Skip to main content

Advertisement

Log in

Pain, Sleep Disturbance, and Quality of Life Among Palestinian Patients Diagnosed with Cancer

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

The objective of this descriptive study is to explore the relationships between pain, sleep disturbance, and quality of life among Palestinian patients diagnosed with cancer in the West Bank. A cross-sectional, descriptive-correlational design was used to collect data from 184 patients with cancer. The quality of life questionnaire, visual analogue pain scale, and physical health status were used in data collection. The results showed that the mean score for pain was 5, the best functioning was for cognitive scale (M = 75, SD = 29), the worst symptoms experienced by patients was appetite loss (M = 47, SD = 35), a moderate global health status (M = 53, SD = 27), and the mean for sleep disturbance was 43 (SD = 35). Pain and sleep disturbance showed high negative correlations with functional scales of quality of life and positive with symptom scales. The findings showed that the co-occurrence of pain and sleep disturbance was negatively correlated with quality of life (QoL) and positively with symptom scales. The regression analysis revealed that pain and sleep disturbance accounted for a significant proportion of variance in the QoL (p < 0.001), and the highest proportion was in predicting global health status (41.9 %). The findings of this study give evidence about the importance of assessing pain and sleep quality among Palestinian patients with cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. World Health Organization [Internet]. 2011. Noncommunicable diseases;[accessed 2012 December 23]. Available from http://www.who.int/nmh/publications/ncd_profiles2011/en/

  2. Ferlay J., Soerjomataram I., Ervik M., Dikshit R., Eser S., Mathers C., Rebelo M., ParkinD., Forman D. and Bray F. 2012. Cancer incidence and mortality worldwide. International Agency for Research on Cancer, 11

  3. Johnson D, Fitzsimmons J, Gilbert J, Arrarras I, Hammerlid E, Bredart A, Ozmen M, Dilektasli E, Coolbrandt A, Kenis C, Young T, Chow E, Venkitaraman R, Howse F, George S, Oconnor S, Yadeqarfar G (2010) Development of the European Organization for Research and Treatment of Cancer Quality of life questionnaire module for older people with cancer: the EORTC QLQ-ELD. Eur J Cancer 46:2242–2252

    Article  PubMed  Google Scholar 

  4. Isikhan VP, Guner PP, Komurcu SM, Ozet AM, Arpaci FM, Ozturk BM (2001) The relationship between disease features and quality of life in patients with cancer. Cancer Nurs 24:490–495

    Article  CAS  PubMed  Google Scholar 

  5. Nuhu F, Odejide O, Adebayo K, Adejumo O (2008) Prevalence and predictors of depression in cancer patients in the university college hospital Ibadan, Nigeria. Hong Kong Journal of Psychiatry 18:107–114

    Google Scholar 

  6. Duffy S, Terrel J, Valenstein M, Ronis D, Copeland L, Connors M (2002) Effect of smoking, alcohol and depression on the quality of life of head and neck cancer patients. Gen Hosp Psychiatry 24:140–147

    Article  PubMed  Google Scholar 

  7. Hsu T, Lu M, Tsou T, Lin C (2003) The relationship of pain, uncertainty, and hope in Taiwanese lung cancer patients. Journal of Pain Symptom Management 26:835–842

    Article  PubMed  Google Scholar 

  8. Fan G, Filipczak L, Chow E (2007) Symptom clusters in cancer patients: a review of the literature. Curr Oncol 14(5):173–179

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Potter J, Higginson I (2004) Pain experienced by lung cancer patients. Lung Cancer 43:247–257

    Article  PubMed  Google Scholar 

  10. McBeth J, Silman A, Macfarlane G (2003) Association of widespread body pain with an increased risk of cancer and reduced cancer survival. Arthritis Rheumatic 48:1686–1692

    Article  Google Scholar 

  11. Maio M, Gridelli C, Gallo C, Manzione L, Brancaccio L, Barbera S, Robbiati S, Lanniello G, Ferrau F, Piazza E, Frontini L, Rosetti F, Carrozza F, Bearz A, Spatafora M, Adamo V, Isa L, Iaffaioli R, Salvo D, Perrone F (2004) Prevalence and management of pain in Italian patients with advanced non-small-cell lung cancer. Br J Cancer 90:2288–2296

    PubMed  PubMed Central  Google Scholar 

  12. Davidson JR, Maclean AW, Brundage MD, Schulze K (2002) Sleep disturbance in cancer patients. Soc Sci Med 54:1309–1321

    Article  PubMed  Google Scholar 

  13. Liu L, Mills P, Rissling M, Fiorentino L, Natarajan L, Dimsdale J, Sadler G, Parker B, Ancoli-Israel S (2012) Fatigue and sleep quality are associated with changes in inflammatory markers in breast cancer patients undergoing chemotherapy. Brain Behav Immun 26(5):706–713

    Article  PubMed  PubMed Central  Google Scholar 

  14. Dummer JS, Dinges DF (2005) Neurocognitive consequences of sleep deprivation. Seminar Neurology 25(1):117–129

    Article  Google Scholar 

  15. Gooneratne NS, Dean GE, Roger AE, Nkwuo JE, Coyne JC, Kaiser LR (2007) Sleep and quality of life in long-term lung cancer survivors. Lung Cancer 58:403–410

    Article  PubMed  PubMed Central  Google Scholar 

  16. Vena C, Parker K, Allen R, Bliwise D, Jain S, Kimble L (2006) Sleep-wake disturbances and quality of life in patients with advanced cancer. Oncol Nurs Forum 33(4):761–769

