Sleep Quality and Associated Risk Factors in Leukemia Patients Undergoing Chemotherapy in Iran

Background: The depression resulted from the disease and its treatment, sleep disorders, pain and cognitive changes are some abnormalities whichaffect these patients. According to the research, insomnia weakens physical strength and causes stress and anxiety; it also affects the central nervous system.Aim: This study aimed to determine the sleep disorders and associated risk factors in leukemia patients undergoing chemotherapy who wereadministered in Imam Khomeini Hospital of Sari city. Methods: This cross-sectional study was conducted in 2015 in ImamKhomeini hospital of Sari city and 100 patients were selected. Inclusion criteria included complete mental and psychological health and being over18 years old, and exclusion criteria included suffering other cancers and other chronic diseases and concurrent radiotherapy and chemotherapy. The Pittsburgh Sleep Quality standard questionnaire was used to collect data.The questionnaire consisted of mental sleep quality, sleep latency, sleep duration, sleep quality, sleep disturbances, use of sleeping drugs andimpaired daily functioning. Data were analyzed by software SPSS 18 and by using descriptive and inferential tests (Pearson, Spearman, T-test and chisquare).Results: Among 100 patients, 47 men (47%) and 53 women (53%) with a mean age of 44.08±1.714 participated in the study. The mean overall scoreof sleep quality was 9.33±3.89, which represents the average sleep quality in most participants. T-test shows that males have more sleep quality than females (t=2.052; 95%CI: 0.004-0.250; P<0.001). Also the sleep quality increased with age (r=0.217, P=0.030).Implications for practice: Results of this study can be used by health managers to take special attentions to this group of patients. So it isnecessary to take coping strategies to improve the quality of sleep in these patients.

کلیدواژه ها:

Leukemia ، sleep disorders ، chemotherapy ، Iran