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dc.contributor.authorHalle, Ingrid
dc.contributor.authorWestgaard, Therese Krystad
dc.contributor.authorWahba, Alexander
dc.contributor.authorOksholm, Trine
dc.contributor.authorRustøen, Tone
dc.contributor.authorGjeilo, Kari Hanne
dc.date.accessioned2018-02-20T12:09:38Z
dc.date.available2018-02-20T12:09:38Z
dc.date.created2017-09-22T09:21:52Z
dc.date.issued2017
dc.identifier.citationInteractive Cardiovascular and Thoracic Surgery. 2017, 25 (2), 285-291.nb_NO
dc.identifier.issn1569-9293
dc.identifier.urihttp://hdl.handle.net/11250/2485978
dc.description.abstractOBJECTIVES Patients with lung cancer report sleep difficulties to be frequent and bothersome symptoms. This study describes the trajectory of sleep from before and up to 12 months after surgery for lung cancer. Further, it investigates possible associations between sleep disturbance, demographic and clinical characteristics before surgery. METHODS This study is part of a longitudinal multicentre study. Sleep disturbance was measured by The General Sleep Disturbance Scale (GSDS) that investigates frequencies of sleep difficulties (21 items) and a total sum score ≥43 indicates a clinically meaningful level of sleep disturbance (score range 0–147). Linear mixed models were used to study changes in sleep from baseline to 1, 5, 9 and 12 months after surgery. RESULTS The percentage of patients (n = 264) reporting sleep disturbances was 60.9% at baseline, 68.5% at Month 1, 55.4% at Month 5, 51.3% at Month 9 and 49.7% at Month 12. The increase to and decrease from Month 1 was the only significant alteration in the occurrence of sleep disturbance. The patients reported most problems within the subscales sleep quantity, early awakenings and sleep quality. Factors associated with sleep disturbance were lower age, use of pain medication and psychotropic medication and higher comorbidity score. CONCLUSIONS Lung cancer patients sleep poorly, before as well as after surgery. There is a need to address sleeping disturbance routinely in clinical practice and screening for sleeping problems is indicated. Further studies are warranted concerning factors that contribute to sleep disturbance and how they best can be treated.nb_NO
dc.language.isoengnb_NO
dc.publisherOxford University Press (OUP) for European Association for Cardio-Thoracic Surgerynb_NO
dc.titleTrajectory of sleep disturbances in patients undergoing lung cancer surgery: A prospective studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber285-291nb_NO
dc.source.volume25nb_NO
dc.source.journalInteractive Cardiovascular and Thoracic Surgerynb_NO
dc.source.issue2nb_NO
dc.identifier.doi10.1093/icvts/ivx076
dc.identifier.cristin1496789
dc.description.localcode© The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.nb_NO
cristin.unitcode194,65,25,0
cristin.unitnameInstitutt for sirkulasjon og bildediagnostikk
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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