COVID-19 Pandemisi Sürecinde Uyku Polikliniğine Başvuru Nedeni: Uykusuzluk

Abstract

Amaç: Uyku, koronavirüs hastalığı 2019 (coronavirus disease 2019, COVID-19) pandemisi döneminde sosyal izolasyon, çevrimiçi eğitim, vardiyalı çalışma gibi çeşitli nedenlerle etkilenebilir. Pandemiden önce eşlik eden psikiyatrik veya uyku bozukluğu olan kişilerin bu durumdan daha fazla etkilendiği düşünülmektedir. Bu çalışmanın amacı COVID-19 pandemisinin uyku kalitesi ve uykusuzluk üzerine etkisini araştırmaktır. Gereç ve Yöntemler: Çalışmamız geriye dönük bir çalışma olup COVID-19 pandemisi sürecinde uyku polikliniğine uykusuzluk yakınmasıyla başvuran hastalar çalışmaya dahil edilmiştir. Hastaların başvuru şikâyetleri, sosyo-demografik özellikleri ve tanıları tıbbi kayıtlardan elde edildi. Bulgular: Uluslararası Uyku Bozuklukları Sınıflandırmasının üçüncü baskısı (International Classification of Sleep Disorders third edition, ICSD-3)’na göre uykusuzluk tanısı almış 53 hasta çalışmaya dâhil edildi. Pandemiden önceki ortalama uyku süresi 6,8±1,2 saat iken, pandemiden sonra ortalama uyku süresi 5,9±1,7 saat idi. Pandemiden sonra 13 (%24,5) hastanın uyku süresi kısalmıştı. Pandemi sürecinde uyku süresi azalan ve değişmeyenler arasında klinik özellikler açısından fark yoktu. Yirmi (%37,7) hastanın uykusuzluk şikâyeti pandemi döneminde başlamıştı. Pandemi sırasında yakınmaları başlayan hastaların çoğu (n=12, %60,0) erkekti. Başlıca şikâyetleri uykuya dalmada güçlüktü (n=18, %90,0). Şikâyetleri arasında anksiyete belirtileri dikkat çekiciydi. Sonuç: Pandemi sırasındaki uyku problemleri herkes için önemli bir sorundur. Ancak bazı bireylerin uyku problemi geliştirme riski diğerlerinden daha yüksektir. Bu nedenle, çalışmamızın sonuçları pandemi dönemlerinde uyku kalitesini artırmaya yönelik bazı müdahalelerin uygulanmasına destek sağlayabilir.

Keywords

• COVID-19
• uykusuzluk
• pandemi

A Reason for Admission to the Sleep Outpatient Clinic during COVID-19 Pandemic: Insomnia

Abstract

Aim: Sleep can be affected for various reasons such as social isolation, online education, shift work, etc. during the coronavirus disease 2019 (COVID-19) pandemic. People who have comorbid psychiatric or sleep disorders before the pandemic are thought to be more affected. The aim of this study was to investigate the effect of the COVID-19 pandemic on sleep quality and insomnia. Material and Methods: Our study was a retrospective study, and patients who admitted to the sleep outpatient clinic with insomnia complaints during the COVID-19 pandemic were included. The complaints, sociodemographic characteristics, and diagnosis of the patients were obtained from medical records. Results: Fifty-three patients diagnosed with insomnia according to the International Classification of Sleep Disorders third edition (ICSD-3) were included in the study. The mean sleep time before the pandemic was 6.8±1.2 hours, while it was 5.9±1.7 hours after the pandemic. After the pandemic, 13 (24.5%) patients had shortened sleep duration. There was no difference in clinical features between those whose sleep duration decreased and did not change during the pandemic. Twenty (37.7%) patients' complaints of insomnia started during the pandemic. Most of the patients whose complaints started during the pandemic were male (n=12, 60.0%). Their main complaint was difficulty in falling asleep (n=18, 90.0%). The anxiety symptoms were remarkable. Conclusion: Sleep disorders during the pandemic are an important problem for everyone. However, some individuals have a higher risk of sleep problems. Therefore, the results of our study may contribute to the interventions aimed at improving sleep quality during pandemic.

Keywords

• COVID-19;
• insomnia
• pandemic

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