Strategi Intervensi Non-Farmakologi untuk Gangguan Tidur pada Pasien Kanker Payudara
Abstract
This research aims to determine non-pharmacological intervention strategies in treating sleep disorders in breast cancer patients. The method uses a systematic review, by identifying nursing problems faced by breast cancer survivors, determining research questions, exploring relevant research, and carrying out data extraction. The results show that there are various non-pharmacological intervention strategies for sleep disorders in breast cancer patients, both single and combination therapy. These interventions such as Cognitive Behavioral Therapy for Insomnia (CBT-I), Sleep Hygiene Education (SHE), Bright Light Therapy (BLT), internet-based interventions, Acupressure, Acupuncture, Tai Chi, Dance Therapy, Mindfulness-Based Stress Reduction (MBSR) and Yoga. In conclusion, various non-pharmacological intervention strategies can be carried out by oncology nurses independently, where each intervention has its own advantages. In its implementation to patients, should adapt to cultural backgrounds, be flexible, easy to apply, doesn’t require large costs, effective, efficient, and focuses on patient needs.
Keywords: Sleep Disorders, Non-pharmacological Intervention, Breast Cancer
References
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Bean, H. R., Stafford, L., Little, R., Diggens, J., Ftanou, M., Alexander, M., Francis, P. A., Bei, B., & Wiley, J. F. (2020). Light-Enhanced Cognitive Behavioural Therapy for Sleep and Fatigue: Study Protocol for a Randomised Controlled Trial During Chemotherapy for Breast Cancer. Trials, 21(1), 1–14. https://doi.org/10.1186/s13063-020-4196-4
Davydov, G. G., Nashat, H., Ghali, S., Afifi, S., Suryadevara, V., Habab, Y., Hutcheson, A., Panjiyar, B. K., & Nath, T. S. (2023). Common Sleep Disorders in Patients With Chronic Kidney Disease: A Systematic Review on What They Are and How We Should Treat Them. Cureus, 15(8), 1–9. https://doi.org/10.7759/cureus.44009
Gonzalez-Santos, A., Lopez-Garzon, M., Sanchez-Salado, C., Postigo-Martin, P., Lozano-Lozano, M., Galiano-Castillo, N., Fernández-Lao, C., Castro-Martín, E., Gallart-Aragon, T., Legeren-alvarez, M., Gil-Gutierrez, R., & Martín-Martín, L. (2022). A Telehealth-Based Cognitive-Adaptive Training (e-OTCAT) to Prevent Cancer and Chemotherapy-Related Cognitive Impairment in Women with Breast Cancer. International Journal of Environmental Research and Public Health, 19(12), 1–11. https://doi.org/10.3390/ijerph19127147
Harahap N, Waluyo. A., (2023). Cognitive Behavioral Therapy (CBT-I) untuk Insomnia Pada Famili Caregiver Pasien Kanker. JOTING, 5(1), 828–837. https://doi.org/10.31539/joting.v5i1.5898
Haque, R., Chlebowski, R. T., & Chen, L. H. (2021). Sleep Medication Use and Risk of Fractures in Breast Cancer Survivors. Breast Cancer Research and Treatment, 190(3), 541–548. https://doi.org/10.1007/s10549-021-06392-4
He, X., Ng, M. S. N., Wang, X., Guo, P., Li, L., Zhao, W., Zhang, M., & So, W. K. W. (2021). Short Report A Dance Program to Manage A Fatigue Sleep Disturbance Depression Symptom Cluster among Breast Cancer Patients Receiving Adjuvant Chemotherapy : A Feasibility Study. Asia-Pacific Journal of Oncology Nursing, 8(3), 337–339. https://doi.org/10.4103/2347-5625.308677
He, X., Shek, M., Ng, N., Chow, K., Kwok, W., & So, W. (2023). Effects of a 16-Week Dance Intervention on The Symptom Cluster of Fatigue-Sleep Disturbance-Depression and Quality of Life Among Patients with Breast Cancer Undergoing Adjuvant Chemotherapy. International Journal of Nursing Studies, 133(2022), 1–11. https://doi.org/10.1016/j.ijnurstu.2022.104317
Hoxtermann, M. D., Buner, K., Haller, H., Kohl, W., Dobos, G., Reinisch, M., Kummel, S., Cramer, H., & Voiss, P. (2021). Efficacy and Safety of Auricular Acupuncture for The Treatment of Insomnia in Breast Cancer Survivors: A Randomized Controlled Trial. Cancers, 13(16), 1–16. https://doi.org/10.3390/cancers13164082
