Klinik Araştırma
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Covid-19 Pandemi Sürecinin Çocuk ve Ergenlerin Uyku Alışkanlıklarına Etkisinin Araştırılması

Yıl 2025, Cilt: 35 Sayı: 1, 1 - 6, 28.02.2025
https://doi.org/10.54005/geneltip.1423970

Öz

ÖZ
Amaç: Bu çalışmanın amacı Covid-19 pandemi sürecinin çocuklardaki uyku alışkanlıkları ve sorunlarına etkisini araştırmaktır.
Gereç ve Yöntemler: Araştırma XXX Çocuk Sağlığı ve Hastalıkları Kliniğine 15 mayıs ve 15 haziran 2020 tarihleri arasında, ayaktan sağlık hizmeti almak için başvuran, 0-18 yaş aralığında çocukların anneleri ve 0-18 yaş aralığında kardeşi olan hastaların anneleri dahil edildi. Araştırmaya katılmaya gönüllü olan annelere yapılandırılmış anket uygulandı.
Bulgular: Çalışmaya 237 kız (%51.9) 220 erkek (%48.1) toplam 457 çocuk katıldı. Katılımcıların yaş ortalaması 10.03±4.4 yıl (Min:1 - Max:18) idi. Pandemi öncesi uyku süresi ortalama 9,5 saat, pandemi süresince uyku süresi ortalama 10 saat saptandı. Pandemi öncesinde yatma saati ile Pandemi sürecinde yatma saati arasında 1 saat 42 dk gecikme bulundu (<0.001). Pandemi öncesinde sabah uyanma saati ile Pandemi sürecinde sabah uyanma saati arasında 2 saat 20 dk gecikme saptandı(<0.001). Pandemi öncesi döneme göre Pandemi sürecinde uyku odasında teknolojik alet varlığı belirgin artmış, yatağa yatmakta direnç gösterme, yalnız yatmakta zorlanma, uykuya dalmakta zorlanma ve uykuda diş gıcırdatma sorunları belirgin artmış, uyku öncesi hazırlık varlığı belirgin azalmış saptandı (<0.001).
Sonuç: Bu çalışma, COVID 19 pandemisi sırasında çocuk ve ergenlerin uyku alışkanlıklarının pandemi öncesine kıyasla belirgin değiştiğini ve bazı uyku sorunlarının arttığını gösterdi.

Kaynakça

  • 1. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterization and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395(10224):565–74.
  • 2. Fauci AS, Lane HC, Redfield RR. Covid-19—navigating the uncharted. N Engl J Med. 2020;382(13): 1268-1269. 3. Shen K, Yang Y, Wang T, Zhao D, Jiang Y, Jin R, et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts’ consensus statement. World J Pediatr. 2020;1–9.
  • 4. Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, et al. Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. J Pediatr. 2020; 221:264-266.
  • 5. Farney RJ, Walker LE, Jensen RL, Walker JM. Ear oximetry to detect apnea and differentiate rapid eye movement (REM) and non-REM (NREM) sleep: screening for sleep apnea syndrome. Chest. 1986;89(4):533–9.
  • 6. Blunden S, Lushington K, Lorenzen B, Ooi T, Fung F, Kennedy D. Are sleep problems under-recognized in general practice? Arch Dis Child. 2004;89(8):708–12.
  • 7. Gozal D, Kheirandish-Gozal L. Neurocognitive and behavioral morbidity in children with sleep disorders. Curr Opin Pulm Med. 2007;13(6):505–9.
  • 8. Sharma M, Aggarwal S, Madaan P, Saini L, Bhutani M. Impact of COVID-19 pandemic on sleep in children and adolescents: a systematic review and meta-analysis. Sleep Med. 2021;84:259–67.
  • 9. World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV) [Internet]. Available from: https://www.who.int/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)
  • 10. Öğütlü H. Turkey’s response to COVID-19 in terms of mental health. Ir J Psychol Med. 2020;37(3):222–5.
  • 11. Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, et al. Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy. J Sleep Res. 2020;29(4):e13052.
  • 12. Owens JA. Behavioral sleep problems in children [Internet]. UpToDate. 2020. Available from: https://www.uptodate.com/contents/behavioral-sleep-problems-in-children?search=sleep children&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=3
  • 13. Cellini N, Di Giorgio E, Mioni G, Di Riso D. Sleep and psychological difficulties in Italian school-age children during COVID-19 lockdown. J Pediatr Psychol. 2021;46(2):153–67.
  • 14. Çağlar S. COVID-19 pandemisinin okul çağı çocuklarının uyku alışkanlıkları üzerindeki etkileri: Literatür incelemesi. Zeugma Sağlık Araştırmaları Dergisi. 2021;3(2-3):88-93.
  • 15. Crowley SJ, Acebo C, Carskadon MA. Sleep, circadian rhythms, and delayed phase in adolescence. Sleep Med. 2007;8(6):602–12.
  • 16. Weingart R, Bryan C, Olson D, Gazmararian J, Rosati B, Hale L, et al. Adolescent sleep duration and timing during early COVID-19 school closures. Sleep Heal. 2021;7(5):543–7.
  • 17. Gruber R, Saha S, Somerville G, Boursier J, Wise MS. The impact of COVID-19 related school shutdown on sleep in adolescents: a natural experiment. Sleep Med. 2020;76:33–5.
  • 18. Combs D, Goodwin JL, Quan SF, Morgan WJ, Shetty S, Parthasarathy S. Insomnia, health-related quality of life and health outcomes in children: a seven-year longitudinal cohort. Sci Rep. 2016;6(1):1–10.
  • 19. Çimen İD, Çetin E, Fındık H, Çakın Memik N. Sleep Disorders and Associated Factors in Children Who Admitted to the Child and Adolescent Psychiatry Outpatient Clinics During the Pandemic. J Turkish Sleep Med [Internet]. 2023 Feb 14;10(1):26–35. Available from: http://cms.galenos.com.tr/Uploads/Article_58586/JTSM-10-26-En.pdf
  • 20. Newton AT, Honaker SM, Reid GJ. Risk and protective factors and processes for behavioral sleep problems among preschool and early school-aged children: A systematic review. Sleep Med Rev. 2020;52:101303.
  • 21. Foley LS, Maddison R, Jiang Y, Marsh S, Olds T, Ridley K. Presleep activities and time of sleep onset in children. Pediatrics. 2013;131(2):276–82.
  • 22. Perrault AA, Bayer L, Peuvrier M, Afyouni A, Ghisletta P, Brockmann C, et al. Reducing the use of screen electronic devices in the evening is associated with improved sleep and daytime vigilance in adolescents. Sleep. 2019;42(9):zsz125.
  • 23. Oflu A, Bükülmez A, Elmas E, Tahta EG, Çeleğen M. Comparison of screen time and digital gaming habits of Turkish children before and during the coronavirus disease 2019 pandemic. Turkish Arch Pediatr. 2021;56(1):22.
  • 24. Lepore SJ, Kliewer W. Violence exposure, sleep disturbance, and poor academic performance in middle school. J Abnorm Child Psychol. 2013;41:1179–89.

