İRAN’IN YAZD SHOHADAYE KARGAR HASTANESİNDE ÇALIŞAN HEMŞİRELERDE UYKU KALİTESİ İLE YAŞAM KALİTESİ ARASINDAKİ İLİŞKİ

Öz

Uyku kalitesi hemşirelerin fiziksel ve zihinsel sağlığını etkileyebilir. Bu çalışmanın amacı hastanedeki hemşirelerde uyku sorunları ile yaşam kalitesi arasındaki ilişkiyi incelemektir. İran'ın Yazd kentindeki Shohadaye Kargar Hastanesindeki hemşireler arasında kesitsel bir çalışma yapılmıştır. Toplam 150 hemşire rastgele seçildi. Veriler, standart Pittsburgh uyku kalitesi anketi ve standart bir yaşam kalitesi anketi kullanılarak farklı boyutlarda toplandı. Veri analizi SPSS programı ile yapıldı ve tanımlayıcı istatistiksel analizler test edildi. Bulgular, hemşirelerin %82,1'inin düşük kaliteli uykuya sahip olduğunu ve %17,9'unun yüksek kaliteli uykuya sahip olduğunu gösterdi. Hemşirelerde uyku kalitesi ile yaşam kalitesi arasında anlamlı bir ilişki vardı (p<0,05). Hemşirelerin çoğunluğu (%74,7) değişken mesai saatlerinde, %21,3'ü sadece sabah ve %4,0'ı akşam ve gece saatlerinde çalıştı. Yarısından fazlası (%58,4) uykuya dalmanın yaklaşık 40 dakika sürdüğünü, %53,2'si ise uyumak için ilaca ihtiyaç duyduğunu bildirdi. Ayrıca hemşirelerin %53,2'si uyanmaları gerekenden bir saat önce uyandıklarını, hemşirelerin büyük çoğunluğu uyku kalitesinin düşük olduğunu ve bu sorunun yaşam kalitesini ve genel sağlık algısını azalttığını, ruhsal durumu ve fiziksel ağrıyı azalttığını ifade etti.

Anahtar Kelimeler

• Uyku kalitesi
• yaşam kalitesi
• hemşireler
• hastane

RELATIONSHIP BETWEEN QUALITY OF SLEEP AND QUALITY OF LIFE OF NURSES THAT WORKING IN SHOHADAYE KARGAR HOSPITAL OF YAZD, IRAN

Öz

The quality of sleep can effect on nurse’s physical and mental health. The aim of this study is to investigate the association between sleeping problems and quality of life among nurses in hospital. A cross-sectional study was conducted among nurses in Shohadaye Kargar Hospital of Yazd, Iran. Total of 150 nurses were selected randomly. Data was collected using a standard questionnaire for sleep quality Pittsburgh and the standard questionnaire for quality of life, in different dimensions. Data analysis was performed with SPSS software and descriptive statistical analysis was tested. The findings showed that 82.1% of the nurses had low-quality sleep and 17.9% had high-quality sleep. There was a significant association between quality of sleep and quality of life among the nurses (p<0.05). Majority of nurses (74.7) worked in shifting plan, 21.3% of nurses work in the morning every time and 4.0% nurses were fixed in evening and night working plan. More than half of them (58.4%) reported it takes about 40 minutes to sleep while 53.2% of them need drugs to sleep. Also, 53.2% of nurses expressed that they waked up one hour earlier than they supposed to wake up the majority of nurses had poor sleep quality, this problem led to reduces their quality of life and general health perception, mental status, and physical pain significantly. 

Anahtar Kelimeler

• Quality of sleep
• quality of life
• nurses
• hospital

Kaynakça

1. 1. Sadock BJ, Sadock, VA. Synapsis of psychiatry. 9th ed. Philadelphia: Lippincott Williams and Willkins, 2014. p. 122-331.
2. 2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition 2013. https://doi.org/10.1176/appi.books.9780890425596
3. 3. Asltoghiri M, Z G. The effects of Reflexology on sleep disorder in menopausal women Procedia - Social and Behavioral Sciences 2012; 31:242-6.
4. 4. Eser, I., Khorshid, L., & Çinar, S. Sleep quality of older adults in nursing homes in Turkey: enhancing the quality of sleep improves quality of life. Journal of Gerontological Nursing, 2007.33(10), 42-9.
5. 5. Beebe, D., Chang, J. J., Kress, K., & Mattfeldt‐Beman, M. Diet quality and sleep quality among day and night shift nurses. Journal of nursing management, 2017.25(7), 549-57.
6. 6. Monir Nobahar , Abas Ali Vafai. Assessment of Elderlies Sleep Disorders and Different Confronts Methods Among Them. Iranian Journal of Ageing 2007, 2(2): 263-8 .
7. 7. Kageyama T, Nishikido N, Kobayashi T, et al. Cross-sectional survey on risk factors for insomnia in Japanese female hospital nurses working rapidly rotating shift systems. J Hum Ergol. 2011; 30(2):149-54.
8. 8. Sateia MJ, Nowell PD. Insomnia. Lancet. 2004; 364(9449): 1959-73.

