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Geriatrik Popülasyonda Eş ve Çocuk Kayıplarının Uyku Düzeni ve Kalitesine Etkisi

Year 2025, Volume: 8 Issue: 2, 150 - 158, 30.08.2025

Abstract

Amaç: Geriatride eş ve çocuk kaybının uyku düzeni ve kalitesi üzerine etkisini belirlemek ve demografik faktörlerle karşılaştırarak geriatrinin tıbbi sorunlarına farklı yaklaşımlar sunmak.
Gereç ve Yöntemler: Çalışmaya 65 yaş üstü 1725 kişi dahil edildi. Veriler demografik bilgileri içeren bir anket, Stanford ve Epworth Uykululuk Ölçekleri kullanılarak toplandı ve Mann-Whitney U testi ile analiz edildi. Sürekli değişkenler için Kruskal Wallis analizi kullanıldı ve farkın hangi gruplar arasında olduğunu bulmak için Post Hoc Bonferroni analizi yapıldı. Verilerin değerlendirilmesinde Ki-kare testi ve Spearman Korelasyon testi kullanıldı. İstatistiksel olarak p<0,05 düzeyi istatistiksel olarak anlamlı kabul edildi.
Bulgular: Çalışmaya katılan 1725 hastanın %50,6'sı kadındı ve yaş ortalaması 70,6±5,7 yıldı. Katılımcıların %13,2'sinin hem eş hem de evlat kaybı yaşadığı, %14,7'sinin sadece eş kaybı yaşadığı ve %15,3'ünün sadece evlat kaybı yaşadığı belirlendi. Eş ve çocuk kaybı yaşayan bireylerde kalp hastalıkları, aylık düşme sayısı, kullanılan ilaç sayısı ve yorgunluk semptomları arasında anlamlı bir korelasyon bulundu (p˂0,05). Eş kaybı yaşayan bireylerde vücut kitle indeksinin daha düşük olduğu ve çocuk kaybı sayısı ile Epworth ve Stanford ölçek puanları arasında anlamlı pozitif bir korelasyon olduğu bulundu (p˂0,05).
Sonuç: Kayıp yaşayan yaşlı bireylerde uyku bozukluğu görülme sıklığının ve kardiyovasküler hastalık riskinin daha yüksek olması nedeniyle psikososyal, farmasötik müdahaleler ve yas terapilerinin tasarlanması önerilmektedir.

References

  • 1. Göçmen H, Karadağ, M. Obstructive Sleep Apnea Syndrome Epidemiology. Turkiye Klinikleri J Surg Med Sci. 2007; 3: 7-10.
  • 2. Çalik İ. Relationship between physical activity and sleep quality in the elderly. Physiotherapy Rehabilitation. 2013; 24: 110-117.
  • 3. Bakır T. Mothers' experience of grief process after child loss: Examining with interpretative phenomenological analysis. Ibn Haldun University, Graduate School of Education 2022.
  • 4. Lundorff M, Holmgren H, Zachariae R, et al. Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. J Affect Disord. 2017; 212: 138-149.
  • 5. Shear MK, Wang Y, Skritskaya N, et al. Treatment of complex grief in older people: a randomised clinical trial. JAMA Psychiatry. 2014; 71: 1287-1295.
  • 6. Barlé N, Wortman CB, Latack JA. Traumatic grief: Basic research and clinical implications. Journal of Psychotherapy Integration. 2017; 27: 127-139.
  • 7. Yildiz H, Cimete G. The impact of a grief support programme on Turkish parents whose infants died. Death Studies. 2017; 41: 602-610.
  • 8. Monk TH, Germain A, Reynolds CF. Sleep Disorder in the Bereavement Period. Psychiatr Ann. 2008; 38: 671-675.
  • 9. Allen JY, Haley WE, Small BJ, et al. Bereavement among hospice carers of cancer patients one year after loss: predictors of grief, complicated grief and symptoms of depression. J Palliat Med. 2013; 16: 745-751.
  • 10. İzci B, Ardic S, Firat H, et al. Reliability and validity studies of the Turkish version of Epworth Sleepiness Scale. Sleep Breath. 2008; 12: 161-168.
  • 11. MacLean AW, Fekken GC, Saskin P, et al. Psychometric evaluation of the Stanford Sleepiness Scale. J Sleep Res. 1992; 1: 35-39.
  • 12. Kazoğlu M. Comparison of sleep quality, pain, fatigue and physical fitness levels in the elderly living in nursing homes and at home. Başkent University Institute of Health Sciences, master's thesis, 2019.
  • 13. Chirinos DA, Ong JC, Garcini LM, et al. Bereavement, selfreported sleep disturbances, and inflammation: Results from Project HEART. Psychosom Med. 2019; 81: 67-73.
  • 14. Milic J, Saavedra PH, Zuurbier LA, et al. Longitudinal and crosssectional associations of grief and complex grief with sleep quality in older adults. Behav Sleep Med. 2019; 17: 31-40.
  • 15. Szuhany KL, Young A, Mauro C, et al. Impact of sleep on complex grief severity and outcomes. Depress Anxiety. 2020; 37: 73-80.
  • 16. Su Y, Cochrane BB, Yu SY, et al. Fatigue in community-dwelling older adults: A review of definitions, measures and related factors. Geriatr Nurs. 2022; 43: 266-279.
  • 17. Kazoğlu M, Yürük ZÖ. An investigation of sleep quality and fatigue levels in the elderly living in nursing homes and at home. JETR. 2020; 7: 145-153.
  • 18. Keskin HŞ, Alıumuerova Z, Ali A, et al. Relationship of sleep quality and sleep duration with falls in the elderly living in a nursing home in Izmir. Turkish Journal of Public Health 2022; 20: 195-204.
  • 19. Stahl ST, Schulz R. Changes in routine health behaviours following bereavement at the end of life: a systematic review. J Behav Med 2014; 37: 736-755.
  • 20. Carey IM, Shah SM, DeWilde S, et al. Increased risk of acute cardiovascular events after spousal loss: a matched cohort study. JAMA Internal Medicine 2014; 174: 598-605.
  • 21. Fagundes CP, Wu EL. Heart issues: grief, morbidity and mortality. Curr Dir Psychol Sci. 2020; 29: 235-241.
  • 22. Essien SK, Feng CX, Sun W, et al. Sleep duration and sleep disturbance associated with falls among middle-aged and older adults in China: a population-based nationwide study. BMC Geriatr 2018; 18: 196.
  • 23. Altintas HK, Aslan GK, Sısman NY, et al. Effects of pain and sleep quality on falls in nursing home residents in Turkey. Res Gerontol Nurs. 2018; 11: 257-264.
  • 24. Min Y, Slattum PW. Poor sleep and fall risk in community-dwelling older adults: a systematic review. J Appl Gerontol. 2018; 37: 1059- 1084.
  • 25. Soykök G, Yilmaz R, Şentürk AI, et al. Associatıon of Sleep Quality and Daytime Sleepiness With Cognition in the Elderly. Turkish Journal of Geriatrics. 2015; 18: 123-129.