Investigation of the Effect of Covid-19 Pandemic Process on Sleep Habits of Children and Adolescents

Yıl 2025, Cilt: 35 Sayı: 1, 1 - 6, 28.02.2025
https://doi.org/10.54005/geneltip.1423970

Öz

ABSTRACT
Backgraund/Aims: The aim of this study is to investigate the effect of the Covid-19 pandemic process on sleep habits and problems in children.
Methods: The mothers of patients aged 0-18 years, who applied to XXX Pediatrics Clinic between May 15 and June 15, 2020, for outpatient health care were included in the study. A structured questionnaire was administered to mothers who volunteered to participate in the study.
Results: A total of 457 children, 237 girls (51.9%) and 220 boys (48.1%) participated in the study. The mean age of the participants was 10.03±4.4 years (Min:1 - Max:18). The average sleep time before the pandemic was 9.5 hours, and the average sleep time was 10 hours during the pandemic. A delay of 1 hour and 42 minutes was found between bedtime before the pandemic and bedtime during the pandemic (<0.001). A delay of 2 hours and 20 minutes was detected between the morning wake-up time before the pandemic and the morning wake-up time during the pandemic process (<0.001). Compared to the pre-pandemic period, the presence of technological devices in the sleeping room increased significantly during the pandemic process, the problems of resisting lying down, having difficulty in lying down alone, falling asleep and teeth grinding problems were significantly increased, and the presence of pre-sleep preparation was significantly reduced (<0.001).
Conclusions: This study showed that during the COVID 19 pandemic, the sleep habits of children and adolescents changed significantly compared to the pre-pandemic period, and some sleep problems increased. Recognizing and reducing sleep problems in terms of child health is an important responsibility of healthcare professionals, and parents should be made aware of this issue.

