YOĞUN BAKIM ÜNİTESİNDE İZLEMİ GEREKEN KRONİK NÖROLOJİK HASTALIKLARDA UYKU YAPISININ DEĞERLENDİRİLMESİ

Abstract

Giriş ve Amaç: Çalışmamızda Nöroloji Yoğun Bakım Ünitesinde (NYBÜ) takip edilen nörolojik hastalığı olan hastaların uyku yapısı ambulatuvar polisomnografi (PSG) cihazı ile incelenmiş, uyku yapılarının yanı sıra ve en sık görülen uyku bozuklukları belirlenmiştir. Gereç ve Yöntemler: Celal Bayar Üniversitesi Tıp Fakültesi Hastanesi Nöroloji Kliniğinde NYBÜ’nde takip edilen farklı nörolojik hastalıklardan toplam 40 hasta çalışmaya dahil edilmiştir. Epworth Uykululuk Ölçeği (EUÖ), Pitsburgh Uyku Kalitesi İndeksi (PUKİ) ve ambulatuvar PSG incelemesi ile uyku değerlendirmeleri yapılmıştır. Bulgular: Hastaların EUÖ ve PUKİ skorları ortalaması sırasıyla; 9.6±4.1 ve 10.2±4.51 olarak bulunmuştur. Yoğun bakım hastalarında Rapid Eye Movements (REM) evresinin normale göre azalmış olduğu, Non-Rapid Eye Movements Uyku (NREM) evre-1 ve NREM evre-2 sürelerinin ise artmış olduğu çalışmamızın sonuçları arasında yer almıştır. Sonuç: Yoğun bakım hastalarında uyku yapısının ve kalitesinin hasta başı uygulanabilen ambulatuvar PSG cihazı ve uyku anketleriyle değerlendirilmesi, uykunun düzenlenmesi için gereken önlemlerin erkenden alınmasını ve böylece uykunun restoratif düzenlemelerinin erken başlamasını sağlayabilecektir.

Keywords

• Uyku
• yoğun bakım
• polisomnografi
• uyku kalitesi

THE ASSESSMENT OF SLEEP PATTERNS IN CASES OF CHRONIC NEUROLOGICAL CONDITIONS THAT REQUIRE MONITORIZATION IN THE INTENSIVE CARE UNIT

Abstract

Aim; In our study, the sleep structure of patients with neurological diseases followed up in the Neurology Intensive Care Unit (NICU) was examined with an ambulatory polysomnography (PSG) device, and the most common sleep disorders were determined. Method; A total of 40 patients with different neurological diseases who were followed up in the NICU Clinic of Celal Bayar University Faculty of Medicine Hospital were included in the study. Sleep assessments were performed with the Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI) and portable PSG assesment. Results; The mean ESS and PSQI scores of the patients were respectively; 9.6±4.1 and 10.2±4.51. Our study showed that the duration of Rapid Eye Movements (REM) stage decreased and the duration of Non-Rapid Eye Movements Sleep (NREM) stage-1 and NREM stage-2 increased in intensive care patients. Conclusion; Analyzing the composition and quality of sleep in critical care patients who have access to an portable PSG equipment by their bedside and sleep questionnaires will be able to start the restorative regulation of sleep early by taking the required steps to control their sleep.

Keywords

• Sleep
• intensive care
• polysomnography
• sleep quality

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