A Review of Light-Related Interventions in the Management of Insomnia in the Postoperative Period

Yıl 2023, Cilt: 6 Sayı: 2, 78 - 88, 30.08.2023

Fatma Gündogdu , Nastaran Deljavan

https://doi.org/10.51536/tusbad.1336110

Öz

Patients may experience insomnia in the postoperative period due to anxiety, surgical inflammatory response, general anesthesia, pain, and environmental factors such as noise and light in the clinical environment. If insomnia is not managed well, the postoperative recovery process of patients may be negatively affected. Therefore, the management of insomnia in the postoperative period is important.In the management of insomnia, pharmacological methods are limited and it is recommended to use non-pharmacological approaches such as relaxation techniques, music, aromatherapy, use of earplugs, eye masks, noise reduction, psychological support, and educational strategies. However, it is essential to maintain circadian rhythm for a healthy sleep in the postoperative period and light is one of the most important factors in maintaining circadian rhythm. The aim of this paper is to review the studies on the use of eye masks in the management of insomnia in the postoperative period, the application of bright light in the morning, and the lighting of the patient room in accordance with the circadian rhythm. As a result of the review, it was concluded that the use of eye masks, bright light application, and interventions for patient room lighting according to circadian rhythm may be beneficial in the management of insomnia in the postoperative period. Still, comprehensive studies should be conducted in this field.

Anahtar Kelimeler

Insomnia, Light, Postoperative Period

Ameliyat Sonrası Dönemde Uykusuzluğun Yönetiminde Işık ile İlgili Yapılan Girişimlerin Gözden Geçirilmesi

Öz

Hastalarda, ameliyat sonrası dönemde, anksiyete, cerrahi infalamatuvar yanıt, genel anestezi, ağrı, klinik ortamdaki gürültü ve ışık gibi çevresel nedenlere bağlı olarak uykusuzluk görülebilmektedir. Uykusuzluk iyi yönetilemezse hastaların ameliyat sonrası iyileşme süreci olumsuz etkilenebilmektedir. Bu nedenle ameliyat sonrası dönemde uykusuzluğun yönetimi önemlidir. Uykusuzluğun yönetiminde ise farmakolojik yöntemler sınırlı olup gevşeme teknikleri, müzik, aromaterapi, kulak tıkacı, göz maskesi kullanımı, gürültünün azaltılması, psikolojik destek ve eğitim stratejileri gibi nonfarmakolojik yöntemlerden yararlanılması önerilmektedir.Bununla birlikte ameliyat sonrası dönemde sağlıklı bir uyku için sirkadiyen ritmin korunması önemlidir ve ışık faktörü, sirkadiyen ritmin korunmasında en önemli faktörlerden birisidir. Bu derlemenin amacı ameliyat sonrası dönemde uykusuzluğun yönetiminde göz maskesi kullanımı, sabah parlak ışık uygulaması ve hasta odasının sirkadiyen ritme uygun aydınlatılmasına yönelik ışık ile ilgili yapılan araştırmaların gözden geçirilmesi amaçlanmıştır. Yapılan gözden geçirme sonucunda, göz maskesi kullanımı, parlak ışık uygulaması, sirkadiyen ritme göre hasta odası aydınlatmalarına yönelik girişimlerin postoperatif dönemde uykusuzluğun yönetiminde faydalı olabileceğine ilişkin araştırmaların bulunduğu ancak bu alana yönelik kapsamlı araştırmaların yapılması gerektiği sonucuna varılmıştır.

Anahtar Kelimeler

Ameliyat Sonrası Dönem, Işık, Uykusuzluk

Kaynakça

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