Best evidence summary for non-pharmacological management of sleep disorders in breast cancer patients undergoing chemotherapy
10.3760/cma.j.cn115682-20230711-00016
- VernacularTitle:乳腺癌化疗患者睡眠障碍非药物管理的最佳证据总结
- Author:
Qingyang LI
1
;
Huaiyu BAI
;
Zhongtao ZHOU
;
Shuoshuo LI
;
Ru BAI
;
Jing ZHANG
Author Information
1. 蚌埠医学院护理学院，蚌埠 233030
- Keywords:
Breast neoplasms;
Chemotherapy;
Sleep disorders;
Non-pharmacological management;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(5):561-568
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and summarize the best domestic and international evidence on non-pharmacological management of sleep disorders in breast cancer patients undergoing chemotherapy, providing evidence-based guidance for healthcare professionals to conduct standardized assessment and management of sleep disorders in these patients.Methods:Clinical questions were translated into evidence-based questions using the PIPOST model. A systematic search of domestic and international databases and professional association websites was conducted for literature related to non-pharmacological management of sleep disorders in breast cancer patients undergoing chemotherapy, including clinical decisions, evidence summaries, guidelines, and systematic reviews. The search covered publications up to December 17, 2022. Two researchers trained in evidence-based nursing independently completed the quality assessment, evidence extraction, and summary of the included literature.Results:A total of 16 publications were included, comprising two clinical decisions, one evidence summary, five guidelines, six systematic reviews, and two randomized controlled studies. The best evidence was summarized from seven aspects: multidisciplinary collaboration, identification of risk factors, assessment and monitoring, referral, psychological behavioral interventions, exercise management, and complementary therapies, resulting in 25 key recommendations.Conclusions:This study summarizes the current best evidence for non-pharmacological management of sleep disorders in breast cancer patients undergoing chemotherapy. Healthcare professionals can follow these best evidence practices to standardize the assessment of patient sleep disorder symptoms and choose appropriate intervention plans based on clinical context and patient preferences, thereby improving patient sleep quality.
