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How to optimize sleep in cancer patients

author:Oncologist Gao Wenbin
How to optimize sleep in cancer patients

I don't know when it began, sleep problems have become a big problem affecting the daily life of adults, statistics show that the proportion of adults with sleep disorders is as high as 15%-30%. Compared with healthy people, the incidence of insomnia in tumor patients is higher, and insomnia has gradually become one of the common clinical symptoms of tumor patients. Statistics show that 59% of tumor patients have sleep disturbances. The incidence of sleep disorders in patients with early stages of tumor diagnosis and advanced disease is higher, which can reach more than 65%-70%. For some malignant tumors that are greatly affected by physical and mental factors, such as breast cancer, cervical cancer, and head and neck tumors, the incidence rate can even reach more than 85%.

There are also many reasons for sleep disorders in cancer patients, including various uncomfortable reactions caused by the occurrence and development of the disease, toxic side effects such as chemotherapy and radiation therapy during treatment, and psychological anxiety and fear caused by tumor diseases. In real life, the psychology of tumor patients is also a complex problem, and negative emotions such as pain, anger, helplessness, despair, and anxiety can cause them to feel anxious during the long night. The impact of sleep disorders on tumor patients is also self-evident, seriously affecting the quality of life of patients, interfering with their immune systems, affecting metabolism, which directly affects the treatment and outcome of patients.

How to optimize sleep in cancer patients

In the face of such a series of problems, whether it is a patient, a patient's family or a clinician, the first thing that needs to be done is to properly assess and evaluate the state of tumor patients, and determine the main causes and synergistic factors that cause sleep disorders in patients. The aim is to be targeted for subsequent interventions.

Eliminating adverse psychological effects and maintaining a stable mentality are the primary problems that tumor patients urgently need to solve, and they are also the problems that are most easily ignored by clinicians. In the diagnosis and treatment of tumor diseases, any medical staff should improve the awareness of the patient's psychological problems and emotional responses, and must allow patients to have such emotional response processes and implement operable treatment methods for them. Keeping a calm and stable state of mind in patients often doubles the effect of sleep disturbances with less effort. It should be said that psychotherapy is necessary in the whole process of patients implementing tumor treatment.

In the process of diagnosis and treatment of patients, as far as possible to create a comfortable, familiar, quiet and suitable sleep environment for them, which will help patients quickly enter sleep, ensure the sleep process, and maintain good sleep quality. However, such a requirement is still difficult for patients currently residing in the wards of medical institutions.

It might be a good idea to develop good sleep habits and maintain regular schedules. In the process of treatment, patients need to conform to the law of the biological clock and maintain a relatively fixed time for getting up, going to bed, and sleeping every day. Ensure that you take a regular nap every day, and the nap time does not exceed one hour. As far as possible, avoid snoozing during the day, reduce bedtime during the day, and properly carry out various physical exercises and exercises. Adults sleep 7-8 hours a day is the best, and the elderly generally take 5-7 hours as the best.

How to optimize sleep in cancer patients

When paying attention to sleep, it is also necessary to manage the patient's pre-sleep habits and behaviors well. Appropriate and moderate dinner, do not eat irritating foods, avoid falling asleep in a state of over-fullness or hunger, and no longer drink coffee, tea and other exciting drinks before going to bed is also a good sleep guarantee foundation. In addition, before going to sleep, you should avoid playing mobile phones, listen to some music with strong rhythms, watch tense and stimulate film and television works, play some games with continuity, avoid some controversial topics, and reduce the excitement, emotional excitement and tension of the brain before going to bed.

Actively and effectively control various pain or tumor-related adverse reactions, and reduce sleep problems and effects caused by disease factors, therapeutic factors, and drug-derived factors. Effective analgesic treatment is carried out according to the specific situation of the pain. Appropriate adjustment of patient treatment, the use of drug administration time, so that the effective treatment time of drugs across the sleep period, to fully protect the quality of sleep. Use sedative, hypnotic drugs wisely, and if the drugs can maintain a wonderful sleep, do not reject him.

In addition to the above methods, foot baths, baths, physiotherapy, acupuncture, massage, music therapy and other methods before sleep are also good means of relaxing muscles, nerves, mental relaxation, reducing stress, and facilitating sleep. The necessary psychological counseling and hypnotic training are more targeted treatments.