Evaluation of the Sleep Quality in Patients Undergoing Haematopoietic Stem Cell Transplantation

Abstract

Objective:Hematopoietic stem cell transplantation (HSCT) might have early and late complications. One of the major problem is sleep disturbances. The aim of this study is to evaluate sleep quality of the patients who are undergoing hematopoietic stem cell transplantation, prevent the problems that may be faced according to outcome of the research and determine the nursing approaches in order to prevent for problems.Materials and Methods:This prospective study was performed in the adult bone marrow transplantation unit. The study sample consisted of 59 patients. The Pittsburg Sleep Quality index (PSQI) form was completed by the researchers. For statistical analysis, IBM SPSS Statistics 22 program used.Results:A total of 59 patients 44.1% were female, 55.9% were male. According to the distribution of PSQI total scores on the administration day 42.4%, first week 50.8% on the second week 50.8% of the patients had poor sleep quality. After the discharge, PSQI total scores indicated that at the first week 32.2%, second week 27.1% and the third week 25.4% of the patients had poor sleep quality. During the hospitalization period poor sleep quality significantly increased.Conclusion:It was observed that sleep quality was significantly impaired during the period of HSCT. For this reason, it is important to get information on the history of sleep quality and clinical follow-up by nurses when transplant patients are admitted to the clinic. Improving the care plan for the nurses on the sleep problems can positively affect the quality of life of the patients.

Keywords

• stem cell transplantation
• sleep quality
• hematological malignancy