Factores Asociados a los Problemas de Sueño en Mujeres con Cáncer Según la Encuesta Nacional de Salud
DOI:
https://doi.org/10.36489/saudecoletiva.2025v16i99p16852-16869Palabras clave:
Trastornos dei Sueno-Vigilia, Factores de Riesgo, Salud de la Mujer, Neoplasias, Calidad de VidaResumen
Esta investigación busca identificar los factores asociados a los problemas de sueño en mujeres con cáncer, según los datos de la Encuesta Nacional de Salud (PNS) 2019. Se trata de un estudio transversal que incluyó a mujeres que declararon al menos uno de los cinco tipos de cáncer más prevalentes. La variable dependiente fue la presencia de problemas de sueño en las dos semanas anteriores a la encuesta. Las variables independientes incluyeron características sociodemográficas, uso de servicios de salud, limitación de actividades, percepción de la salud, estilo de vida y estado de salud. Se utilizó estadística descriptiva y la prueba de Chi-cuadrado de Pearson (p<0,05). La prevalencia de problemas de sueño fue del 44,5%, mayor entre usuarias del SUS y con percepción negativa de la salud. Entre quienes no usaron medicamentos para dormir, el 65,4% refirió alteración del ciclo sueño-vigilia, cansancio y percepción negativa de su salud (61,5%). Se evidenciaron asociaciones significativas entre los problemas de sueño, el uso de servicios, el cansancio y la percepción de salud, lo que sugiere la necesidad de cuidados integrales.
Citas
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram 1, Jemal A, et ai. Global Cancer Statistics 2020: GLOBOCAN Estimates of lncidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: a Cancer Journal for Clinicians. 2021;71(3):209-49. https://doi.org/10.3322/caac.21660
World Health Organization. Cancer today. larc.fr [Internet] 2020. [acesso em 2023 Set 30). Disponível em: https://gco.iarc.fr/today/home
Santos MO, Lima FCS, Martins LFL, Oliveira JFP, Almeida LM, Cancela MC. Estimativa de Incidência de Câncer no Brasil, 2023-2025. Revista Brasileira de Cancerologia. 2023 Fev 6;69(1). https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700
Büttner-Teleaga A, Kim YT, Osel T, Richter K. Sleep Disorders in Cancer-A Systematic Review. lnternational Journal of Environmental Research and Public Health [Internet]. 2021 Nov[acesso em 2022 Set 30];18(21):11696. Disponível em: https://pubmed.ncbi.nlm.nih.gov/34770209/ https://doi.org/10.3390/ijerph182111696
Aggeli P, Fasoi G, Zartaloudi A, Kontzoglou K, Kontos M, Konstantinidis T, et ai. Posttreatment Anxiety, Depression, Sleep Disorders, and Associated Factors in Women Who Survive Breast Cancer. Asia-Pacific Journal of Oncology Nursing. 2021;8(2):147. DOl 10.4103/apjon.apjon_65_20
Mogavero MP, DelRosso LM, Fanfulla F, Bruni O, Ferri R. Sleep disorders and cancer: State of the art and future perspectives. Sleep Medicine Reviews. 2021 Abr;56:101409. https://doi.org/10.1016/j.smrv.2020.101409
APA - American Psychiatric Association. Diagnostic and statistical manual of mental disorders, text revision DSM-5-TR. 5th ed. Washington: American Psychiatric Association; 2022.
