Öz
This study carried out for determination the relationship between women's sleep problems and menopausal status.
This study was planned as a descriptive and survey research. This study was done by searching with key word “menopause and sleep disturbance” researches on Pub Med. The sample of study was composed of 135 abstracts of researches between 2007 and 2011. This research was carried out by examination of 25 research abstracts (relevant to the subject, research article, have abstract) from 135 researches.
Many studies showed postmenopausal women have sleep problems. Sleep problems seen in the form of insomnia, prolonged sleep latency, deep sleep decreases, difficulty sleeping, awakenings, shorter sleep time, decreased sleep efficiency, more wake time after sleep onset, increased daytime sleepiness, increased risk of obstructive sleep apnea syndrome. In addition, some researchers have reported sleep problems not related to menopause. This researches, shows total sleep deprivation, total sleep duration, difficulty falling asleep, snoring and sleep fragmentation is independent of menopause.
Postmenopausal women's hot flashes, cause insomnia, nighttime wakefulness and sleep disruptions. In one study, the period of transition to menopause is not associated insomnia with hot flashes. In some studies, have been proposed sleep disorders at women, is not associated with vasomotor symptoms, develop secondary to depression.
Sleep problems are more common in women with postmenopausal period. The postmenopausal period, sleep problems associated with vasomotor symptoms or depressive mood.
Anahtar Kelimeler
Kaynakça
- Çakırcalı E. Hasta Bakımı Ve Tedavisinde Temel İlke Ve Uygulamalar. 3. Baskı, E.Ü Basımevi, İzmir, 2000. 25-36. Potter AP, Perry AG. Basic Nursing Esential For Practice. 5th Ed. England: Mosby; 200 Pp: 689-706. Roper N, Logan WW, Tierney AJ. Applying The Roper, Logan, Tierney Model In Practice. Second Ed. Philadelphia, Churchill Livingstone, 2012. Pp:416-52. Timur S, Şahin NH, Menopoz Ve Uyku, Maltepe Üniversitesi Hemşirelik Bilim Ve Sanatı Dergisi, 2010; 3(3):61-7. Derman S. Menopoz Ve Uyku Bozuklukları. Editör: Atasü T. Menopoz, Tedavisi Ve Kanser. Nobel Tıp Kitabevleri; İstanbul, 2001. 137-50. Krishnan V, Collop NA. Gender Differences In Sleep Disorders. Current Opinion In Pulmonary Medicine. 2006, 12: 383-9. Timur S, Sahin NH. Effects Of Sleep Disturbance On The Quality Of Life Of Turkish Menopausal Women: A Population-Based Study. Maturitas. 2009, 20;64(3):177-81. Ishizuka B, Kudo Y, Tango T. Cross-Sectional Community Survey Of Menopause Symptoms Among Japanese Women. Maturitas. 2008, 20;61(3):260-7. Pérez JA, Garcia FC, Palacios S, Pérez M. Epidemiology Of Risk Factors And Symptoms Associated With Menopause In Spanish Women. Maturitas. 2009, 20;62(1):30-6. Yang D, Haines CJ, Pan P, Zhang Q, Sun Y, Hong S, Tian F, Bai B, Peng X, Chen W, Yang X, Chen Y, Feng H, Zhao S, Lei H, Jiang Z, Ma X, Liao W. Menopausal Symptoms In Mid-Life Women İn Southern China. Climacteric. 2008;11(4):329-36. Berecki-Gisolf J, Begum N, Dobson AJ. Symptoms Reported By Women In Midlife: Menopausal Transition Or Aging? Menopause. 2009;16(5):1021-9.
