The Effect of Postoperative Pain on Sleep Quality in Patients with Brain Tumor Surgery
Abstract
This descriptive study investigated the effect of postoperative pain on sleep quality in patients who underwent brain tumor surgery in neurosurgical clinics.The study population consisted of all patients who underwent surgery for a brain tumor between April and October 2022 in the neurosurgical units of a university hospital and a city hospital. The sample consisted of 90 volunteers. Data were collected using a patient information form, the Numerical Rating Scale for Pain (NRS), and the Richards-Campbell Sleep Scale (RCSQ). The data were analyzed using the number, percentage, mean, standard deviation, correlation, and regression analysis. Participants had a mean age of 47.36±16.17 years. Half of the participants were men (50%). Less than half of the participants had a primary school degree (44.4%). Most participants were married (82.2%). Less than half of the participants slept ≥8 hours before hospitalization (43.3%). Most participants had no sleep problems (88.9%) and were not on sleeping pills (98.8%). Participants’ pain scores significantly differed by measurement times (ꭓ2=60.715; p=0.000). They had significantly lower mean second- (4.20±2.58) and third-measurement (3.13±2.36) NRS scores than the first-measurement NRS score (5.57±2.83) in the morning. In the morning, they had a significantly lower mean third-measurement NRS score (3.13±2.36) than the second-measurement NRS score (4.20±2.58). There was a weak negative correlation between the mean first-measurement RCSQ score and the first-measurement NRS (morning) and NRS (evening) scores (p<0.05).There is a negative correlation between sleep quality and pain in patients who underwent surgery for a brain tumor
References
Agustina, R., Novelia, S., & Kundaryanti, R. (2022). The Effect of Baby Massage on The Sleep Duration of Infants Aged 6-12 Months. Nursing and Health Sciences Journal (NHSJ), 2(4), 361-366. https://doi.org/10.53713/nhs.v2i4.147.
Ak, E. S., Ongün, P., Şenel, Ç., & Kızılcay, Y. (2022). Majör Ürolojik Cerrahi Uygulanan Hastalarda Ameliyat Sonrası Ağrı Düzeyinin Uyku Kalitesine Etkisi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 10(3), 992-1003. doi:10.33715/inonusaglik.1063402
Aksoy, E. (2018). Beyin Tümörü tanısı konmuş bireylerin fonksiyonel değerlendirilmesi ve algıladıkları sosyal destek sistemlerinin yaşam kalitesi üzerine etkileri. (Master’s Thesis). Namık Kemal Üniversitesi, Tekirdağ. (520512)
Akutay, S. (2019). Göğüs tüpü takılmış hastaların ağrı düzeyi ve uyku kalitesinin belirlenmesi. (Master’s Thesis). Cumhuriyet Üniversitesi Sivas. (574986)
Akutay, S., & Yilmaz, M. (2021). The relationship between pain severity and sleep quality: Posttube thoracostomy. Paper presented at the Nursing Forum, Nurs Forum, 2021, 56, 860–868.
Allen, R. W., Burney, C. P., Davis, A., Henkin, J., Kelly, J., Judd, B. G., & Ivatury, S. J. (2021). Deep sleep and beeps: sleep quality improvement project in general surgery patients. Journal of the American College of Surgeons, 232(6), 882-888.
Arabacıoğlu, D. N. (2021). Cerrahi hastalarında ameliyat öncesi uyku kalitesinin ameliyat sonrası konfor düzeyine etkisi. (Master’s Thesis). Trakya Üniversitesi, Edirne. (659491)
Association, A. B. T. (2022). Brain tumor statistics. Retrieved from http://www.abta.org/about-us/news/brain- tumor-statistics/
Atay, S., & Aydin Sayilan, A. (2021). Pre‐transurethral prostate resection anxiety on postoperative pain and sleep quality: A correlational study. International Journal of Urological Nursing, 15(2), 70-76.
Boye Larsen, D., Laursen, M., Simonsen, O., Arendt-Nielsen, L., & Petersen, K. K. (2021). The association between sleep quality, preoperative risk factors for chronic postoperative pain and postoperative pain intensity 12 months after knee and hip arthroplasty. British Journal of Pain, 15(4), 486-496.
Chandana, S. R., Movva, S., Arora, M., & Singh, T. (2008). Primary brain tumors in adults. American family physician, 77(10), 1423.
Chung, F., Liao, P., Yegneswaran, B., Shapiro, C. M., & Kang, W. (2014). Postoperative changes in sleep-disordered breathing and sleep architecture in patients with obstructive sleep apnea. Anesthesiology, 120(2), 287-298.