Liu, Q., Wang, C., Wang, Y., Xu, W., Zhan, C., Wu, J., & Hu, R. (2022). Mindfulness-Based Stress Reduction With Acupressure for Sleep Quality in Breast Cancer Patients with Insomnia Undergoing Chemotherapy: A Randomized Controlled Trial. European Journal of Oncology Nursing, 61, 102219. https://doi.org/10.1016/j.ejon.2022.102219
Li, Z., Wang, Q., Xu, J., Song, Q., Ling, X., Gao, Y., & Lei, J. (2023). Comparative Efficacy and Acceptability of Interventions for Insomnia in Breast Cancer Patients: A Protocol for Systematic Review and Network Meta-Analysis. PLoS ONE, 18(3), 1–10. https://doi.org/10.1371/journal.pone.0282614
Li, M., Wai, S., Kwok, H., Tan, J. B., Bressington, D., Liu, X., Wang, T., & Chen, S. (2023). Somatic Acupressure for The Fatigue-Sleep Disturbance-Depression Symptom Cluster in Breast Cancer Survivors : A Phase II Randomized Controlled Trial. European Journal of Oncology Nursing, 66, 102380. https://doi.org/10.1016/j.ejon.2023.102380
Maccora, J., Garland, S. N., Ftanou, M., Day, D., White, M., Lopez, V. A., Mortimer, D., Diggens, J., Phillips, A. J. K., Wallace, R., Alexander, M., Boyle, F., Stafford, L., Francis, P. A., Bei, B., & Wiley, J. F. (2022). The Sleep, Cancer and Rest (SleepCaRe) Trial: Rationale and Design of a Randomized Controlled Trial of Cognitive Behavioral and Bright Light Therapy for Insomnia and Fatigue in Women with Breast Cancer Receiving Chemotherapy. Contemporary Clinical Trials, 120, 106877. https://doi.org/10.1016/j.cct.2022.106877
Rissling, M., Liu, L., Youngstedt, S. D., Trofimenko, V., Natarajan, L., Neikrug, A. B., Jeste, N., Parker, B. A., & Ancoli-Israel, S. (2022). Preventing Sleep Disruption with Bright Light Therapy During Chemotherapy for Breast Cancer: A Phase II Randomized Controlled Trial. Frontiers in Neuroscience, 16, 1–11 . https://doi.org/10.3389/fnins.2022.815872
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Selvan, P., Hriso, C., Mitchell, J., & Newberg, A. (2022). Systematic Review of Yoga for Symptom Management During Conventional Treatment of Breast Cancer Patients: Yoga in Patients with Breast Cancer. Complementary Therapies in Clinical Practice, 48, 101581. https://doi.org/10.1016/j.ctcp.2022.101581
Yao, L., Wai, S., Kwok, H., Tan, J. B., Wang, T., Liu, X., Bressington, D., Chen, S., & Huang, H. (2023). The Effect of An Evidence-Based Tai Chi Intervention on The Fatigue-Sleep Disturbance-Depression Symptom Cluster in Breast Cancer Patients. European Journal of Oncology Nursing, 61, 102202. https://doi.org/10.1016/j.ejon.2022.102202
Wachid, N., Gayatri, D., & Pujasari, H. (2019). Correlation Between Sleep Quality with Diabetes Self-Care Management on Diabetes Mellitus Type 2 Patients. AIP Conference Proceedings, 2092(1), 040018 . https://doi.org/10.1063/1.5096751
Wang, T., Tan, J. Y., Liu, X. L., Zheng, S. L., Zhao, I., Eliseeva, S., Polotan, M. J., Cheng, H. L., & Huang, H. Q. (2022). Implementing An Evidence-Based Somatic Acupressure Intervention in Breast Cancer Survivors with The Symptom Cluster of Fatigue, Sleep Disturbance and Depression: Study Protocol of a Phase II Randomised Controlled Trial. BMJ Open, 12(1), 1–10. https://doi.org/10.1136/bmjopen-2021-054597
Widiana, I.K, & Irawan, H. (2020). Clinical and Subtypes of Breast Cancer in Indonesia. Asian Pacific Journal of Cancer Care, 5(4), 281–285. https://doi.org/10.31557/APJCC.2020.5.4.281
Zhang, J., Med, M., Qin, Z., Med, M., So, T. H., Chen, H., Lam, W. L., Yam, L. Lo, Med, B., Chan, P. Y., Lao, L., & Zhang, Z. (2021). Electroacupuncture Plus Auricular Acupressure for Chemotherapy-Associated Insomnia in Breast Cancer Patients. Integrative Cancer Therapy, 20, 1534 https://doi.org/10.1177/15347354211019103
Published
2024-03-27
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Articles
Copyright (c) 2024 Ni Luh Lasiyani, Dewi Gayatri, Hening Pujasari
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