- Bixler EO, Papaliaga MN, Vgontzas AN, Lin HM, Pejovic S, Karataraki M, VelaBueno A, Chrousos GP. Women Sleep Objectively Better Than Men And The Sleep Of Young Women Is More Resilient To External Stressors: Effects Of Age And Menopause. J Sleep Res. 2009;18(2):221-8. Xu M, Bélanger L, Ivers H, Guay B, Zhang J, Morin CM. Comparison Of Subjective And Objective Sleep Quality In Menopausal And Non-Menopausal Women With Insomnia. Sleep Med. 2010; 12(1):65-9. Hickey M, Emery LI, Gregson J, Doherty DA, Saunders CM. The Multidisciplinary Management Of Menopausal Symptoms After Breast Cancer: A Unique Model Of Care. Menopause. 2010;17(4):727-33. Hachul H, Andersen ML, Bittencourt LR, Santos-Silva R, Conway SG, Tufik S. Does The Reproductive Cycle Influence Sleep Patterns In Women With Sleep Complaints? Climacteric. 2010;13(6):594-603. Kalleinen N, Polo-Kantola P, Himanen SL, Alhola P, Joutsen A, Urrila AS, Polo O. Sleep And The Menopause - Do Postmenopausal Women Experience Worse Sleep Than Premenopausal Women? Menopause Int. 2008;14(3):97-104. Hachul H, Bittencourt LR, Soares JM Jr, Tufik S, Baracat EC. Sleep In PostMenopausal Women: Differences Between Early And Late Post-Menopause. Eur J Obstet Gynecol Reprod Biol. 2009;145(1):81-4. Chedraui P, Pérez-López FR, Mendoza M, Leimberg ML, Martínez MA, Vallarino V, Hidalgo L. Factors Related To Increased Daytime Sleepiness During The Menopausal Transition As Evaluated By The Epworth Sleepiness Scale. Maturitas. 2010;65(1):75-80. Kapsimalis F, Kryger M. Sleep Breathing Disorders In The U.S. Female Population. (J Womens Health (Larchmt). 2009;18(8):1211-9. Joffe H, Soares CN, Thurston RC, White DP, Cohen LS, Hall JE. Depression Is Associated With Worse Objectively And Subjectively Measured Sleep, But Not More Frequent Awakenings, In Women With Vasomotor Symptoms. Menopause. 2009;16(4):671-9. Tufik S, Santos-Silva R, Taddei JA, Bittencourt LR. Obstructive Sleep Apnea Syndrome In The Sao Paulo Epidemiologic Sleep Study. Sleep Med. 2010; 11(5):441-6. Urrila AS, Stenuit P, Huhdankoski O, Kerkhofs M, Porkka-Heiskanen T. Psychomotor Vigilance Task Performance During Total Sleep Deprivation In Young And Postmenopausal Women. Behav Brain Res. 2007, 4;180(1):42-7.
- Cheng MH, Hsu CY, Wang SJ, Lee SJ, Wang PH, Fuh JL. The Relationship Of SelfReported Sleep Disturbance, Mood, And Menopause In A Community Study. Menopause. 2008;15(5):958-62. Nagayoshi M, Yamagishi K, Tanigawa T, Sakurai S, Kitamura A, Kiyama M, Imano H, Ohira T, Sato S, Sankai T, Iso H; CIRCS Investigators. Risk Factors For Snoring Among Japanese Men And Women: A Community-Based Cross-Sectional Study. Sleep Breath. 2011;15(1):63-9. Ensrud KE, Stone KL, Blackwell TL, Sawaya GF, Tagliaferri M, Diem SJ, Grady D. Frequency And Severity Of Hot Flashes And Sleep Disturbance In Postmenopausal Women With Hot Flashes. Menopause. 2009;16(2):286-92. Arakane M, Castillo C, Rosero MF, Peñafiel R, Pérez-López FR, Chedraui P. Factors Relating To Insomnia During The Menopausal Transition As Evaluated By The Insomnia Severity Index. Maturitas. 2011;69(2):157-61. Hachul H, Brandão Lde C, Bittencourt LR, D'Almeida V, Andersen ML, Baracat EC, Tufik S. Clinical Profile Of Menopausal İnsomniac Women Referred To Sleep Laboratory. Acta Obstet Gynecol Scand. 2009;88(4):422-7. Joffe H, Petrillo L, Viguera A, Koukopoulos A, Silver-Heilman K, Farrell A, Yu G, Silver M, Cohen LS. Eszopiclone Improves İnsomnia And Depressive And Anxious Symptoms In Perimenopausal And Postmenopausal Women With Hot Flashes: A Randomized, DoubleBlinded, Placebo-Controlled Cross Over Trial. Am J Obstet Gynecol. 2010; 202(2):171. Terauchi M, Obayashi S, Akiyoshi M, Kato K, Matsushima E, Kubota T. Insomnia In Japanese Peri- And Postmenopausal Women. Climacteric. 2010;13(5):479-86. Zervas IM, Lambrinoudaki I, Spyropoulou AC, Koundi KL, Voussoura E, Tzavara C, Verdeli H, Aravantinos L, Creatsa M, Paparrigopoulos T. Additive Effect Of Depressed Mood And Vasomotor Symptoms On Postmenopausal Insomnia. Menopause. 2009;16(4):837-42. Brown JP, Gallicchio L, Flaws JA, Tracy JK. Relations Among Menopausal Symptoms, Sleep Disturbance And Depressive Symptoms In Midlife. Maturitas. 2009, 20;62(2):184-9.
Öz
Bu çalışma, kadınlarda uyku sorunları ve menopozal durum ilişkisini saptamak amacıyla yapılmıştır. Tanımlayıcı türde bir kayıt araştırmasıdır. PubMed veritabanında “menopause and sleep disturbance” anahtar kelimeleri girilerek makaleler taranmıştır. 2007-2011 yılları arasında yayınlanmış 135 makale örneklemi oluşturmuştur. 135 makale arasından, konuyla ilişkili, araştırma makalesi olan ve özet metnine ulaşılabilen 25 araştırma, örneklemi oluşturmuştur.
