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Systematic review of the prevalence, predictors, and treatment of insomnia in palliative care

2020-11Journal article Restricted
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dc.contributor.authorNzwalo, Isa
dc.contributor.authorAboim, Maria Ana
dc.contributor.authorJoaquim, Natércia
dc.contributor.authorMarreiros, Ana
dc.contributor.authorNzwalo, Hipólito
dc.date.accessioned2021-06-24T11:35:53Z
dc.date.available2021-06-24T11:35:53Z
dc.date.issued2020-11
dc.description.abstractIntroduction: The primary function of palliative care is to improve quality of life. The recognition and treatment of symptoms causing suffering is central to the achievement of this goal. Insomnia reduces quality of life of patients under palliative care. Knowledge about prevalence, associated factors, and treatment of insomnia in palliative care is scarce. Methodology: Literature review about the prevalence, predictors, and treatment options of insomnia in palliative care patients. Primary sources of investigation were identified and selected through Pubmed and Scopus databases. The research was complemented by reference search in identified articles and selected reviews. OpenGrey and Google Scholar were used for searching grey literature. Study quality analysis was based on the Newcastle-Ottawa Scale. Results: A total of 65 studies were included in the review. Most studies had acceptable /good quality. The prevalence of insomnia in the included studies ranged from 2.1% to 100%, with a median overall prevalence of 49.5%. Sociodemographic factors such as age; clinical characteristics such as functional status, disease stage, pain, and use of specific drugs, including opioids; psychological factors such as anxiety/depression; and spiritual factors such as feelings of well-being were identified as predictors. The treatment options identified were biological (pharmacological and nonpharmacological), psychological (visualization, relaxation), and spiritual (prayer). Conclusions: The systematic review showed that the prevalence of insomnia is high, with at least one in 3 patients affected in most studies. Insomnia's risk factors and treatment in palliative care are both associated to physical, psychological, social, and spiritual factors, reflecting its true holistic nature.
dc.identifier.doi10.1177/1049909120907021
dc.identifier.issn1049-9091
dc.identifier.urihttp://hdl.handle.net/10400.1/16565
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSAGE Publications
dc.subjectPalliative care
dc.subjectInsomnia
dc.subjectCancer
dc.subjectAdvanced disease
dc.subjectEnd-of-life
dc.subjectHospice
dc.subject.otherHealth Care Sciences & Services
dc.titleSystematic review of the prevalence, predictors, and treatment of insomnia in palliative care
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage969
oaire.citation.issue11
oaire.citation.startPage9571049909120907021
oaire.citation.titleAmerican Journal of Hospice & Palliative Medicine
oaire.citation.volume37
person.familyNameJoaquim
person.familyNameMarreiros
person.familyNameNzwalo
person.givenNameNatércia
person.givenNameAna
person.givenNameHipólito
person.identifier337064
person.identifier.ciencia-idFF15-DF5C-F320
person.identifier.ciencia-id9A12-9450-7051
person.identifier.ciencia-id2C1F-E4F3-2C79
person.identifier.orcid0000-0003-1567-0157
person.identifier.orcid0000-0001-9410-4772
person.identifier.orcid0000-0002-1502-3534
person.identifier.ridAAG-3931-2020
person.identifier.scopus-author-id57194785077
person.identifier.scopus-author-id36057285600
rcaap.rightsrestrictedAccess
rcaap.typearticle
relation.isAuthorOfPublication57e6b735-ffff-4589-b522-d38fce2e15c2
relation.isAuthorOfPublicationc0a8e5da-26ae-42a8-ab04-fa4df4356375
relation.isAuthorOfPublication287f7d4e-5ad8-4794-b526-c61d32c00446
relation.isAuthorOfPublication.latestForDiscovery57e6b735-ffff-4589-b522-d38fce2e15c2

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