Cremeans-Smith, J. K., Greene, K., & Delahanty, D. L. (2016). Physiological indices of stress prior to and following total knee arthroplasty predict the occurrence of severe post-operative pain. Pain Medicine, 17(5), 970-979.
Çevik, S., & Çıtlık Sarıtaş, S. (2020). Miyokard infarktüsü geçiren hastalarda sağlık anksiyetesinin uyku kalitesine etkisi. Turk J Cardiovasc Nurs, 11(24), 16-22.
Doğan Serkan, N. (2019). Batın cerrahisi geçiren hastaların ağrı şiddetinin uyku kalitesi üzerine etkisi. (Master’s Thesis). Sivas Cumhuriyet Üniversitesi, Sivas. (581769)
Dolan, R., Huh, J., Tiwari, N., Sproat, T., & Camilleri-Brennan, J. (2016). A prospective analysis of sleep deprivation and disturbance in surgical patients. Annals of medicine and surgery, 6, 1-5.
Duman, E. A. (2016). Açık kalp cerrahisi öncesi anksiyetenin, ameliyat sonrası ağrı ve uyku kalitesine etkisi. (Master’s Thesis). Dokuz Eylül Üniversitesi, İzmir. (440212)
Garanlı, Y. (2009). Koroner Sendromlu hastaların Uyku düzeylerinin Incelenmesi. (Master’s Thesis). Marmara Universitesi, İstanbul
Ge, T. J., Vetter, J., & Lai, H. H. (2017). Sleep disturbance and fatigue are associated with more severe urinary incontinence and overactive bladder symptoms. Urology, 109, 67-73.
Gögenur, I., Rosenberg-Adamsen, S., Kiil, C., Kjaersgaard, M., Kehlet, H., & Rosenberg, J. (2001). Laparoscopic cholecystectomy causes less sleep disturbancethan open abdominal surgery. Surgical endoscopy, 15(12), 1452.
Gökbayrak, R. (2020). Koroner arter baypas greft cerrahisi uygulanan hastalarda uyku ve uykuyu etkileyen faktörlerin incelenmesi. (Master’s Thesis). Hasan Kalyoncu Üniversitesi Gaziantep. (645589)
Hussein, E. S. E., & Abu Negm, L. (2019). Factors affecting sleep-quality for patients in medical and surgical departments. Novelty Journals, 6(3), 556-567.
İlçe, A., Totur, B., & Özbayir, T. (2010). Beyin Tümörlü Hastaların Uluslararası NANDA Hemşirelik Tanılarına Göre Değerlendirilmesi: Bakım Önerileri. Journal of Neurological Sciences, 27(2).
Institute, A. N. C. (2022a). Cancers. Retrieved from https://www.cancer.gov/
Institute, A. N. C. (2022b). Tumor Types, Oligodendroglioma. Retrieved from https://www.cancer.gov/
Jensen, P. S., Specht, K., & Mainz, H. (2021). Sleep quality among orthopaedic patients in Denmark–A nationwide cross-sectional study. International Journal of Orthopaedic and Trauma Nursing, 40, 100812.
Jeon, M. S., Dhillon, H. M., & Agar, M. R. (2017). Sleep disturbance of adults with a brain tumor and their family caregivers: a systematic review. Neuro-oncology, 19(8), 1035-1046. doi:10.1093/neuonc/nox019
Jones, C., & Dawson, D. (2012). Eye masks and earplugs improve patient's perception of sleep. Nursing in critical care, 17(5), 247-254.
Kirman, C. (2021). Beyin tümörü ameliyatı sonrası semptomlara yönelik belirlenen hemşirelik girişimlerinin uygulanmasına hemşirelere verilen eğitimin etkisi. (Master’s Thesis). Yeditepe Üniversitesi İstanbul (666212)
Kulpatcharapong, S., Chewcharat, P., Ruxrungtham, K., Gonlachanvit, S., Patcharatrakul, T., Chaitusaney, B., . . . Chirakalwasan, N. (2020). Sleep quality of hospitalized patients, contributing factors, and prevalence of associated disorders. Sleep disorders, 2020. doi:10.1155/2020/8518396
Kural, E. (2017). Primer beyin tümörü nedeniyle cerrahi tedavi uygulanan hastalarda yaşanan semptomlar ve şiddetinin belirlenmesi. (Master’s Thesis). Akdeniz Üniversitesi, Antalya. (455119)
Luo, M., Song, B., & Zhu, J. (2020). Sleep disturbances after general anesthesia: current perspectives. Frontiers in neurology, 11, 629. doi:10.3389/fneur.2020.00629
Mashayekhi, F., Arab, M., Pilevarzadeh, M., Amiri, M., & Rafiei, H. (2013). The effect of eye mask on sleep quality in patients of coronary care unit. Sleep Science, 6(3), 108-111.
