Objectives

Exercise has been recommended to enhance sleep. However, there is a paucity of studies investigating the relationships between exercise and sleep problems in patients with bladder cancer. The authors explored the effects of a single bout of light-intensity walking on the sleep quality of patients with bladder cancer who have sleep disorders.

Data Sources

A total of 14 patients with bladder cancer with sleep disorders were recruited for this trial. The participants were randomly assigned to the walking or control condition in a cross-over design to explore the effects of a single light-intensity walking session on objectively measured sleep quality. A two-way repeated measures analysis of variance and a nonparametric permutation test were used to examine intervention effects. Twelve participants (85.7%) completed the trial. A significant group × time interaction for sleep latency (P = .023) was identified. The pairwise comparison showed significant results (P = .012) for the difference between the post-test sleep latency and the pre-test. No significant group × time interactions were observed for the remaining seven sleep parameters. Additionally, only the main effects of time on length of awakening and time in bed were significant (P < .001).

Conclusion

A single bout of light-intensity walking has a positive effect on shortening the sleep latency of patients with bladder cancer who have sleep disorders.

Implications for Nursing Practice

Oncology nurses can encourage patients with bladder cancer to exercise, even light-intensity walking, which may improve sleep quality.

中文翻译：

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单次低强度步行对膀胱癌患者睡眠质量的影响：随机交叉研究

目标

建议进行锻炼以增强睡眠。然而，很少有研究调查膀胱癌患者运动与睡眠问题之间的关系。作者探讨了单次低强度步行对患有睡眠障碍的膀胱癌患者睡眠质量的影响。

数据源

该试验总共招募了 14 名患有睡眠障碍的膀胱癌患者。参与者在交叉设计中被随机分配到步行或控制条件，以探索单次低强度步行训练对客观测量的睡眠质量的影响。使用双向重复测量方差分析和非参数排列检验来检验干预效果。十二名参与者（85.7%）完成了试验。 睡眠潜伏期存在显着的组 × 时间交互作用 ( P = .023)。成对比较显示 测试后睡眠潜伏期与测试前之间存在显着差异（ P = .012）。对于其余七个睡眠参数，没有观察到显着的组×时间交互作用。此外，只有时间对觉醒时间和卧床时间的主效应显着 ( P < .001)。

结论

单次低强度步行对于缩短有睡眠障碍的膀胱癌患者的睡眠潜伏期有积极作用。

对护理实践的影响

肿瘤科护士可以鼓励膀胱癌患者锻炼，甚至是低强度的步行，这可能会改善睡眠质量。