The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population

Year 2025, Volume: 8 Issue: 2, 150 - 158, 30.08.2025

Abstract

Aim:To determine the effect of loss of spouse and child on sleep patterns and quality in geriatrics and to make different approaches to the medical problems of geriatrics by comparing with demographic factors.
Materials and Methods:The study included 1725 people over 65 years of age. Data were collected using a questionnaire including demographic information, Stanford and Epworth Sleepiness Scales and analyzed with Mann-Whitney U test. Kruskal Wallis analysis was used for continuous variables and Post Hoc Bonferroni analysis was performed to find out between which groups the difference was. Chi-square test and Spearman Correlation test were used in the evaluation of the data. Statistically, p<0.05 level was considered statistically significant.
Results:Of the 1725 patients who participated in the study, 50.6% were women and the mean age was 70.6±5.7 years. It was determined that 13.2% of the participants experienced both spousal and filial loss, 14.7% experienced only spousal loss, and 15.3% experienced only filial loss. A significant correlation was found in cardiac diseases, the number of monthly falls, the number of medications used, and fatigue symptoms in individuals who experienced 'spousal and child' loss (p˂0.05). It was found that body mass index was lower in those who experienced spousal loss and there was a significant positive correlation between the number of child loss and Epworth and Stanford scale scores (p˂0.05).
Conclusion:It’s recommended that psychosocial, pharmaceutical interventions and bereavement therapies should be designed due to higher incidence of sleep disturbance and risk of cardiovascular diseases in elderly individuals experiencing loss.

