Abstract CN45
Background
For cancer patients, sleep and rest is an essential physiologic process, related to quality of life (QoL). During hospitalization the use of benzodiazepines and the presence of delirium in fragile patients is common.
Methods
Objectives: To assess impact of a program to improve sleep & rest of cancer patients hospitalized at the Institut Catalan d'Oncologia. Methods: Multicenter study 2 centers; ICO-Badalona and ICO-Girona during 2017-2019. Mix methods; first a Quasi-experimental pre-post-intervention, second a Qualitative Participatory Research. Sample: 306 hospitalized cancer patients (CI:95%; d=5%; p:50%). Variables: areas by metaplan dynamic; patient satisfaction, complaints on enviroment noises, sociodemographic and clinical data. An ad-hoc questionnaire, previously piloted with 7 closed items (rating 0-10) + 1 open question. Descriptive and inferential analysis using SPSS® V.24.0.
Results
Of 282 patients pre study and 198 post; 58.5% men. Average age 60.6 years, lasting 11.4 days hospitalization. 62.1% (167) prevalence of sleep pattern alteration, 92.3% sleep disruptions, only 41.3% resting 6 to 8 hours. Have medication in 53.1%. The overall sleep score is 6.8 (1.8) points. The causes for disturbance in center ICO-BDN is pain & discomfort (4.36-9.55), pumps alarms (4,29-10.42) and room temperature (2.96-9.01). In ICO-GIR: temperature (3,48-3,45), pain (3.07-3,13) and nurses interruptions (2,53-2,73). Rest disturbance improved (71.3% vs 55.9%; p<0001).
Conclusions
Cancer patients score pain as main sleep disturbance, but also noises generated by professionals or devices like infusion pumps. Better symptoms control and reduction of dynamics & nurses activities can promote better patient rest during hospitalization.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
The authors.
Funding
Has not received any fundings.
Disclosure
All authors have declared no conflicts of interest.