전립선암 환자의 수면장애: 주제범위 문헌고찰

Abstract

Purpose: Patients with prostate cancer have high survival rates, but report low Quality of Life (QOL) due to sleep difficulties. This scoping review aimed to explore and identify current publication trends, major concepts, measurements, and interventions regarding sleep disturbance in patients with prostate cancer. Methods: Using the Arksey & O’Malley scoping review method, structured searches for articles published from 2000 to 2021 were conducted on six electronic databases using a combination of the terms “prostate cancer”, “malignant neoplasm of prostate”, “sleep*”, “circadian rhythm”, and “insomnia”. Results: Thirty-one studies were reviewed. The publication rate has increased from 6.5% (2000~2005) to 51.6% (2016~2021). The Insomnia Severity Index (ISI) was the most frequently used subjective measurement. Objective measurements to measure sleep quality or sleep disturbance included actigraphy and Polysomnography (PSG). The incidence of sleep disturbance in patients with prostate cancer was 8.0% to 75.9%, and hormone and radiation therapy, hot flashes, and nocturia were identified as influencing factors. Intervention strategies presented were Cognitive Behavioral Therapy (CBT), Mindfulness-Based Cognitive Therapy (MBCT), Acceptance and Commitment Therapy (ACT), and qigong or tai chi programs. Conclusion: Interest in sleep disturbance