References

  • 1. Göçmen H, Karadağ, M. Obstructive Sleep Apnea Syndrome Epidemiology. Turkiye Klinikleri J Surg Med Sci. 2007; 3: 7-10.
  • 2. Çalik İ. Relationship between physical activity and sleep quality in the elderly. Physiotherapy Rehabilitation. 2013; 24: 110-117.
  • 3. Bakır T. Mothers' experience of grief process after child loss: Examining with interpretative phenomenological analysis. Ibn Haldun University, Graduate School of Education 2022.
  • 4. Lundorff M, Holmgren H, Zachariae R, et al. Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. J Affect Disord. 2017; 212: 138-149.
  • 5. Shear MK, Wang Y, Skritskaya N, et al. Treatment of complex grief in older people: a randomised clinical trial. JAMA Psychiatry. 2014; 71: 1287-1295.
  • 6. Barlé N, Wortman CB, Latack JA. Traumatic grief: Basic research and clinical implications. Journal of Psychotherapy Integration. 2017; 27: 127-139.
  • 7. Yildiz H, Cimete G. The impact of a grief support programme on Turkish parents whose infants died. Death Studies. 2017; 41: 602-610.
  • 8. Monk TH, Germain A, Reynolds CF. Sleep Disorder in the Bereavement Period. Psychiatr Ann. 2008; 38: 671-675.
  • 9. Allen JY, Haley WE, Small BJ, et al. Bereavement among hospice carers of cancer patients one year after loss: predictors of grief, complicated grief and symptoms of depression. J Palliat Med. 2013; 16: 745-751.
  • 10. İzci B, Ardic S, Firat H, et al. Reliability and validity studies of the Turkish version of Epworth Sleepiness Scale. Sleep Breath. 2008; 12: 161-168.
  • 11. MacLean AW, Fekken GC, Saskin P, et al. Psychometric evaluation of the Stanford Sleepiness Scale. J Sleep Res. 1992; 1: 35-39.
  • 12. Kazoğlu M. Comparison of sleep quality, pain, fatigue and physical fitness levels in the elderly living in nursing homes and at home. Başkent University Institute of Health Sciences, master's thesis, 2019.
  • 13. Chirinos DA, Ong JC, Garcini LM, et al. Bereavement, selfreported sleep disturbances, and inflammation: Results from Project HEART. Psychosom Med. 2019; 81: 67-73.
  • 14. Milic J, Saavedra PH, Zuurbier LA, et al. Longitudinal and crosssectional associations of grief and complex grief with sleep quality in older adults. Behav Sleep Med. 2019; 17: 31-40.
  • 15. Szuhany KL, Young A, Mauro C, et al. Impact of sleep on complex grief severity and outcomes. Depress Anxiety. 2020; 37: 73-80.
  • 16. Su Y, Cochrane BB, Yu SY, et al. Fatigue in community-dwelling older adults: A review of definitions, measures and related factors. Geriatr Nurs. 2022; 43: 266-279.
  • 17. Kazoğlu M, Yürük ZÖ. An investigation of sleep quality and fatigue levels in the elderly living in nursing homes and at home. JETR. 2020; 7: 145-153.
  • 18. Keskin HŞ, Alıumuerova Z, Ali A, et al. Relationship of sleep quality and sleep duration with falls in the elderly living in a nursing home in Izmir. Turkish Journal of Public Health 2022; 20: 195-204.
  • 19. Stahl ST, Schulz R. Changes in routine health behaviours following bereavement at the end of life: a systematic review. J Behav Med 2014; 37: 736-755.
  • 20. Carey IM, Shah SM, DeWilde S, et al. Increased risk of acute cardiovascular events after spousal loss: a matched cohort study. JAMA Internal Medicine 2014; 174: 598-605.
  • 21. Fagundes CP, Wu EL. Heart issues: grief, morbidity and mortality. Curr Dir Psychol Sci. 2020; 29: 235-241.
  • 22. Essien SK, Feng CX, Sun W, et al. Sleep duration and sleep disturbance associated with falls among middle-aged and older adults in China: a population-based nationwide study. BMC Geriatr 2018; 18: 196.
  • 23. Altintas HK, Aslan GK, Sısman NY, et al. Effects of pain and sleep quality on falls in nursing home residents in Turkey. Res Gerontol Nurs. 2018; 11: 257-264.
  • 24. Min Y, Slattum PW. Poor sleep and fall risk in community-dwelling older adults: a systematic review. J Appl Gerontol. 2018; 37: 1059- 1084.
  • 25. Soykök G, Yilmaz R, Şentürk AI, et al. Associatıon of Sleep Quality and Daytime Sleepiness With Cognition in the Elderly. Turkish Journal of Geriatrics. 2015; 18: 123-129.
There are 25 citations in total.

Details

Primary Language English
Subjects Geriatrics and Gerontology
Journal Section Original Research
Authors

Hayrettin Göçmen 0000-0001-8265-6860

Gülçin Bölük 0000-0003-3587-6910

Gizem Arslan 0009-0007-2166-7065

Publication Date August 30, 2025
Submission Date October 15, 2024
Acceptance Date January 22, 2025
Published in Issue Year 2025 Volume: 8 Issue: 2

Cite

APA Göçmen, H., Bölük, G., & Arslan, G. (2025). The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population. Geriatrik Bilimler Dergisi, 8(2), 150-158.
AMA Göçmen H, Bölük G, Arslan G. The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population. JoGS. August 2025;8(2):150-158.
Chicago Göçmen, Hayrettin, Gülçin Bölük, and Gizem Arslan. “The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population”. Geriatrik Bilimler Dergisi 8, no. 2 (August 2025): 150-58.
EndNote Göçmen H, Bölük G, Arslan G (August 1, 2025) The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population. Geriatrik Bilimler Dergisi 8 2 150–158.
IEEE H. Göçmen, G. Bölük, and G. Arslan, “The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population”, JoGS, vol. 8, no. 2, pp. 150–158, 2025.
ISNAD Göçmen, Hayrettin et al. “The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population”. Geriatrik Bilimler Dergisi 8/2 (August2025), 150-158.
JAMA Göçmen H, Bölük G, Arslan G. The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population. JoGS. 2025;8:150–158.
MLA Göçmen, Hayrettin et al. “The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population”. Geriatrik Bilimler Dergisi, vol. 8, no. 2, 2025, pp. 150-8.
Vancouver Göçmen H, Bölük G, Arslan G. The Effect Of Spouse And Child Losses To Sleep Patterns And Quality İn The Geriatric Population. JoGS. 2025;8(2):150-8.

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