Fatigue and Sleep Disturbance in Hospitalized Adolescents with Cancer Receiving Chemotherapy

Main Article Content

Phatcharee Chookanhom
Autchareeya Patoomwan
Samart Pakakasama

Abstract

This descriptive study aimed to describe fatigue and sleep disturbance in hospitalized adolescents with cancer receiving chemotherapy. The purposive sample included 33 adolescents with cancer admitted to two tertiary hospitals to receive chemotherapy. The instruments were the Fatigue Scale-Adolescent FS-A and Sleep Diaries. Data were analyzed using descriptive statistics. The results of the study revealed that most adolescents reported mild to moderate level of fatigue. The results did not indicate sleep disturbances as obtained from the daily sleep recordings. The average sleep duration was 9.24 hours on the second day of the chemotherapy treatment.The daytime naps were between 31 and 60 minutes per day for all three days, and the time from beginning to sleep (sleep latency) lasted more than 40 minutes. The perceived sleep adequacy were reported as slightly sleepy on the first day and quite drowsy on the third day. The results of this study provide basic information for nurses and other healthcare professionals to beware of fatigue and sleep disturbance in adolescents with cancer receiving chemotherapy and routinely assess these symptoms during children’s hospitalization for planning appropriate interventions.
Keywords: Adolescent, Fatigue, Sleep disturbance, Chemotherapy, Hospitalization            

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Chookanhom P, Patoomwan A, Pakakasama S. Fatigue and Sleep Disturbance in Hospitalized Adolescents with Cancer Receiving Chemotherapy. Rama Nurs J [Internet]. 2021 May 5 [cited 2022 Oct. 3];27(1):47-60. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/243167
Section
บทความวิจัย

References

Steliarova-Foucher E, Colombet M, Ries LAG, Moreno F, Dolya A, Bray Freddie, et al. International incidence of

childhood cancer. 2001-10: a population-based registry study. Lancet Oncol. 2017;18:719-31.

National Cancer Institute. Cancer statistics. [Internet].2018; [cited 2020 July 6]. Available from: https://www.

cancer.gov/about-cancer/understanding/ statistics

National Cancer Institute. Hospital-based cancer registry annual report 2015-2017. Bangkok: Pornsup Printing;

Groben, VJ. The child with cancer. In: Hockenberry MJ,Wilson D, editors. Wong’s nursing care of infants and

children. 9th ed. Missouri: Mosby Elsevier; 2011. p.1461-502.

Surapolchai P, Pakakasama S, Sirachainan N, Anurathapan U, Songdej D, Chuansumrit A, et al. Comparative

outcomes of Thai children with acute lymphoblastic leukemia treated with two consecutive protocols: 11-year

experience. Leukemia & Lymphoma Journal.2012;53(5):891-900. (in Thai)

McGrath P, Rawson-Huff N. Corticosteroids during continuation therapy for acute lymphoblastic leukemia:

the psycho-social impact. Issues Compr Pediatr Nurs.2010;33(1):5-19.

Baggott C, Dodd M, Kennedy C, Marina N, Matthay KK,Cooper BA, et al. Changes in children’s reports of symptom occurrence and severity during a course of myelosuppressive chemotherapy. J Pediatr Oncol Nurs. 2010;27(6):307-15.

Stasi R, Abriani L, Beccaglia P, Terzoli E, Amadori S. Cancer-related fatigue evolving concepts in evaluation

and treatment. ACS. 2003;98(9):1786-91.

Liu L, Ancoli-Israel S. Sleep disturbances in cancer.Psychiatr Ann. 2011;38(9):627-34.

Perdikaris P, Merkouris A, Patiraki E, Papadatou D,Vasilatou-Kosmidis H, & MatziouV. Changes in

children’s fatigue during the course of treatment for paediatric cancer. Int Nurs Rev. 2008;55(4):412-19.

Sakorn S, Kantawang S, Niyomka S. Influences of taste change, fatigue and sleep disturbance on functional Status of Children with Cancer Receiving Chemotherapy. Nursing Journal. 2016;43(2):23-34. (in Thai)

Rompipat S, Patoomwan A, Hanprasitkam K. Predicting factors of fatigue in children receiving chemotherapy for acute lymphoblastic leukemia. Thai Science and Technology Journal. 2013;21(7):595-608. (in Thai)

Ryan JL, Carroll JK, Ryan EP, Mustian KM, Fiscella K,Morrow GR. Mechanisms of cancer-related fatigue.

