Sleep quality of endometrial cancer survivors and the effect of treatments/ Endometrium kanseri olan hastalarda uyku kalitesi ve tedavinin etkisi

• Published in: Turkish journal of obstetrics and gynecology 2017-12, Vol.14 (4), p.243
• Main Authors: Ilhan, Tolgay Tuyan, Ucar, Mustafa Gazi, Gul, Ayhan, Ilhan, Turkan Saymaz, Yavas, Guler, Celik, Cetin
• Format: Article
• Language: English
• Subjects: Cancer survivors; Cancer treatment; Care and treatment; Complications and side effects; Endometrial cancer; Patient outcomes; Risk factors; Sleep disorders; Surveys
• ISSN: 2149-9322
• DOI: 10.4274/tjod.59265

Objective: Sleep disorders affect 54.9% of gynaecologic cancer survivors. The effect of treatment methods on sleep quality is not clear. This study evaluated the sleep quality of survivors of endometrial cancer and compared the effects of different treatments on sleep quality Materials and Methods: Patients were categorised as surgery (group 1), surgery + brachytherapy (BRT) (group 2), surgery + external beam radiation therapy (EBRT) (group 3), and surgery + EBRT + BRT + chemotherapy (group 4). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The PSQI was completed by the participants before surgery 1, 3, and 6 months after each treatment was completed. The PSQI scores were compared between the different measurement times and different study groups. Results: This study enrolled 114 patients with a mean age of 58.1[+ or -]11 years. The number of participants in each group was 53 (46.5%), 14 (12.3%), 12 (10.5%), and 35 (30.7%), respectively At baseline, 28 (24.6%) patients reported poor sleep quality The mean PSQI score reached the maximum level at the second measurement and decreased slightly during follow-up and the change in the PSQI score was significant (p=0.001). Group 3 and group 4 had significantly higher scores from baseline (p