Review
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BİRİNCİ BASAMAK SAĞLIK HİZMETLERİNDE UYKU BOZUKLUKLARI TARAMASI VE DEĞERLENDİRİLMESİ

Year 2019, , 232 - 243, 14.05.2019
https://doi.org/10.35232/estudamhsd.526007

Abstract

Uyku; sağlığın korunması, iyi bir yaşam kalitesi ve
gün boyunca iyi bir performans için önemli olan temel bir ihtiyaçtır. Uyku
bozuklukları, başta uykusuzluk bozuklukları ve obstrüktif uyku apnesi olmak
üzere, toplumda yaygın olarak görülürler. Kronik uyku bozukluklarının uzun
dönem kümülatif etkileri; mental problemler, kardiyovasküler hastalıklar,
diyabet, obezite ve depresyon gibi pek çok olumsuz sağlık sonucu ile
ilişkilidir. Uyku problemleri; yol açtığı bu sonuçlar nedeniyle, koruyucu
hekimlik açısından ciddiye alınmalıdır. Bununla birlikte; prevalansının
yüksekliğine ve ciddi sağlık sonuçları olmasına rağmen, toplumda uyku bozukluğu
olan bireylerin yalnızca %20’si doğru tanı ve tedavi alabilmektedir. Bu
sebeple, uyku problemlerinin sonuçları; mortalite ve morbidite hızları,
kazalar, yaralanmalar ve sağlık hizmetlerinin kullanımı gibi birçok halk
sağlığı göstergesini etkiler. Epidemiyolojik çalışmalar, uyku sorunlarının
tanınması ve danışmanlık hizmeti verilmesinin önündeki engeller arasında; zaman
yetersizliği, uyku sorunlarının hastalar tarafından hekimlerine daha az
bildirilmesi, uyku bozukluklarının ciddi olmadığına dair yanlış kanılar ve
hekimlerdeki farkındalık ve bilgi eksiklikleri olduğunu göstermiştir. Bu
derlemede; toplumda yaygın görülen uyku bozukluklarının değerlendirilmesi için,
birinci basamak sağlık hizmetlerinde kullanılabilecek tarama araçları
sunulmuştur. 

References

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SCREENING and ASSESSMENT for SLEEP DISORDERS in PRIMARY HEALTH CARE

Year 2019, , 232 - 243, 14.05.2019
https://doi.org/10.35232/estudamhsd.526007

Abstract

Sleep is a basic human need
and is important for health, good quality of life and performing well during
the day. Sleep disorders, especially insomnia and obstructive sleep apnea, are common in the community. The cumulative long-term effects of these
disorders are associated with a wide range of adverse health consequences
including mental problems, cardiovascular diseases, diabetes, obesity and
depression. Sleep problems should be taken seriously in terms of preventive
medicine due to these consequences. However, despite their high frequency and
significant outcomes, less than 20% of individuals with sleep disorders are
correctly diagnosed and treated. Therefore, consequences of sleep conditions
affect many important indicators of public health such as mortality and morbidity
rates, accidents, injuries, and health care utilization. Epidemiologic studies
suggest that barriers to screening and counselling for sleep disorders include;
limited time, low reporting of sleep problems by patients, misconceptions about
the seriousness of sleep disorders, lack of awareness among physicians, and
insufficient physician knowledge. In this review; assessment tools that can be
used in primary health care for screening for common sleep problems are
presented.

References

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  • 28. Suen LK, Tam WW, Hon KL. Association of sleep hygiene-related factors and sleep quality among university students in Hong Kong. Hong Kong medical journal = Xianggang yi xue za zhi. 2010;16(3):180-5.
  • 29. Li J, Zhou K, Li X, Liu M, Dang S, Wang D, et al. Mediator Effect of Sleep Hygiene Practices on Relationships Between Sleep Quality and Other Sleep-Related Factors in Chinese Mainland University Students. Behavioral sleep medicine. 2016;14(1):85-99.
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  • 31. Anders MP, Breckenkamp J, Blettner M, Schlehofer B, Berg-Beckhoff G. Association between socioeconomic factors and sleep quality in an urban population-based sample in Germany. European journal of public health. 2014;24(6):968-73.
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  • 33. Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Menna Barreto SS, Johns MW. Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. 2009;35(9):877-83.
  • 34. Okubo N, Matsuzaka M, Takahashi I, Sawada K, Sato S, Akimoto N, et al. Relationship between self-reported sleep quality and metabolic syndrome in general population. BMC public health. 2014;14:562.
  • 35. Lee JA, Sunwoo S, Kim YS, Yu BY, Park HK, Jeon TH, et al. The Effect of Sleep Quality on the Development of Type 2 Diabetes in Primary Care Patients. Journal of Korean medical science. 2016;31(2):240-6.
  • 36. Fujieda M, Uchida K, Ikebe S, Kimura A, Kimura M, Watanabe T, et al. Inquiring about insomnia may facilitate diagnosis of depression in the primary care setting. Psychiatry and clinical neurosciences. 2017;71(6):383-94.
  • 37. Aysan E, Karaköse S, Zaybak A, İsmailoğlu EG. Üniversite öğrencilerinde uyku kalitesi ve etkileyen faktörler. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2014;7(3):193-8.
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There are 78 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Review
Authors

Alican Sarısaltık 0000-0002-7317-404X

Ahmet Topuzoğlu 0000-0002-7497-548X

Publication Date May 14, 2019
Submission Date February 13, 2019
Published in Issue Year 2019

Cite

Vancouver Sarısaltık A, Topuzoğlu A. BİRİNCİ BASAMAK SAĞLIK HİZMETLERİNDE UYKU BOZUKLUKLARI TARAMASI VE DEĞERLENDİRİLMESİ. ESTÜDAM Halk Sağlığı Dergisi. 2019;4(2):232-43.

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