소아암 아동의 수면장애관리 : 체계적 문헌고찰

Abstract

The purpose of this systematic review was to identify the sleep disturbances of pediatric cancer patients based on the three dimensions of symptom management theory and to provide data for the development of sleep disturbance management strategies for pediatric cancer patients. A total of 28 studies were selected through the literature search using four core databases PubMed, Embase, Cochrane Central, and CINHAL. The CASP checklist was used to evaluate the quality of the selected studies. Data on the relationship between the three dimension elements of the symptom management theory was extracted and summarized. Sleep was assessed through objective and subjective measurement tools in the form of self-report and proxy-reports. It was found that self-report and proxy reports did not match in some research. The intervention program did not affect sleep disturbance in pediatric cancer patients, but parental factors, environmental factors, activities or exercise affected the child’s sleep disturbance. Sleep disturbances in children further affected psychological status, length of hospital stay, physical symptoms, fatigue and quality of life. Outcomes and management variables were reported to be mostly unrelated. In the development of intervention for pediatric cancer patients to improve sleep, parents-related factors, environmental factors, and hospital environment should be considered. It is also needed to control pre-intervention fatigue, quality of life, physical symptoms, and psychological state of pediatric cancer patients.