Birçok çalışmada postmenopozal dönemdeki kadınların uyku sorunları yaşadıkları görülmüştür. Uyku sorunları; uykusuzluk, uykuya dalma süresinde uzama, derin uykuda azalma, uyuma güçlüğü, uyanmalar, uyku süresinde kısalma, uyku verimliliğinde azalma, uyuduktan sonra uyanık kalma süresinde uzama, gündüz uykulu olma sıklığında artma, obstrüktif uyku apnesi sendromu riskinde artma şeklinde görülmektedir. Bunun yanısıra uyku sorunlarının menopozla ilişkisi olmadığı da bildirmektedir. Bu araştırmalar; toplam uyku yoksunluğu, toplam uyku süresi, uykuya dalmada güçlük, uyku bölünmeleri ve horlamanın menopozdan bağımsız olduğunu göstermektedir.
Kadında postmenopozal dönemdeki sıcak basmaları; uykusuzluk, gece uyuyamama ve uyku bölünmelerine neden olmaktadır. Bir çalışma; menopozal geçiş döneminde sıcak basmalarıyla uykusuzluğu ilişkilendirmemiştir. Bazı çalışmalarda ise; kadınlarda uyku bozukluğu, vazomotor semptomlara bağlı değil, depresyona sekonder olarak geliştiği ileri sürülmüştür.
Anahtar Kelimeler
Kaynakça
- Çakırcalı E. Hasta Bakımı Ve Tedavisinde Temel İlke Ve Uygulamalar. 3. Baskı, E.Ü Basımevi, İzmir, 2000. 25-36. Potter AP, Perry AG. Basic Nursing Esential For Practice. 5th Ed. England: Mosby; 200 Pp: 689-706. Roper N, Logan WW, Tierney AJ. Applying The Roper, Logan, Tierney Model In Practice. Second Ed. Philadelphia, Churchill Livingstone, 2012. Pp:416-52. Timur S, Şahin NH, Menopoz Ve Uyku, Maltepe Üniversitesi Hemşirelik Bilim Ve Sanatı Dergisi, 2010; 3(3):61-7. Derman S. Menopoz Ve Uyku Bozuklukları. Editör: Atasü T. Menopoz, Tedavisi Ve Kanser. Nobel Tıp Kitabevleri; İstanbul, 2001. 137-50. Krishnan V, Collop NA. Gender Differences In Sleep Disorders. Current Opinion In Pulmonary Medicine. 2006, 12: 383-9. Timur S, Sahin NH. Effects Of Sleep Disturbance On The Quality Of Life Of Turkish Menopausal Women: A Population-Based Study. Maturitas. 2009, 20;64(3):177-81. Ishizuka B, Kudo Y, Tango T. Cross-Sectional Community Survey Of Menopause Symptoms Among Japanese Women. Maturitas. 2008, 20;61(3):260-7. Pérez JA, Garcia FC, Palacios S, Pérez M. Epidemiology Of Risk Factors And Symptoms Associated With Menopause In Spanish Women. Maturitas. 2009, 20;62(1):30-6. Yang D, Haines CJ, Pan P, Zhang Q, Sun Y, Hong S, Tian F, Bai B, Peng X, Chen W, Yang X, Chen Y, Feng H, Zhao S, Lei H, Jiang Z, Ma X, Liao W. Menopausal Symptoms In Mid-Life Women İn Southern China. Climacteric. 2008;11(4):329-36. Berecki-Gisolf J, Begum N, Dobson AJ. Symptoms Reported By Women In Midlife: Menopausal Transition Or Aging? Menopause. 2009;16(5):1021-9.
