Menopozal Dönemde Nonfarmakolojik Yöntemlerin Uyku Kalitesine Etkisi: Randomize Kontrollü Çalışmaların Sistematik Derlemesi

Abstract

Amaç: Menopozda uyku kalitesini arttırmak için yapılan randomize kontrollü çalışmaların gözden geçirilmesi ve bu çalışmalardan elde edilen bulguların sistematik biçimde incelenmesi amaçlanmıştır.

Materyal-Metot: Sistematik derleme niteliğinde olan bu çalışmada, sistematik derleme ya da meta analiz araştırma raporunun yazımında kılavuz olan PRISMA protokolünden yararlanılmıştır. Çalışmada Scopus, PubMed, Web of Science, Cochrane ve Türk Medline veri tabanlarından Aralık 2020-Mart 2021 tarihleri arasında tarama yapılmıştır. Taramada, Türkçe “menopoz, uyku kalitesi, randomized kontrollü çalışma” İngilizce “menopause, sleep quality, randomized controlled trial” anahtar kelimeleri kullanılmıştır. Bu sistematik derlemeye menopozal dönemde nonfarmakolojik yöntemlerin uyku kalitesine etkisini ele alan, tam metnine ulaşılan, Türkçe veya İngilizce olarak yayınlanmış, Ocak 2015-Aralık 2020 tarihleri arasında yayınlanan randomize kontrollü çalışmalar alınmıştır.
Bulgular: Çalışmada toplam 365 kayda ulaşılmış ve analiz sonucunda 13 randomize kontrollü çalışmaya alınmıştır. Menopozda uyku kalitesini arttırmak için yapılan nonfarmakolojik çalışmalardan; akupunktur, akupresür, telefon tabanlı bilişsel davranışçı terapi, pedometre ile yürüme, acı portakal veya lavanta çiçeği tozu, pilates temelli egzersizler, farkındalık meditasyon eğitimi, hünnap tohum kapsülü, ayak banyosu menopozda uyku kalitesini önemli ölçüde iyileştirirken, papatya özü ve rezenenin etkinliği belirsiz bulunmuştur.
Sonuç: Nonfarmakolojik girişimlerin menopozda uyku kalitesinin arttırmada etkili olduğu, ancak orta ve uzun vadeli etkileri açıklayan gelecekteki nonfarmakolojik çalışmalar için objektif uyku ölçüm tekniklerinin uygulanması gerektiği sonucuna varılmıştır.

Keywords

• Menopoz
• uyku kalitesi
• farmakolojik olmayan yöntemler
• randomize kontrollü çalışma
• sistematik derleme

The Effect of Nonpharmacological Methods on Sleep Quality in Menopausal Period: A Systematic Review of Randomized Controlled Studies Abstract

Abstract

Objective: It is aimed to review randomized controlled studies to improve sleep quality in menopause and to systematically examine the findings obtained from these studies.

Method: In this study, which is a systematic review, the PRISMA protocol, which is a guide in writing the systematic review or meta-analysis research report, was used. In the study, Scopus, PubMed, Web of Science, Cochrane and Türk Medline databases were searched between December 2020 and March 2021. The keywords "menopause, sleep quality, randomized controlled trial" in Turkish and "menopause, sleep quality, randomized controlled trial" in English were used in the search. Randomized controlled studies, published in Turkish or English, published between January 2015 and December 2020, which address the effect of non-pharmacological methods on sleep quality in the menopausal period, with full text available, were included in this systematic review

Results: A total of 365 records were reached in the study and 13 randomized controlled studies were included as a result of the analysis. From non-pharmacological studies to improve sleep quality in menopause; While acupuncture, acupressure, telephone-based cognitive behavioral therapy, pedometer walking, bitter orange or lavender flower powder, pilates-based exercises, mindfulness meditation training, jujube seed capsule, foot bath significantly improved sleep quality in menopause, the effectiveness of chamomile extract and fennel was found to be uncertain.

Conclusion: It was concluded that non-pharmacological interventions are effective in increasing sleep quality in menopause, but objective sleep measurement techniques should be applied for future non-pharmacological studies explaining the medium and long-term effects.

Keywords

• Menopause
• sleep quality
• non-pharmacological methods
• randomized controlled trials
• systematic review

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