Kaynakça

  • 1. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterization and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395(10224):565–74.
  • 2. Fauci AS, Lane HC, Redfield RR. Covid-19—navigating the uncharted. N Engl J Med. 2020;382(13): 1268-1269. 3. Shen K, Yang Y, Wang T, Zhao D, Jiang Y, Jin R, et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts’ consensus statement. World J Pediatr. 2020;1–9.
  • 4. Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, et al. Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. J Pediatr. 2020; 221:264-266.
  • 5. Farney RJ, Walker LE, Jensen RL, Walker JM. Ear oximetry to detect apnea and differentiate rapid eye movement (REM) and non-REM (NREM) sleep: screening for sleep apnea syndrome. Chest. 1986;89(4):533–9.
  • 6. Blunden S, Lushington K, Lorenzen B, Ooi T, Fung F, Kennedy D. Are sleep problems under-recognized in general practice? Arch Dis Child. 2004;89(8):708–12.
  • 7. Gozal D, Kheirandish-Gozal L. Neurocognitive and behavioral morbidity in children with sleep disorders. Curr Opin Pulm Med. 2007;13(6):505–9.
  • 8. Sharma M, Aggarwal S, Madaan P, Saini L, Bhutani M. Impact of COVID-19 pandemic on sleep in children and adolescents: a systematic review and meta-analysis. Sleep Med. 2021;84:259–67.
  • 9. World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV) [Internet]. Available from: https://www.who.int/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)
  • 10. Öğütlü H. Turkey’s response to COVID-19 in terms of mental health. Ir J Psychol Med. 2020;37(3):222–5.
  • 11. Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, et al. Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy. J Sleep Res. 2020;29(4):e13052.
  • 12. Owens JA. Behavioral sleep problems in children [Internet]. UpToDate. 2020. Available from: https://www.uptodate.com/contents/behavioral-sleep-problems-in-children?search=sleep children&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=3
  • 13. Cellini N, Di Giorgio E, Mioni G, Di Riso D. Sleep and psychological difficulties in Italian school-age children during COVID-19 lockdown. J Pediatr Psychol. 2021;46(2):153–67.
  • 14. Çağlar S. COVID-19 pandemisinin okul çağı çocuklarının uyku alışkanlıkları üzerindeki etkileri: Literatür incelemesi. Zeugma Sağlık Araştırmaları Dergisi. 2021;3(2-3):88-93.
  • 15. Crowley SJ, Acebo C, Carskadon MA. Sleep, circadian rhythms, and delayed phase in adolescence. Sleep Med. 2007;8(6):602–12.
  • 16. Weingart R, Bryan C, Olson D, Gazmararian J, Rosati B, Hale L, et al. Adolescent sleep duration and timing during early COVID-19 school closures. Sleep Heal. 2021;7(5):543–7.
  • 17. Gruber R, Saha S, Somerville G, Boursier J, Wise MS. The impact of COVID-19 related school shutdown on sleep in adolescents: a natural experiment. Sleep Med. 2020;76:33–5.
  • 18. Combs D, Goodwin JL, Quan SF, Morgan WJ, Shetty S, Parthasarathy S. Insomnia, health-related quality of life and health outcomes in children: a seven-year longitudinal cohort. Sci Rep. 2016;6(1):1–10.
  • 19. Çimen İD, Çetin E, Fındık H, Çakın Memik N. Sleep Disorders and Associated Factors in Children Who Admitted to the Child and Adolescent Psychiatry Outpatient Clinics During the Pandemic. J Turkish Sleep Med [Internet]. 2023 Feb 14;10(1):26–35. Available from: http://cms.galenos.com.tr/Uploads/Article_58586/JTSM-10-26-En.pdf
  • 20. Newton AT, Honaker SM, Reid GJ. Risk and protective factors and processes for behavioral sleep problems among preschool and early school-aged children: A systematic review. Sleep Med Rev. 2020;52:101303.
  • 21. Foley LS, Maddison R, Jiang Y, Marsh S, Olds T, Ridley K. Presleep activities and time of sleep onset in children. Pediatrics. 2013;131(2):276–82.
  • 22. Perrault AA, Bayer L, Peuvrier M, Afyouni A, Ghisletta P, Brockmann C, et al. Reducing the use of screen electronic devices in the evening is associated with improved sleep and daytime vigilance in adolescents. Sleep. 2019;42(9):zsz125.
  • 23. Oflu A, Bükülmez A, Elmas E, Tahta EG, Çeleğen M. Comparison of screen time and digital gaming habits of Turkish children before and during the coronavirus disease 2019 pandemic. Turkish Arch Pediatr. 2021;56(1):22.
  • 24. Lepore SJ, Kliewer W. Violence exposure, sleep disturbance, and poor academic performance in middle school. J Abnorm Child Psychol. 2013;41:1179–89.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Original Article
Yazarlar

Ebru Buldu 0000-0002-1198-1380

Ayşe Tolunay Oflu 0000-0002-5389-2220

Evrim Gürhan Tahta 0000-0002-4208-7701

Ayşegül Bükülmez 0000-0002-6013-5172

Yayımlanma Tarihi 28 Şubat 2025
Gönderilme Tarihi 27 Ocak 2024
Kabul Tarihi 20 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 35 Sayı: 1

Kaynak Göster

Vancouver Buldu E, Oflu AT, Gürhan Tahta E, Bükülmez A. Investigation of the Effect of Covid-19 Pandemic Process on Sleep Habits of Children and Adolescents. Genel Tıp Derg. 2025;35(1):1-6.