Sun J, Wang C, Hui Z, Han W, Wang X, Wang M. Global research on cancer and sleep: A bibliometric and visual analysis of the last two decades. Frontiers in Neurology. 2023 Mar 29;14. https://doi.org/10.3389/fneur.2023.1139746
Li W, Li C, Liu T, Wang Y, Ma X, Xiao X, Zhang Q, Qu J. Self-reported sleep disorders and the risk of all cancer types: evidence from the Kailuan Cohort study. Public Health. 2023;223:209-216. https://doi.org/10.1016/j.puhe.2023.08.007
Walker li WH, Borniger JC. Molecular Mechanisms of Cancer-lnduced Sleep Disruption. lnternational Journal of Molecular Sciences [Internet]. 2019 Jun 6 [acesso em 7 set 2023);20(11 ):2780. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600154/ https://doi.org/10.3390/ijms20112780
Zhu W, Li W, Gao J, Wang L, Guo J, Yang H. Factors associated with the sleep disturbances of people with breast cancer during chemotherapy in China: A cross-sectional study. Nursing Open [Internet]. 2023 Abr 26 [acesso em 11 set 2023); Disponível em: https://pubmed.ncbi.nlm.nih.gov/37099665/ https://doi.org/10.1002/nop2.1784
Cogan JC, Raghunathan RR, Beauchemin MP, Accordino MK, Huang Y, Elkin EB, et ai. New and Persistent Sedative-Hypnotic Use After Adjuvant Chemotherapy for Breast Cancer. JNCI: Journal of the National Cancer lnstitute. 2022 Dez 8;114(12):1698-1705. https://doi.org/10.1093/jnci/djac170
Edmed SL, M Mamun Huda, Smith SS, Seib C, Porter-Steele J, Anderson D, et ai. Prevalence and predictors of sleep problems in women following a cancer diagnosis: results from the women's wellness after cancer program. Journal of Cancer Survivorship. 2023 Fev 24; https://doi.org/10.1007/s11764-023-01346-9
Mansano-Schlosser TC, Maria Filomena Ceolim MF. Variação longitudinal da qualidade do sono em mulheres com câncer de mama. Acta Paul Enferm. 2016 Out 20;29(5):595-602. http://dx.doi.org/10.1590/1982-0194201600082
Campos AAL, et al. Tempo para diagnóstico e tratamento do câncer de mama na assistência pública e privada. Revista Gaúcha de Enfermagem. 2022;43 [acesso 2025 Mar 8]. Disponível em: https://www.scielo.br/j/rgenf/a/w44Z5w37Y8j9fgR4B7zRFft/?lang=pt
Alana CC, Júlia AG, Viviane MS. TRATAMENTO ONCOLÓGICO NO CONTEXTO DA SAÚDE PÚBLICA E PRIVADA: UMA ANÁLISE COMPARATIVA. Revista Científica Multidisciplinar [Internet]. 2023 JUN [acesso 2025 Mar 8]. Disponível em:https://doi.org/10.47820/recima21.v4i6.3377
Dantas BMS, Silva MEC, Sampaio LM de A, Araujo LSA de, Portugal GA, Mercês MC das, et ai. Distúrbios do sono e fatores associados a transtornos psíquicos menores em indivíduos em tratamento oncológico. Research, Society and Development. 2021 Jul 16;10(8):e46210817703. http://dx.doi.org/10.33448/rsd-v10i8.17703
Van Onselen C, Paul SM, Lee KA, Dunn LB, Aouizerat BE, West C, et ai. Trajectories of Sleep Disturbance and Daytime Sleepiness in Women Before and After Surgery for Breast Cancer. Journal of Pain and Symptom Management. 2013 Feb 1;45(2):244-60. https://doi.org/10.1590/SS2237-9622202200007.especial
Lourenço A, Dantas AAG, Araújo DN, Dantas D de S. Prevalência da Deficiência e Associações Clínicas em Mulheres Sobreviventes ao Câncer de Mama: um Estudo-Piloto. Revista Brasileira de Cancerologia. 2020 Jun 18;66(2). Disponível em: https://doi.org/10.32635/2176-9745.RBC.2020v66n2.843
Hayley AC, Williams LJ, Kennedy GA, Berk M, Brennan SL, Pasco JA. Prevalence of excessive daytime sleepiness in a sample of the Australian adult population. Sleep Medicine [Internet]. 2014 Mar 1;15(3):348-54. Disponível em: https://www.sciencedirect.com/science/article/pii/S1389945714000203?via%3Dihub https://doi.org/10.1016/j.sleep.2013.11.783
Tao L, Lv J, Zhong T, Zeng X, Han M, Fu L, et ai. Effects of Sleep disturbance, cancer-related fatigue, and Psychological Distress on Breast Cancer Patients' Quality of life: a Prospective Longitudinal Observational Study. Scientific Reports [Internet].2024 Abr 15 [acesso 2024 Out 8];14(1):8632. Disponível em: https://doi.org/10.1038/s41598-024-59214-0
Barros MB de A, Lima MG, Ceolim MF, Zancanella E, Cardoso TAM de O. Quality of sleep, Health and well-being in a population-based Study. Revista de Saúde Pública [Internet]. 2019 Set 27 [acesso 2024 Out 8];53:82. Disponível em: https://doi.org/10.11606/s1518-8787.2019053001067
He C, He Y, Yang T, Wu C, Lin Y, Yan J, et ai. Relationship of sleep-quality and social-anxiety in Patients with Breast cancer: a Network Analysis. BMC Psychiatry [Internet]. 2023 Nov 28 [acesso 2024 Out 8];23(1). Disponível em: https://doi.org/10.1186/s12888-023-05262-1
Huang HP, Chen ML, Liang J, Miaskowski C. Changes in and predictors of severity of fatigue in women with breast cancer: A longitudinal study. Elsevier [Internet]. 2014 Abr 1 [acesso 2024 Out 8];51(4):582-92. Disponível em: https://doi.org/10.1016/j.ijnurstu.2013.09.003








