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American Journal of Nursing Research. 2019, 7(6), 1078-1085
DOI: 10.12691/ajnr-7-6-22
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Sleep Hygiene: Improving Sleep Quality and Fatigue for Patients Receiving Chemotherapy

Aml Ahmed Mohammed ELmetwaly1, , Eman Mahmoud Hafez Mohamed2, Hanan Mohamed Badran Abou Elmaati1 and Samar Ahmed Mahmoud Mohamed3

1Medical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Mansoura University

2Medical Surgical Nursing, Medical Surgical Nursing Department, Faculty of Nursing, Aswan University

33Community Health Nursing, Community Health Nursing Department, Faculty of Nursing, Aswan University

Pub. Date: October 29, 2019

Cite this paper:
Aml Ahmed Mohammed ELmetwaly, Eman Mahmoud Hafez Mohamed, Hanan Mohamed Badran Abou Elmaati and Samar Ahmed Mahmoud Mohamed. Sleep Hygiene: Improving Sleep Quality and Fatigue for Patients Receiving Chemotherapy. American Journal of Nursing Research. 2019; 7(6):1078-1085. doi: 10.12691/ajnr-7-6-22


Sleep and fatigue disturbance are the foremost frequent aspect experienced by patients with cancer. It has been a neglected problem as a result of the normal and transient reaction to cancer and its treatment, in addition to the underreporting of these disturbances by patients receiving chemotherapy. Aim: The study aimed to evaluate the effect of sleep hygiene instructions on sleep quality and fatigue for patients receiving chemotherapy. Design: A quasi-experimental research design was utilized. Setting: The study was conducted at inpatient department at oncology center Mansoura University, and follows those patients at outpatient clinics. Subjects: Purposive sample of 100 adult patient receiving chemotherapy were recruited in this study. Tools: Three tools were used. Tool I: Assessment interview questionnaire sheet includes demographic and health relevant data, Tool II: Pittsburgh Sleep Quality Index and Tool III: Arabic version of Fatigue Severity Scale (FSS-Ar). Results: There was a statistically significant difference in sleep and fatigue total scores pre and post intervention. Also there was a statistically significant positive correlation between sleep problems and fatigue. Conclusion: The study concluded that, majority of participants had poor sleep quality and nearly two thirds of them suffer from some degree of fatigue before applying sleep hygiene instructions. While there was a highly statistically significant improvement of PSQI status and FSS grads total score after applying these instructions. Recommendation: This study recommended that, applying sleep hygiene as a routine of nursing care provided for patients receiving chemotherapy and performing additional research to understand the relationship of fatigue and sleep disturbance.

chemotherapy fatigue sleep hygiene sleep quality

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