    Article  PubMed  Google Scholar 

  17. Palestinian Health Information Center. Ministry of health. Health Report, Palestine. 2011.

  18. Hamdan-Mansour A, Al-Abeiat D, Alzoghaibi I, Ghannam B, Hanouneh S (2015) Psychosocial and sociodemographic correlates of life satisfaction among patients diagnosed with cancer in Jordan. J Cancer Educ 30:31–36

    Article  PubMed  Google Scholar 

  19. Hamdan-Mansour A, Azzeghaiby SN, Arabiat D, Al BT (2014) Psychological and social health status of patients with lung diseases in Jordan. Health 6(11):1143–1151

    Article  Google Scholar 

  20. Hamdan-Mansour A (2010) Predictors of hostility among university students in Jordan. Scand J Caring Sci 24(1):125–130

    Article  PubMed  Google Scholar 

  21. Agency for Healthcare Research & Quality (1992) Acute pain management: operative or medical procedures and trauma, clinical practice guideline, vol 1. Agency for Healthcare Research & Quality, Rockville, pp 116–117

    Google Scholar 

  22. Breivik E, Bjornsson G, Skovlund E (2000) A comparison of pain rating scales by sampling from clinical trial data. Clin J Pain 16:22–28

    Article  CAS  PubMed  Google Scholar 

  23. The EORTC Quality Of Life Study Group and EORTC Quality Of Life Unit (1999) Guidelines for assessing quality of life in EORTC clinical trials. EORTC Quality of Life Study Group, Brussels

    Google Scholar 

  24. Thweib N (2011) Quality of life of Palestinian cancer patients. Journal of Pediatric Hematology Oncology 1:68–69

    Article  Google Scholar 

  25. Hunt S, McEwen J, McKenna S (1985) Measuring health status: a new tool for clinicians and epidemiologists. J R Coll Gen Pract 35(273):185–188

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Kroenke K, Theobald D, Wu J, Loza J, Carpenter J, Tu W (2010) The association of depression and pain with health-related quality of life, disability, and health care use in cancer patients. J Pain Symptom Manag 40:3

    Article  Google Scholar 

  27. Pud D (2011) Gender differences in predicting quality of life in cancer patients with pain. Eur J Oncol Nurs 15:486–491

    Article  PubMed  Google Scholar 

  28. Anar C, Altiparmak O, Unsal I, Altiparmak S, Tatar D, Halilcolar H (2012) The effect of chemotherapy on quality of life in patients with lung carcinoma. J Pain Symptom Manag 40:520–530

    Google Scholar 

  29. Lin S, Chen Y, Yang L, Zhou J (2013) Pain, fatigue, disturbed sleep and distress comprised a symptom cluster that related to quality of life and functional status of lung cancer surgery patients. J Clin Nurs 22:1281–1290

    Article  PubMed  Google Scholar 

  30. Alacacioglu A, Oztop I, Yilmaz U (2012) The effect of anxiety and depression on quality of life in Turkish non small lung cancer patients. Lung and Pleural Malignancies 13:50–55

    Google Scholar 

  31. Awad M. 2010. Factors influenced quality of life for women with breast cancer in Palestine. The Third JNC International Conference.

  32. Safaee A, Moghimi-Dehkordi B, Zeighami B, Tabatabaee H, Pourhoseingholi M (2008) Predictors of quality of life in breast cancer patients under chemotherapy. Indian J Cancer 45(3):107–111

    Article  CAS  PubMed  Google Scholar 

  33. Kim E, Ko S, Kang H (2012) Mapping the cancer-specific EORTC QLQ-C30 and EORTC QLQ-BR23 to the generic EQ-5D in metastatic breast cancer patients. Qual Life Res 21:1193–1203

    Article  PubMed  Google Scholar 

  34. Black B, Herr K, Fine P, Sanders S, Tang X, Bergen-Jackson K, Titler M, Forcucci C (2011) The relationships among pain, nonpain symptoms, and quality of life measures in older adults with cancer receiving hospice care. Pain Med 12:880–889

    Article  PubMed  PubMed Central  Google Scholar 

  35. Fujimura T, Takahashi S, Kume H, Takeuchi T, Clinical study group of Tokyo University, Kitamura T, Homma Y (2009) Cancer related pain and quality of life in prostate cancer patients: assessment using the Functional Assessment of Prostate Cancer Therapy. Int J Urol 16:522–525

    Article  PubMed  Google Scholar 

  36. Kannan G, Rani V, Palani R, Nigam N, Janardhan V, Reddy U (2011) Assessment of quality of life of cancer patients in a tertiary care hospital of South India. J Cancer Res Ther 7(3):275–279

    Article  PubMed  Google Scholar 

  37. Bostrom B, Sandh M, Lundberg D, Fridlund B (2003) A comparison of pain and health-related quality of life between two groups of cancer patients with differing average levels of pain. J Clin Nurs 12:726–735

    Article  PubMed  Google Scholar 

  38. Phipps E, Braitman L, Stites S, Leighton J (2008) Quality of life and symptom attribution in long-term colon cancer survivors. J Eval Clin Pract 14:254–258

    Article  PubMed  Google Scholar 

  39. Costa-Requena G, Gil F (2009) Quality of life in the chemotherapy treatment of Spanish cancer patients: a comparison of general population norms. Psychooncology 18:1053–1059

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank all Palestinian patients with cancer who agreed to participate in this study. We also thank Birzeit University for their funding this project.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mu’taz M. Dreidi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dreidi, M.M., Hamdan-Mansour, A.M. Pain, Sleep Disturbance, and Quality of Life Among Palestinian Patients Diagnosed with Cancer. J Canc Educ 31, 796–803 (2016). https://doi.org/10.1007/s13187-015-0946-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-015-0946-5

Keywords

Navigation