title: Fatigue and Sleep Experiences at Home in Children and Adolescents With Cancer.
abstract: OBJECTIVE
  To (a) investigate fatigue and sleep patterns of children and adolescents at home and (b) examine factors associated with fatigue and sleep..
  
  
  METHODS
  Descriptive with repeated measures .
  
  
  METHODS
  Homes of study participants in Los Angeles and Orange, California .
  
  
  METHODS
  35 children and adolescents with cancer.
  
  
  METHODS
  Data were collected using the PedsQL Multidimensional Fatigue Scale, which was completed once at home by each participant, and sleep actigraphs, which were worn for five days at home following discharge from hospitalization .
  
  
  METHODS
  General fatigue, cognitive fatigue, sleep-rest fatigue, sleep duration, sleep quantity, sleep efficiency, and wake after sleep onset .
  
  
  RESULTS
  More than half of the participants had problems with fatigue at home. Significant correlations were found between sleep/rest fatigue and sleep duration. Factors that affected fatigue were age, gender, and cancer diagnosis. Adolescents had more problems with fatigue than children, and female patients had more problems with fatigue than male patients. Patients with sarcoma had more problems with fatigue than those with leukemia, lymphoma, and other cancer diagnoses. Adolescents slept less than children.
  
  
  CONCLUSIONS
  Children and adolescents with cancer have fatigue and sleep problems at home that vary by age, gender, and cancer diagnosis .
  
  
  CONCLUSIONS
  Data from the current study support the need for nurses to provide teaching about fatigue and sleep at home in children and adolescents with cancer. Future studies are needed to examine interventions that may alleviate fatigue and improve sleep at home .
authors: Rio de Janeiro State University in Brazil.
authors: Michelle
authors: M
authors: Darezzo Rodrigues Nunes
authors: University of California, Los Angeles.
authors: Eufemia
authors: E
authors: Jacob
authors: Children's Hospital of Orange County.
authors: Kathleen
authors: K
authors: Adlard
authors: Children's Hospital Los Angeles.
authors: Rita
authors: R
authors: Secola
authors: University of São Paulo in Ribeirão Preto, Brazil.
authors: Lucila
authors: L
authors: Nascimento
mesh_terms: D000293:Adolescent; D002648:Child; D005221:Fatigue / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000150:complications*; D012893:Sleep Wake Disorders / Q000209:etiology*
keywords: adolescent; child; fatigue; sleep