Objective: to evaluate the characteristics of sleep and the factors associated with the quality of sleep in elderly patients receiving outpatient chemotherapy treatment. Method: cross-sectional study with 140 elderly patients (51.2% female, average age 69.8 years) with stage III or stage IV cancer (67.9%), undertaken in a university hospital in the state of São Paulo in 2010. The following instruments were used: sociodemographic and clinical characterization questionnaire, validated by specialists; Pittsburgh Sleep Quality Index; Piper Fatigue Scale-reviewed; and a scale for the subjective measurement of pain. Results: the majority of the elderly (62.9%) had a score compatible with poor sleep quality. On average, the duration of sleep was 388.0 minutes, latency was 44.6 minutes and efficiency of 83.8%. Through multiple logistic regression analysis, an increase of 21% in the probability of having poor sleep quality was observed for each singlepoint increase in the intensity of the pain. Conclusion: nursing interventions aiming to promote better sleep quality for elderly patients with cancer must include measures for pain control.Descriptors: Sleep; Neoplasms; Antineoplastic Agents; Aged; Nursing.
Factores asociados a la calidad del sueño de mayores sometidos a la quimioterapiaObjetivo: evaluar las características del sueño y los factores asociados a la calidad del sueño de pacientes mayores sometidos al tratamiento de quimioterapia de ambulatorio. Método: estudio transversal con 140 pacientes mayores (51,2% del sexo femenino, media mayores 69,8 años) con cáncer en estadio III o IV (67,9%), acarreado en un hospital universitario de la provincia de São Paulo, en 2010. Se utilizaron los instrumentos: cuestionario de caracterización sociodemográfica y clínica, validado por expertos; Índice de Calidad del Sueño de Pittsburgh; Escala de Fatiga de Piper-revisada; Escala de mensuración subjetiva de dolor. Resultados: la mayoría de los mayores (62,9%) presentó puntuación compatible con mala calidad del sueño. En media, la duración del sueño fue de 388,0 minutos, latencia de 44,6 minutos y eficiencia, 83,8%. Al análisis de regresión logística múltiple se observó aumento del 21% de la probabilidad de presentar mala calidad del sueño a cada añadidura de un punto en la intensidad del dolor.Conclusión: intervenciones de enfermería objetivando promover mejor calidad del sueño a los pacientes mayores con cáncer deben agregar medidas para control del dolor.Descriptores: Sueño; Neoplasias; Agentes Antineoplásicos; Anciano; Enfermería.
IntroductionCancer is a major public health problem in developed countries and developing countries, which has deserved the increasing numbers of research projects aiming to achieve better quality and humanization of the care given to people struck by it. It is estimated that in 2020, the number of new cases per year will be approximately 15 million (1) .The aging of the population is also a worldwide Rev. Latino-Am. Enfermagem 2012 Nov.-Dec.;20(6):1100-8.life, depending on the extent of impairment ...