Effects of Non-pharmacological Interventions on Cancer Patients with Sleep Disorder: A Meta-analysis

채, 정혜; 김, 영숙; 한, 미영

doi:10.5388/aon.2021.21.1.1

Cited by 7 publications

(1 citation statement)

References 20 publications

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“…In particular, night shift and rotating shift workers are highly vulnerable to sleep disturbance because of disrupted endogenous circadian rhythms and sleep-wake cycle (6,7). Considering that rotating night shift work may increase the risk of chronic diseases, such as cancer, metabolic syndrome, type II diabetes, cardiovascular disease, and gastrointestinal dysfunction, and exacerbate psychomotor vigilance and performance (8)(9)(10), identifying and developing the best interventions to promote sleep and prevent adverse effects from rotating night shift work are necessary (11).…”

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confidence: 99%

Effectiveness of sleep interventions for rotating night shift workers: a systematic review and meta-analysis

Jeon

Kim

Shin

2023

Front. Public Health

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BackgroundSleep disturbance is a common issue among rotating night shift workers and is closely related to health risks. The present study aimed to determine the effectiveness of pharmacological and non-pharmacological sleep interventions for the management of sleep disturbance among rotating night shift workers.MethodsFor this systematic review and meta-analysis, we searched six electronic databases—EMBASE, CINAHL, Cochrane Library, PubMed, Scopus, and Web of Science—for randomized controlled trials and clinical trials published from January 1990 to June 2022. The quality of eligible studies was independently assessed by three authors using the Joanna Briggs Institute Critical Appraisal Checklist for randomized controlled trials and quasi-experimental studies. The meta-analysis was performed based on the random effects model using the Comprehensive Meta-Analysis software. The study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.ResultsOf the 1019 studies retrieved, 30 met the inclusion criteria for the systematic review; 25 were selected for the meta-analysis. Sleep interventions were categorized as follows: pharmacological approach (n = 7), light therapy (n = 9), cognitive behavioral approach (n = 7), aroma or alternative therapy (n = 4), and shift schedule modification (n = 3). The overall mean effect size of the interventions was moderate (Hedges' g = 0.59; 95% confidence interval = 0.33–0.84, z = 4.50, p < 0.001).ConclusionSleep interventions were effective in promoting sleep or reducing sleep disturbance among rotating night shift workers. These findings provide evidence of the effectiveness of various pharmacological and non-pharmacological sleep interventions for managing sleep health in the work environment of rotating night shift workers.

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