Patient and clinician communication of self-reported insomnia during ambulatory cancer care clinic visits.

摘要: BACKGROUND Insomnia, the most commonly reported sleep-wake disturbance in people with cancer, has an adverse effect on quality of life including emotional well-being, distress associated other symptoms, daily functioning, relationships, and ability to work. OBJECTIVE The aim this study was describe content discussions between clinicians 120 patients self-reported insomnia examine associations sociodemographic, clinical, environmental factors insomnia. METHODS A secondary analysis conducted symptom data factors. Recordings clinician patient during clinic visits were examined by conducting a analysis. RESULTS Severe more likely be women, minority, lower-income individuals. Seven major topics identified discussions. did not always discuss insomnia; discussion rates differed diagnosis clinical service. CONCLUSIONS Reporting communication about may have demographic characteristics. Clinicians attended half time management strategies effective. Explanations that had low priority for visit or lack clear evidence support interventions. IMPLICATIONS FOR PRACTICE better understanding is needed why addressed even when patients; it well known structured assessments early interventions can improve life. Research warranted understand potential disparities cancer care.