9. 9. Kim TW, Yoo GS, Hong SC, Seo HJ, Jeong JH, Han JH. The effect of morningness-eveningness and shift work duration on nurses: sleep quality, depressive symptoms and occupational stress. Sleep Medicine, 2017. 40:162-3.
10. 10. Perry L, Xu X, Duffield C, Gallagher R, Nicholls R, Sibbritt D. Health, workforce characteristics, quality of life and intention to leave: The ‘Fit for the Future’survey of Australian nurses and midwives. Journal of advanced nursing, 2017.
11. 11. Blanc ML, Bonneau SB, Merette C, Savard J, Ivers H, Mortin CM. Psychological and health related quality of life factors associated with insomnia in a population-based sample. Journal of Psychosomatic Research 2007; 63: 157-66.
12. 12. Wang, L., Palmer, A. J., Cocker, F., & Sanderson, K. Multi-morbidity and health-related quality of life (HRQoL) in a nationally representative population sample: implications of count versus cluster method for defining multi-morbidity on HRQoL. Health and Quality of Life Outcomes, 2017. 15(1):7.
13. 13. Fallal Chai, S R., And Khaloui, S. Comparison of quality of life and psychological well-being in couples of both working people and one. Cognitive Analytical Psychological Quarterly, 2016;7(27):19-27.
14. 14. Frisch, MB. Quality-of-life-inventory. In Encyclopedia of quality of life and well-being research 2014:5374-7.
15. 15. Morgan I, Eguia F, Gelaye B, Peterlin BL, Tadesse MG, Lemma S, Williams MA. Sleep disturbances and quality of life in Sub-Saharan African migraineurs. The journal of headache and pain, 2015;16(1):18.
16. 16. Oliveira LK, Almeida GDA, Lelis ER, Tavares M, Fernandes Neto AJ. Temporomandibular disorder and anxiety, quality of sleep, and quality of life in nursing professionals. Brazilian oral research, 2015;29(1):1-7.
17. 17. Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM., Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep medicine reviews, 2016;25:52-73.
18. 18. Vercambre MN, Okereke OI, Kawachi I, Grodstein, F, Kang JH. Self-reported change in quality of life with retirement and later cognitive decline: prospective data from the Nurses’ Health Study. Journal of Alzheimer's Disease, 2016;52(3):887-98.
19. 19. Lin, S. H., Liao, W. C., Chen, M. Y., & Fan, J. Y. The impact of shift work on nurses' job stress, sleep quality and self‐perceived health status. Journal of nursing management, 2014.22(5), 604-12.
20. 20. Daurat A, Foret J. Sleep strategies of 12-hour shift nurses with emphasis on night sleep episodes. Scand J Work Environ Health. 2014; 30 (4): 299-305.
21. 21. Shao MF, Chou, YC, Yeh MY, Tzeng WC. Sleep quality and quality of life in female shift‐working nurses. Journal of advanced nursing. 2010;66(7):1565-72.
22. 22. Edell-Gustafsson UM, Kritz EI, Bogren IK. Self-reported sleep quality, strain and health in relation to perceived working conditions in females. Scand J Caring Sci. 2002; 16(2):179-87.
23. 23. Thase ME. Correlates and consequences of chronic insomnia. Gen Hosp Psychiatry. 2015;27(2):100-12.
24. 24. Iranmanesh F. Management and Organization in the Nursing System, First Edition, Visible, Golban Publication. 2011;44-7.
25. 25. Yeandle, Sue, and Viktoria Joynes. Challenges in combining work and care: Evidence from investigating nurses work. Local Economy, 2012;27:816.
26. 26. Valiei S, Nasrabadi A, and Fathi M. Advanced Nursing Monitoring, First Edition, Afaram, Health Publishing,2010, 57-76.
27. 27. Buysse DJ, Reynolds CF, Monk TH, Berman SR, DJ K. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res 1989; 28:193-213.
28. 28. Agargun MY, Kara H, ÖA. Validity and reliability of the Pittsburgh Sleep Quality Index in Turkish sample. Tur Psychiat. 1996; 7:107-15.
29. 29. Hossein abadi R, Noorozi K, Pouresmail Z, M K, Bagher Madah S M, MA C. The effect of acupressure on quality of sleep in Iranian elderly nursing home residents. Complement Ther Clin Pract. 2010; 16:81-5.
30. 30. Jafari Roodbandi A, Choobineh A, Daneshvar S. (2015). Relationship between circadian rhythm amplitude and stability with sleep quality and sleepiness among shift nurses and health care workers. International Journal of Occupational Safety and Ergonomics, 2015;21(3):312-7. https://doi.org/10.1080/10803548.2015.1081770
31. 31. DeMoss C, McGrail MJ, Haus E, et al. Health and performance factors in health care shift workers. J Occup Environ Med. 2004;46(12):1278-81.
32. 32. Newey CA, Hood BM. Determinants of shift-work adjustment for nursing staff: the critical experience of partners. J Prof Nurs. 2004;20(3):187-95.
33. 33. Kalagari Sh. Sleep disturbances in nurses working in hospitals affiliated to Shahid Beheshti University of Medical Sciences and Health Services. Master thesis of nursing, Tehran: Shahid Beheshti University of Medical Sciences, 1997.
34. 34. Campos ML, De Martino MM. Chronobiologic aspects of sleep-wake cycle and anxiety levels of nurses working on different shifts. Rev Esc Enferm USP. 2014; 38 (4): 415-21.