Oncologist. 2007;12(1):22-34.

Schrepf A, Clevenger L, Christensen D, DeGeest K,Bender D, Ahmed A, et al. Cortisol and inflammatory

processes in ovarian cancer patients following primary treatment: relationships with depression, fatigue, and

disability. Brain Behav Immun. 2013;30:S126–34.

Berger AM, Parker KP, Young-McCaughan S, Mallory GA, Barsevick AM, Beck SL, et al. Sleep/wake

disturbances in people with cancer and their caregivers:state of the science. Oncol Nurs Forum. 2005;36(6):E98–

E104.

Rosen G, Brand SR. Sleep in children with cancer: case review of 70 children evaluated in a comprehensive

pediatric sleep center. Support Care Cancer. 2011;19(11):985-94.

Mindell JA, Owens JA. Pediatric sleep, diagnosis and management of sleep problems. 3nd ed. Philadelphia:

Lippincott Williams and Wilkins; 2015. p. 32-58.

Vena C, Parker K, Cunningham M, Clark J, McMillan S.Sleep-wake disturbances in people with cancer part I: an

overview of sleep, sleep regulation, and effects of disease and treatment. Oncol Nurs Forum. 2004;31(4):735-46.

Hockenberry-Eaton M, Hinds, PS. Fatigue in children and adolescents with cancer: evolution of a program of study.J Oncol Nurs. 2000;16 (4):261–72.

Kaewta R, Niyomkar S, Lamchang S. Fatigue and healthrelated quality of life in school-age children with cancer receiving chemotherapy. Nursing Journal. 2020;47(4):53-65. (in Thai)

Ponyiem P, Sakdisthanont S, Sirip ul P. Correlation of emotional control and quality of life in adolescents with

cancer. Thai Journal of Nursing and Midwifery Practice.2019;6(2):17-29. (in Thai)

Wongsuwan J, Sanasuttipun W, Chintanadilok N, Tarugsa J. Factors related to fatigue in pediatric cancer patients receiving chemotherapy. Journal of Nursing Science.2016;34(2):16-27. (in Thai)

Chuatrakul P, Panuthai S, Khampolsiri T. Fatigue among older patients with colorectal cancer receiving chemotherapy and related Factors. Nursing Journal. 2013;40(3): 62-74. (in Thai)

Hinds PS, Hockenberry MJ, Gattuso JS, Srivastava DK,Tong X, Jones H, et al. Dexamethasone alter sleep and

fatigue in pediatric patients with acute lymphoblastic leukemia. ACS. 2007;110(10):2321–30. doi:10.1002/cncr.23039.

Otte JL, Carpenter JS. Theories, models, and frameworks related to sleep-wake disturbances in the context of cancer.Cancer Nurs. 2009;32(2):90-102.

Janjaroen K. Identifying population and sample. In:Jirojanaku P, editor. Nursing research concepts principles

and practices. 2nd ed. Nonthaburi: Royal Institute of Thailand Office of the Permanent Secretary Publication;

p. 85-114. (in Thai).

Mandrell BN, Yang J, Hooke MC, Wang C, Gattuso JS,Hockenberry M, et al. Psychometric and clinical

assessment of the 13-item reduced version of the fatigue scale–adolescent instrument. J Pediatr Oncol Nurs.

;28:1-8.

Gaina A, Sekine M, Chen X, Hamanishi S, Kagamimori S. Weekly variation in sleep patterns: estimates of validity in japanese schoolchildren. Sleep Biol Rhythms.2005;3(2):80-5.

Orsey AD, Wakefield DB, Cloutier MM. Physical activity and sleep among children and adolescents with cancer.Pediatr Blood Cancer. 2013;60(11):1908-13.

Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagel S, Lioyd RM, et al. Consensus statement of the american

academy of sleep medicine on the recommended amount of sleep for healthy children: methodology and discussion.J Clin Sleep Med. 2016;12(11):1549–61.

Linder LA, Christian BJ. Nighttime sleep disruptions, the hospital care environment and symptoms in elementary school-age children with cancer. Oncol Nurs Forum.2012;39(6):553-61.

Hinds PS, Hockenberry M, Rai SN, Zhang L, Razzouk BI, McCarthy K, et al. Nocturnal awakenings, sleep

environment interruptions, and fatigue in hospitalized children with cancer. Oncol Nurs Forum. 2007;34(2):393

–402.

Most read articles by the same author(s)