The evaluation of nutritional status and sleep quality of the patient with receiving chemotherapy stage I-III cancer.

Our study was carried out to determine the relation of treatment response with nutrition status and sleep quality in patients with stage I-III cancer patients taking chemotherapy.In this cross-sectional study, the data of 19 breast, 4 colon and 7 lung with a total of 30 cancer cases that are suitable for study limitations who admitted to chemotherapy unit of Zehra Ulusoy Oncology Center of the Süleyman Demirel University Research and Training Hospital.All patients were eveluated by sociodemographic data form, SGA, BİA, Pitssburgh sleep quality index, Beck Anxiety and Depression scales. And these eveluations were applied twice, between September 2006-October 2007; one before chemotherapy and the second, 6 months after the chemotherapy. Consent information were taken from all patients.In our study, it was detected that 76,7% of patients well responded to treatment while 23,3% were progressive according to treatment responses criteria of World heath organisation. The type of cancer, gender and occupation were found to be closely associated with treatment response.The nutritional status of stage I-III breast, colon and lung cancer patients, defined buy SGA, were highly disturbed both before chemotherapy and after 6 th cure chemotherapy; however, good nutrition rates were higher after the 6 th cure chemotherapy, although not statistically significant. It significant incrised that upper medium perimeter of arm and subscapular curve thicknees of skin after treatment. The fat mass measured by BİA, was detected to increase in patients that response to treatment after the 6 th cure chemotherapy. In addition, the total body fluid and basal metabolic rates of progressive patients were detected to significantly increase.The bad sleep quality rates of patients with breast, colon and lung cancers before treatment and after 6th cure chemotherapy were 96,7% and 100%, respectively. However, in our study, the objective sleep quality were statistically higher after 6 th cure chemotherapy in comparison to pre-chemotherapy stage and the sleep duration were significantly decreased, as well. İnspite of the decrease in the total sleep time, during chemotherapy period, daytime functional disturbance and usage of sleep medication for 3 or more times were found to be 3,3% in both measurements. No significant difference was found between sleep quality before treatment and after 6th cure chemotherapy.As a conclusion, nutritional status and sleep quality are disturbed in cancer patients. In patients responding chemotherapy, nutritional status is improved while there is no such change in sleep quality. This study, carried on different cancer types, should be repeated in specific malignities with greater populations.Key words:1. Chemotherapy 2. Nutritional status 3. Sleep quality 4. Depression 5. Anxiety