Aml Ahmed Mohammed ELmetwaly^1,, Eman Mahmoud Hafez Mohamed², Hanan Mohamed Badran Abou Elmaati¹, Samar Ahmed Mahmoud Mohamed³

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