Sleep changes and management in the postmenoposal period

Yıl 2021, Cilt: 8 Sayı: 4, 350 - 359, 01.12.2021

Özlem Şahan , Ümran Oskay

Öz

Introduction and Purpose: Sleep problems are one of the most common symptoms experienced by women in postmenopausal period. Purpose of this study is to determine the frequency of sleep problems encountered in the postmenopausal period and to discuss the relationship between non-pharmacological sleep management strategies used in the treatment of sleep disorders in the postmenopausal period and the responsibilities of the nurse. Materials and Method: The study, which is a systematic review, was carried out using the keywords ‘Postmenopausal Period’, ‘Sleep’ and ‘Sleep Management’ using Ulakbim, Turkish Medline, Google Academic and National Thesis Center search engines. In addition, studies were accessed by searching the keywords ‘postmenopausal period’, ‘sleep’ and ‘sleep management’ through Web of Science, Pubmed, EBSCO, Cochrane databases. A total of 508 articles were accessed as a result of these searches, and 20 articles in relation to the research comprised the sample of the research. Studies without test-control groups, not in Turkish or English, and studies what could not be accessed as full text were excluded. Results: Sleep hygiene training is generally more effective in increasing sleep quality together with a few non-pharmacological methods. Light therapy is a fast, effective, well-tolerated and generally accepted non-pharmacological treatment form, but further studies are still required in postmenopausal sleep therapy for clinical conditions. Cognitive-behavioral interventions are effective and recommended in the treatment of chronic primary and secondary insomnia. Due to the small number of studies conducted regarding sleep therapy, small sample sizes, and short duration of administration, accurate results could not be reached. Studies on relaxation exercises have shown that sleep quality of individuals with sleep disorders increase. Conclusion: In this review, it has been determined that non-pharmacological methods are practices that increase sleep quality against sleep problems in the postmenopausal period. However, it has been concluded that further experimental studies are required on this matter.

Anahtar Kelimeler

Postmenopausal period, sleep, sleep management

Postmenopozal dönemde uyku değişiklikleri ve yönetimi

Öz

Kadınlarda menopoz ile birlikte hormonal değişimlere bağlı olarak uykunun yapısında değişiklikler meydana gelir. Bu değişimle birlikte uyku problemleri en çok postmenopozal kadınlarda gözlenmiş olup, bunu sırasıyla perimenopozal ve premenopozal kadınlar izlemiştir. NANDA (Kuzey Amerika Hemşirelik Tanıları Birliği) International’ın bildirdiği hemşirelik tanıları arasında bulunan “uyku örüntüsünde bozukluk” ve bireyin uzun süre düzenli ve yeterli uyku uyuyamaması olarak tanımlanan “uykusuzluk” önemli bir hemşirelik tanısıdır. Postmenopozal dönemdeki kadınların uyku kalitesinin artırılmasına yönelik faktörleri belirleyerek bu analizleri kadının sağlığının gelişimi için kullanmak hemşirelerin görevlerinden biridir. Uyku sorunu ile ilgili faktörlere ya da nedenlere yönelik hemşirelik girişimleri, normal uyku düzenini korumayı ve bozulan düzeni yeniden onarmayı hedeflemektedir. Bu derlemede ki amaç menopozal dönemde karşılaşılan uyku sorunlarının sıklığını belirtmek ve postmenopozal dönemde uyku bozuklukları tedavisinde kullanılan nonfarmakolojik uyku yönetimi stratejileri ile hemşirenin sorumlulukları arasındaki ilişkiyi ele almaktır.

Anahtar Kelimeler

post menopozal dönem, uyku, uyku yönetimi

Kaynakça

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