertiary care teaching hospital in Central India.

Results: Forty-four percent of patients had a poor sleep score (less than 60). Average sleep duration was 218.66 ± 139.05 min; non-rapid eye movement (NREM) sleep duration 197.7 ± 115.91 (light NREM 171.36 ± 104 and deep NREM 23.36 ± 16.73); REM sleep duration was 30.44 ± 34.14 min. The Pittsburgh Sleep Quality Index was 10.23 ± 3.45, which indicated sleep deprivation over the past 1 month. Moderate levels of anxiety, depression, confusion, and distress existed in the cohort. Statistically significant but weak correlation existed between sleep score, anxiety, and depression. Strong correlation existed between distress score and sleep score. Confusion score did not have a significant correlation with sleep score.

Conclusion: HNC patients in palliative care settings were chronically sleep deprived. Sleep architecture was also disturbed. Moderate levels of anxiety, depression, confusion, and distress existed in the studied cohort; these psychosocial disturbances had a weak correlation with the sleep score and are likely to be multifactorial.

Trial registration: Institutional Ethics Committee number: IHEC-LOP/2020/IM0349. The study has been registered with clinical trial registry of India with registration number CTRI/2021/03/032400 (http://www.ctri.in).

使用 Fitbit Charge 4 评估接受姑息化疗和放疗的头颈部癌症患者的睡眠特征:一项前瞻性观察研究。
背景:癌症患者普遍存在睡眠障碍。目的:本研究的目的是使用 Fitbit Charge 4 睡眠追踪设备研究头颈癌(HNC)姑息化疗和放疗患者的睡眠模式:前瞻性观察研究:研究对象:印度中部一家三级教学医院中接受姑息化疗和放疗的 110 名 HNC 患者:44%的患者睡眠质量较差(低于60分)。平均睡眠时间为 218.66 ± 139.05 分钟;非快速眼动(NREM)睡眠时间为 197.7 ± 115.91 分钟(轻度 NREM 171.36 ± 104 分钟和深度 NREM 23.36 ± 16.73 分钟);快速眼动睡眠时间为 30.44 ± 34.14 分钟。匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index)为 10.23 ± 3.45,表明患者在过去 1 个月中睡眠不足。组群中存在中度焦虑、抑郁、困惑和痛苦。睡眠评分、焦虑和抑郁之间存在有统计学意义的弱相关性。苦恼得分与睡眠得分之间存在很强的相关性。结论:结论:姑息治疗环境中的 HNC 患者长期睡眠不足。睡眠结构也受到干扰。研究队列中存在中等程度的焦虑、抑郁、困惑和痛苦;这些社会心理障碍与睡眠评分的相关性较弱,可能是多因素造成的:机构伦理委员会编号:IHEC-LOP/2020/IM0349。该研究已在印度临床试验注册处注册,注册号为CTRI/2021/03/032400 (http://www.ctri.in)。
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来源期刊
Palliative Care and Social Practice
Palliative Care and Social Practice Nursing-Advanced and Specialized Nursing
CiteScore
2.90
自引率
0.00%
发文量
37
审稿时长
9 weeks
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