- Bixler EO, Papaliaga MN, Vgontzas AN, Lin HM, Pejovic S, Karataraki M, VelaBueno A, Chrousos GP. Women Sleep Objectively Better Than Men And The Sleep Of Young Women Is More Resilient To External Stressors: Effects Of Age And Menopause. J Sleep Res. 2009;18(2):221-8. Xu M, Bélanger L, Ivers H, Guay B, Zhang J, Morin CM. Comparison Of Subjective And Objective Sleep Quality In Menopausal And Non-Menopausal Women With Insomnia. Sleep Med. 2010; 12(1):65-9. Hickey M, Emery LI, Gregson J, Doherty DA, Saunders CM. The Multidisciplinary Management Of Menopausal Symptoms After Breast Cancer: A Unique Model Of Care. Menopause. 2010;17(4):727-33. Hachul H, Andersen ML, Bittencourt LR, Santos-Silva R, Conway SG, Tufik S. Does The Reproductive Cycle Influence Sleep Patterns In Women With Sleep Complaints? Climacteric. 2010;13(6):594-603. Kalleinen N, Polo-Kantola P, Himanen SL, Alhola P, Joutsen A, Urrila AS, Polo O. Sleep And The Menopause - Do Postmenopausal Women Experience Worse Sleep Than Premenopausal Women? Menopause Int. 2008;14(3):97-104. Hachul H, Bittencourt LR, Soares JM Jr, Tufik S, Baracat EC. Sleep In PostMenopausal Women: Differences Between Early And Late Post-Menopause. Eur J Obstet Gynecol Reprod Biol. 2009;145(1):81-4. Chedraui P, Pérez-López FR, Mendoza M, Leimberg ML, Martínez MA, Vallarino V, Hidalgo L. Factors Related To Increased Daytime Sleepiness During The Menopausal Transition As Evaluated By The Epworth Sleepiness Scale. Maturitas. 2010;65(1):75-80. Kapsimalis F, Kryger M. Sleep Breathing Disorders In The U.S. Female Population. (J Womens Health (Larchmt). 2009;18(8):1211-9. Joffe H, Soares CN, Thurston RC, White DP, Cohen LS, Hall JE. Depression Is Associated With Worse Objectively And Subjectively Measured Sleep, But Not More Frequent Awakenings, In Women With Vasomotor Symptoms. Menopause. 2009;16(4):671-9. Tufik S, Santos-Silva R, Taddei JA, Bittencourt LR. Obstructive Sleep Apnea Syndrome In The Sao Paulo Epidemiologic Sleep Study. Sleep Med. 2010; 11(5):441-6. Urrila AS, Stenuit P, Huhdankoski O, Kerkhofs M, Porkka-Heiskanen T. Psychomotor Vigilance Task Performance During Total Sleep Deprivation In Young And Postmenopausal Women. Behav Brain Res. 2007, 4;180(1):42-7.
- Cheng MH, Hsu CY, Wang SJ, Lee SJ, Wang PH, Fuh JL. The Relationship Of SelfReported Sleep Disturbance, Mood, And Menopause In A Community Study. Menopause. 2008;15(5):958-62. Nagayoshi M, Yamagishi K, Tanigawa T, Sakurai S, Kitamura A, Kiyama M, Imano H, Ohira T, Sato S, Sankai T, Iso H; CIRCS Investigators. Risk Factors For Snoring Among Japanese Men And Women: A Community-Based Cross-Sectional Study. Sleep Breath. 2011;15(1):63-9. Ensrud KE, Stone KL, Blackwell TL, Sawaya GF, Tagliaferri M, Diem SJ, Grady D. Frequency And Severity Of Hot Flashes And Sleep Disturbance In Postmenopausal Women With Hot Flashes. Menopause. 2009;16(2):286-92. Arakane M, Castillo C, Rosero MF, Peñafiel R, Pérez-López FR, Chedraui P. Factors Relating To Insomnia During The Menopausal Transition As Evaluated By The Insomnia Severity Index. Maturitas. 2011;69(2):157-61. Hachul H, Brandão Lde C, Bittencourt LR, D'Almeida V, Andersen ML, Baracat EC, Tufik S. Clinical Profile Of Menopausal İnsomniac Women Referred To Sleep Laboratory. Acta Obstet Gynecol Scand. 2009;88(4):422-7. Joffe H, Petrillo L, Viguera A, Koukopoulos A, Silver-Heilman K, Farrell A, Yu G, Silver M, Cohen LS. Eszopiclone Improves İnsomnia And Depressive And Anxious Symptoms In Perimenopausal And Postmenopausal Women With Hot Flashes: A Randomized, DoubleBlinded, Placebo-Controlled Cross Over Trial. Am J Obstet Gynecol. 2010; 202(2):171. Terauchi M, Obayashi S, Akiyoshi M, Kato K, Matsushima E, Kubota T. Insomnia In Japanese Peri- And Postmenopausal Women. Climacteric. 2010;13(5):479-86. Zervas IM, Lambrinoudaki I, Spyropoulou AC, Koundi KL, Voussoura E, Tzavara C, Verdeli H, Aravantinos L, Creatsa M, Paparrigopoulos T. Additive Effect Of Depressed Mood And Vasomotor Symptoms On Postmenopausal Insomnia. Menopause. 2009;16(4):837-42. Brown JP, Gallicchio L, Flaws JA, Tracy JK. Relations Among Menopausal Symptoms, Sleep Disturbance And Depressive Symptoms In Midlife. Maturitas. 2009, 20;62(2):184-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 2 Sayı: 2 |
