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Sleeping-related di...
Sleeping-related distress in a palliative care population : A national, prospective, consecutive cohort
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- Currow, David C. (författare)
- University of Technology Sydney,University of Hull
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- Davis, Walter (författare)
- University of Wollongong
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- Connolly, Alanna (författare)
- University of Wollongong
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- Krishnan, Anu (författare)
- Sir Charles Gairdner Hospital
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- Wong, Aaron (författare)
- Austin Health,Peter MacCallum Cancer Centre
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- Webster, Andrew (författare)
- Sir Charles Gairdner Hospital
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- Barnes-Harris, Matilda M.M. (författare)
- York Teaching Hospital NHS Foundation Trust,University of Hull
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- Daveson, Barb (författare)
- University of Wollongong
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- Ekström, Magnus (författare)
- Lund University,Lunds universitet,Andfåddhet och kronisk andningssvikt,Forskargrupper vid Lunds universitet,Breathlessness and chronic respiratory failure,Lund University Research Groups,University of Technology Sydney
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(creator_code:org_t)
- 2021-03-17
- 2021
- Engelska.
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Ingår i: Palliative Medicine. - : SAGE Publications. - 0269-2163 .- 1477-030X. ; 35:9, s. 1663-1670
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Background: Sleep, a multi-dimensional experience, is essential for optimal physical and mental wellbeing. Poor sleep is associated with worse wellbeing but data are scarce from multi-site studies on sleeping-related distress in palliative care populations. Aim: To evaluate patient-reported distress related to sleep and explore key demographic and symptom distress related to pain, breathing or fatigue. Design: Australian national, consecutive cohort study with prospectively collected point-of-care data using symptoms from the Symptom Assessment Scale (SAS). Setting/Participants: People (n = 118,117; 475,298 phases of care) who died while being seen by specialist palliative care services (n = 152) 2013–2019. Settings: inpatient (direct care, consultative); community (outpatient clinics, home, residential aged care). Results: Moderate/severe levels of sleeping-related distress were reported in 11.9% of assessments, more frequently by males (12.7% vs 10.9% females); people aged <50 years (16.2% vs 11.5%); and people with cancer (12.3% vs 10.0% for other diagnoses). Sleeping-related distress peaked with mid-range Australia-modified Karnofsky Performance Status scores (40–60). Strong associations existed between pain-, breathing- and fatigue-related distress in people who identified moderate/severe sleeping-related distress, adjusted for age, sex and functional status. Those reporting moderate/severe sleeping-related distress were also more likely to experience severe pain-related distress (adjusted odds ratios [OR] 6.6; 95% confidence interval (CI) 6.3, 6.9); breathing-related distress (OR 6.2; 95% CI 5.8, 6.6); and fatigue-related distress (OR 10.4; 95% CI 9.99–10.8). Conclusions: This large, representative study of palliative care patients shows high prevalence of sleeping-related distress, with strong associations shown to distress from other symptoms including pain, breathlessness and fatigue.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Palliative care
- prospective cohort study
- sleep
- symptom cluster
- symptom control
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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