BİRİNCİ BASAMAK SAĞLIK HİZMETLERİNDE UYKU BOZUKLUKLARI TARAMASI VE DEĞERLENDİRİLMESİ

Öz

Uyku; sağlığın korunması, iyi bir yaşam kalitesi ve gün boyunca iyi bir performans için önemli olan temel bir ihtiyaçtır. Uyku bozuklukları, başta uykusuzluk bozuklukları ve obstrüktif uyku apnesi olmak üzere, toplumda yaygın olarak görülürler. Kronik uyku bozukluklarının uzun dönem kümülatif etkileri; mental problemler, kardiyovasküler hastalıklar, diyabet, obezite ve depresyon gibi pek çok olumsuz sağlık sonucu ile ilişkilidir. Uyku problemleri; yol açtığı bu sonuçlar nedeniyle, koruyucu hekimlik açısından ciddiye alınmalıdır. Bununla birlikte; prevalansının yüksekliğine ve ciddi sağlık sonuçları olmasına rağmen, toplumda uyku bozukluğu olan bireylerin yalnızca %20’si doğru tanı ve tedavi alabilmektedir. Bu sebeple, uyku problemlerinin sonuçları; mortalite ve morbidite hızları, kazalar, yaralanmalar ve sağlık hizmetlerinin kullanımı gibi birçok halk sağlığı göstergesini etkiler. Epidemiyolojik çalışmalar, uyku sorunlarının tanınması ve danışmanlık hizmeti verilmesinin önündeki engeller arasında; zaman yetersizliği, uyku sorunlarının hastalar tarafından hekimlerine daha az bildirilmesi, uyku bozukluklarının ciddi olmadığına dair yanlış kanılar ve hekimlerdeki farkındalık ve bilgi eksiklikleri olduğunu göstermiştir. Bu derlemede; toplumda yaygın görülen uyku bozukluklarının değerlendirilmesi için, birinci basamak sağlık hizmetlerinde kullanılabilecek tarama araçları sunulmuştur. 

Anahtar Kelimeler

• Uyku bozuklukları,tarama,birinci basamak sağlık hizmetleri,uykusuzluk,uyku apnesi

SCREENING and ASSESSMENT for SLEEP DISORDERS in PRIMARY HEALTH CARE

Öz

Sleep is a basic human need and is important for health, good quality of life and performing well during the day. Sleep disorders, especially insomnia and obstructive sleep apnea, are common in the community. The cumulative long-term effects of these disorders are associated with a wide range of adverse health consequences including mental problems, cardiovascular diseases, diabetes, obesity and depression. Sleep problems should be taken seriously in terms of preventive medicine due to these consequences. However, despite their high frequency and significant outcomes, less than 20% of individuals with sleep disorders are correctly diagnosed and treated. Therefore, consequences of sleep conditions affect many important indicators of public health such as mortality and morbidity rates, accidents, injuries, and health care utilization. Epidemiologic studies suggest that barriers to screening and counselling for sleep disorders include; limited time, low reporting of sleep problems by patients, misconceptions about the seriousness of sleep disorders, lack of awareness among physicians, and insufficient physician knowledge. In this review; assessment tools that can be used in primary health care for screening for common sleep problems are presented.

Anahtar Kelimeler

• Sleep disorders,screening,primary health care,insomnia,sleep apnea

Kaynakça

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