Abstract
Introduction
While cancer survival might be a relief from a near-death health condition, the after-recovery period also predisposes the survivors to deteriorated quality of life as well as sleep deprivation. Patients with cancer may experience post-traumatic stress disorder (PTSD) throughout the diagnostic process and even after diagnosis is completed, especially when facing the possibility of tumor recurrence. Survivors, in particular, are frequently in a condition of uncertainty due to the 15 to 20% chance of recurrence within 3 years of the main treatment. Despite the high rate of cancer survival, which is believed to be around 83%, assessing quality of life after a cancer diagnosis can help to improve such results.
Purpose
This article aimed to describe the sleep patterns among uterine cancer survivors and verify psychological and physical factors affecting their general qualities of life. According to the qualitative study, uterine cancer survivors who receive treatment, whether pharmaceutical or therapeutic, have a higher quality of life than those who do not.
Method
PRISMA reporting was used for this systematic review. Electronic databases that were searched include PubMed, Cochrane Trial Register, and ScienceDirect for studies evaluating the sleep deprivation and quality of life among uterine cancer survivors. Ten publications were chosen based on inclusion criteria that included uterine cancer survivors who had finished their treatments and addressed sleep quality or overall quality of life.
Results
The main finding of the systematic review is that 61% of uterine cancer survivors had poor sleep quality, and 81% have a decreased quality of life.
Conclusion
According to the most recent research, uterine cancer survivors suffer from sleep deprivation, which leads to a lower quality of life. However, the same study reveals that uterine cancer survivors suffering with sleep loss use a variety of cognitive behavioral therapy to improve their quality of life. Maintaining a healthy diet, incorporating physical activity into daily routines, receiving cognitive behavior therapy, participating in relevant training programs, and obtaining frequent depression and sexual health screenings are just a few of the CBT mechanisms mentioned.
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All authors contributed to the study conception and design. Nouf Alanazi had the idea for the article, Nouf Alanazi, Mashael Alanazi, and Mona Alfadeel performed the literature search and data analysis. Nouf Alanazi, Mashael Alanazi, Mona Alfadeel, and Bussma Bugis drafted and/or critically revised the work. All authors read and approved the final manuscript.
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Approval was obtained from the local research and ethical committee board of Almaarefa University numbered (1/203). The procedures used in this study adhere to the tenets of the Declaration of Helsinki.
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Statement of significance
A few studies have looked at characteristics that affect quality of life in uterine cancer survivors, such as sleep patterns, physical activity levels, and cognitive functioning, and found a general reduction in quality of life, including, most crucially, poor sleep patterns. This review aims to examine the existing data on sleep deprivation and quality of life in uterine cancer survivors, especially from randomized control trials (RCTs) and cross-sectional studies. As a result, the emphasis is on the general gaps across uterine cancer survivors’ studies, which are not reflective of an unselected real-world population due to the broad stringent inclusion and exclusion criteria of comprehensive longitudinal research, as revealed by this review. The ability of such studies to establish a reference standard for comparing medical therapies and their efficacies is carefully considered in this review.
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Alanazi, M.T., Alanazi, N.T., Alfadeel, M.A. et al. Sleep deprivation and quality of life among uterine cancer survivors: systematic review. Support Care Cancer 30, 2891–2900 (2022). https://doi.org/10.1007/s00520-021-06589-9
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DOI: https://doi.org/10.1007/s00520-021-06589-9