Uyku bozukluğu farkındalığı, uyku bozukluğu semptomlarının sıklığı ve semptomlar ile ilişkili faktörler: yaşlı popülasyon örneği

Year 2020, Volume: 13 Issue: 1, 41 - 51, 21.01.2020

Zeynep Güneş , Safiye Özvurmaz

https://doi.org/10.31362/patd.527510

Cited By: 1

Abstract

Amaç: Bu çalışmanın amaçları(1)yaşlıların
uyku
bozukluğuna ilişkin farkındalık durumlarını (2) uyku bozukluklarına ilişkin
semptom sıklığını (3) uyku bozukluğu semptomları ile ilişkili faktörleri belirlemektir.

Yöntem: Aile sağlığı merkezine başvuran 353 yaşlı ile yapılan
kesitsel çalışma uyku bozuklukları, mevcut hastalıkları, kullandıkları ilaçlar
ve depresyon durumlarına ilişkin bilgi toplamak için tasarlanmış anket formu
kullanılarak yapılmıştır. Depresyon
kısa form geriatrik depresyon ölçeği-4 ile gündüz uykululuk durumu Epworth
uykululuk ölçeği ile
değerlendirildi.

Bulgular:
Araştırmaya katılan yaşlıların yaş ortalaması 71,95±9,2’dır. Uyku bozukluğu
farkındalık düzeyleri %36,8’dir. Yaşlıların yarıdan fazlası erken uyanmakta ve
uykuyu dalmada güçlük yaşamakta ve %93,8’i uykuyu sürdürememektedir. Yaşlıların
yaklaşık 2/3’si tuvalete gitme nedeni ile uykuyu sürdürmede güçlük
yaşamaktadırlar.  Yaşlıların yaklaşık
1/5’inde gündüz uykululuk durumu, korkutucu rüyalar görme, uykuda bağırma, %42,6’sında
horlama gibi uyku bozukluğu semptomları bulunmaktadır. Diyabeti olan, solunum
sistemi hastalığı olan,  kardiyovasküler
hastalığı olanların hastalığı olmayan yaşlılara göre anlamlı olarak uykuya
dalmada güçlük yaşamaktadırlar. Depresyonun(uyku bölünmesi hariç) uyku
yakınmalarını etkileyen önemli bir faktör olduğu belirlenmiştir.

Sonuç:
Yaşlıların
uyku yakınmalarına ilişkin farkındalık düzeyleri düşüktür. Yaşlılarda insomnia
semptomları yaygın olarak görülmekte ve depresyon uyku yakınmalarını etkileyen
önemli bir faktör olmaktadır.

Keywords

İnsomni, horlama, gündüz aşırı uykululuğu, REM uyku davranış bozukluğu

Awareness of sleep disorders, frequency of sleep disorders syptoms, the factors associated with syptoms: elderly population sample.

Abstract

Aim: The aims of this study are to
determine the awareness of sleep disorders in elderly patients (1), the
frequency of the symptoms associated with sleep complaints (2), and to determine the factors
related to sleep disorders symptoms (3).

Method: A
cross sectional study of 353 elderly of admitting to family health center was done using designed questionnaire to gather about disorders of sleep, 
their existing illnesses, medications that they used and their
depression status. Depression was assessed by the short form Geriatric
Depression Scale-4 and daytime sleepiness was assessed by Epworth Sleepiness
Scale.

Results: The mean age of the elderly patients participating in the
study is 71.95±9.2. Awareness levels of sleep disorder are 36.8%. More than
half of the elderly patients wake up early and have difficulties in falling
asleep, and 93.8% cannot maintain sleeping. Approximately 2/3 of the elderly
patients have difficulty in maintaining the sleep by reason of going to the
toilet. About 1/5 of the elderly patients have daytime sleepiness, nightmares
and screaming in the sleep, and 42.6% have symptoms of sleep disorder such as snoring.
The elderly patients having diabetes, respiratory system diseases and
cardiovascular diseases have difficulties significantly in falling asleep
compared to the elderly patients with no diseases. Depression (except sleep
disruption) was found to be an important factor affecting sleep complaints. Conclusion:
The level of awareness of sleep disorders among the elderly patients is
low. Symptoms of insomnia are common in the elderly patients and depression is
an important factor affecting sleep complaints.

Keywords

Insomnia, snoring, excessive daytime sleepiness, REM sleep behavior disorder

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