Çocukluk Çağında Alerjik Hastalıklarda Uyku Bozukluklarının Değerlendirilmesi

Year 2024, Volume: 18 Issue: 6, 342 - 347, 18.11.2024

Azize Pınar Metbulut

https://doi.org/10.12956/tchd.1471192

Abstract

Amaç: Uyku, fiziksel ve ruhsal sağlıkta ve refahta birçok kritik rol oynayan insan yaşamının hayati bir bileşenidir. Literatürde alerjik hastalık tanısı alan çocuklarla, özellikle de okul öncesi çağdaki çocuklarla ilgili çok az çalışma sunulmuştur. Çalışmamızın amacı alerjik hastalığı olan çocuklarda uykku bozukluklarının değerlendirilmesiydi.

Gereç ve Yöntemler: Bu retrospektif çalışma, 1 Ocak-20 Mart tarihleri arasında Hastanemiz Çocuk İmmunoloji ve Alerji Polikliniği’nde alerjik rinit, astım ve/veya atopik dermatit tanısı konulan hastalar arasında gerçekleştirildi. Poliklinik ziyareti sırasında araştırmacı tarafından ebeveynlere ‘ Çocuklar için Uyku Bozuklukları Ölçeği (SDSC) uygulanmıştır.

Bulgular: Bu çalışmaya 145 hasta dahil edildi. Beş (%3.4) hastada klinik olarak anlamlı SDSC skoru saptandı. Alerjik hastalık semptomu olan ve olmayan hastaların uyku bozukluğu ölçeği toplam puan ortalamaları arasında istatistiksel olarak anlamlı farklılık olduğu saptandı. Alerjik hastalık belirtileri olan hastalar arasında SDSC (değişmeyecek) toplam puan ortalaması ile burun tıkanıklığı, öksürük ve aktivite kısıtlılığı olan hastalar arasında istatistiksel olarak anlamlı fark olduğu saptandı. Oral antihistaminik tedavi kullanan hastaların ortalama skorları daha yüksek olma eğilimindeydi.

Sonuç: Bu çalışmada 145 hastanın 5’inde (%3.4) klinik olarak anlamlı SDSC (değişmeyecek) skoru saptandı. Alerjik hastalık belirtileri olan hastaların çocuk uyku bozukluğu ölçeği ortalama puanın daha yüksek olduğu görüldü. Burun tıkanıklığı, öksürük ve hareket kısıtlılığı olan hastaların ortalama SDSC (değişmeyecek) puanı daha yüksek olma eğilimindeydi.

Keywords

astım, alerjik rinit, çocuk, uyku bozuklukları

Evaluation of Sleep Disorders in Allergic Diseases in Childhood

Abstract

Objective: Sleep is a vital component of human life that serves many critical roles in physical and mental health, and well-being. There were few studies on children, diagnosed with allergic diseases, especially preschool children. The aim of our study mas to evaluate sleep disorders in children with allergic diseases.

Material and Methods: This retrospective study was conducted in Dr. Burhan Nalbantoğlu Hospital Child Immunology and Allergy outpatient clinic between January 1 and March 20, 2024, patients included who were diagnosed with allergic rhinitis, asthma and/or atopic dermatitis.The ‘Sleep Disturbance Scale for children (SDSC) was applied to the parents by the researcher during the outpatient clinic visit.

Results: In this study, 145 patients were involved. Five (3.4%) patients had clinically significant SDSC score. There was a statistically significant difference in the Children’s Sleep Disturbance Scale mean score between having and not having symptoms of allergic diseases. Patients diagnosed wheezy child tended to have higher mean score of SHY. Among patients having symptoms of allergic diseases, there was statistically significant difference in the SDSC mean score between having nose congestion, cough, and activity limitation and not having these symptoms. Patients using oral antihistaminic treatment tended to have higher total mean scores of SDSC.

Conclusion: In this study, out of 145 patients, 5 (3.4%) patients had clinically significant SDSC score. Patients having symptom of allergic diseases tended to have higher total mean score of childrens’ sleep disturbance scale. Patients diagnosed wheezy child tended to have higher mean score of SHY. Patients having nose congestion, cough, and activity limitation tended to have higher total mean score of SDSC.

Keywords

allergic rhinitis, asthma, child, sleep disorders

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