TY - JOUR
T1 - Pain, stress, and sleep quality in chronic wound patients
AU - Fauziyah, Hasna
AU - Gayatri, Dewi
N1 - Publisher Copyright:
© 2018 Elsevier España, S.L.U.
PY - 2018/2
Y1 - 2018/2
N2 - Chronic wounds are one impact of cancer cell growth that may cause discomforts or pain. This study aimed to identify the relationship between pain, stress, and sleep quality in cancer patients with a chronic wound. We used a cross-sectional design with 76 patients from a cancer hospital in Jakarta, Indonesia. The instruments used were the Numeric Rating Scale, the Questionnaire on Stress in Cancer Patients, Revised 23, and the Pittsburgh Sleep Quality Index. The results of this study showed that moderate-severe pain produced a higher than average amount of stress (58.86), while patients with no pain or only mild pain had a lower than average stress level (52.3). The results indicated that there was a relationship between pain before analgesic usage, pain during bandage replacement, pain that occurred at night, and stress (p = 0.003, 0.007, and 0.002, respectively; α = 0.05). Patients who had poor sleep quality experienced above average stress (56.3), while those with good sleep quality reported below average stress levels (45.6). These results indicated that there was a relationship between stress and sleep quality (p = 0.033; α = 0.05). Poor quality sleep is more common in patients with a moderate to severe pain scale rating (93.1%). However, Fisher's exact test results found that there was no relationship between pain and sleep quality (p = 0.301; α = 0.05). The results of this study concluded that stress can affect pain and sleep quality, but the pain did not have a direct effect on sleep quality in chronic wound patients.
AB - Chronic wounds are one impact of cancer cell growth that may cause discomforts or pain. This study aimed to identify the relationship between pain, stress, and sleep quality in cancer patients with a chronic wound. We used a cross-sectional design with 76 patients from a cancer hospital in Jakarta, Indonesia. The instruments used were the Numeric Rating Scale, the Questionnaire on Stress in Cancer Patients, Revised 23, and the Pittsburgh Sleep Quality Index. The results of this study showed that moderate-severe pain produced a higher than average amount of stress (58.86), while patients with no pain or only mild pain had a lower than average stress level (52.3). The results indicated that there was a relationship between pain before analgesic usage, pain during bandage replacement, pain that occurred at night, and stress (p = 0.003, 0.007, and 0.002, respectively; α = 0.05). Patients who had poor sleep quality experienced above average stress (56.3), while those with good sleep quality reported below average stress levels (45.6). These results indicated that there was a relationship between stress and sleep quality (p = 0.033; α = 0.05). Poor quality sleep is more common in patients with a moderate to severe pain scale rating (93.1%). However, Fisher's exact test results found that there was no relationship between pain and sleep quality (p = 0.301; α = 0.05). The results of this study concluded that stress can affect pain and sleep quality, but the pain did not have a direct effect on sleep quality in chronic wound patients.
KW - Cancer
KW - Discomfort
KW - Pain
KW - Sleep quality
KW - Wound
UR - http://www.scopus.com/inward/record.url?scp=85045082974&partnerID=8YFLogxK
U2 - 10.1016/S1130-8621(18)30062-7
DO - 10.1016/S1130-8621(18)30062-7
M3 - Article
C2 - 29650180
AN - SCOPUS:85045082974
SN - 1130-8621
VL - 28
SP - 176
EP - 179
JO - Enfermeria Clinica
JF - Enfermeria Clinica
ER -