Miller, M. A., Renn, B. N., Chu, F., & Torrence, N. (2019). Sleepless in the hospital: A systematic review of non-pharmacological sleep interventions. General hospital psychiatry, 59, 58-66.
Nicolas, A., Aizpitarte, E., Iruarrizaga, A., Vazquez, M., Margall, A., & Asiain, C. (2008). Perception of night‐time sleep by surgical patients in an intensive care unit. Nursing in critical care, 13(1), 25-33.
Okyar, P., Şen, Ç., & Durat, G. (2022). Ameliyat Öncesinde Yaşanan Kaygının Uyku Kalitesine Etkisi. Sakarya Üniversitesi Holistik Sağlık Dergisi, 5(2), 112-121.
Oral, S. E., Kıranşal, N., & Deniz, M. (2022). Cerrahi Kliniklerde Yatan Hastalarda Ağrı ve Anksiyetenin Uyku Kalitesine Etkisi. Journal of Turkish Sleep Medicine, 9, 288-293. doi:10.4274/jtsm.galenos.2022.38247
Özlü, Z. K., & Özer, N. (2015). Richard-campbell uyku ölçeği geçerlilik ve güvenilirlik çalışması. Journal of Turkish Sleep Medicine, 2, 29-32.
Perkins, A., & Liu, G. (2016). Primary brain tumors in adults: diagnosis and treatment. American family physician, 93(3), 211-217.
Su, X., & Wang, D.-X. (2018). Improve postoperative sleep: what can we do? Current opinion in anaesthesiology, 31(1), 83. doi:10.1097/ACO.0000000000000538
Şen, S. (2018). Kalp cerrahisi sonrası yapılan akupresür uygulamasının ağrı, anksiyete ve uyku kalitesi üzerine etkisi. (Doctoral Thesis). Sakarya Universitesi (Türkiye), Sakarya. (529223)
Şimşek, A. B., & Dicle, A. (2013). Primer beyin tümörü: Klinik özellikler, tedavi ve bakım. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 6(2), 102-113.
Uslu, Y., & Para, E. (2022). Cerrahi Hastalarında Ameliyat Sonrası Uyku Kalitesi ve Uyku Düzenini Etkileyen Faktörler. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 9(4), 443-450.
Willis, K. D., Ravyts, S. G., Lanoye, A., & Loughan, A. R. (2022). Sleep disturbance in primary brain tumor: prevalence, risk factors, and patient preferences. Supportive Care in Cancer, 30, 741-748. doi:10.1007/s00520-021-06476-3
World Health Organization, İ. A. f. R. o. C. (2023a). Brain central nervous system fact sheet. Retrieved from https://gco.iarc.fr/today/data/factsheets/cancers/31-Brain-central-nervous-system-fact-sheet.pdf
World Health Organization, İ. A. f. R. o. C. (2023b). Cansers, online analysis map graphic. Retrieved from https://gco.iarc.fr/today/online-analysis-map/graphic%20(2).pdf.
Wylde, V., Rooker, J., Halliday, L., & Blom, A. (2011). Acute postoperative pain at rest after hip and knee arthroplasty: severity, sensory qualities and impact on sleep. Orthopaedics & Traumatology: Surgery & Research, 97(2), 139-144.
Yang, P.-L., Burr, R. L., Buchanan, D. T., Pike, K. C., Kamp, K. J., & Heitkemper, M. M. (2020). Indirect effect of sleep on abdominal pain through daytime dysfunction in adults with irritable bowel syndrome. Journal of Clinical Sleep Medicine, 16(10), 1701-1710.
Yilmaz, M., Sayin, Y., & Gurler, H. (2012). Sleep quality of hospitalized patients in surgical units. Paper presented at the Nursing forum, Publisher: Wiley Online Library Pages: 183-192.
Yu, S., Xiong, Y., Lu, G., & Xiong, X. (2022). Effects of Preoperative Sleep Disorders on Anesthesia Recovery and Postoperative Pain in Patients Undergoing Laparoscopic Gynecological Surgery under General Anesthesia. Mediators of Inflammation, 2022. doi:10.1155/2022/7998104
Yurt, N. Ş., & Cubukcu, M. (2021). Quality of Sleep and Related Factors on Elderly Residents of the Nursing Homes. Konuralp Medical Journal, 13(2), 233-241.
Zainuri, A., Endro Sulistyono, R., Maisyaroh, A., & Mahardhika Rahmawati, P. (2022). Impact of The Covid-19 Pandemic on The Psychological Response of Adolescents: A Literature Review. Nursing and Health Sciences Journal (NHSJ), 2(1), 10-19. https://doi.org/10.53713/nhs.v2i2.81
