The Relationship of Fatigue and Sleep Quality with Quality of Life in Caregivers of Patients with COPD

Yıl 2024, Cilt: 13 Sayı: 4, 1885 - 1896, 25.12.2024

Büşra Dağcı Günal , Hülya Bulut , Canan Bozkurt

https://doi.org/10.37989/gumussagbil.1505790

Öz

This study was conducted to examine the relationship between sleep quality and fatigue levels of primary caregivers of individuals with chronic obstructive pulmonary disease and their quality of life. 400 caregivers were included in the study. In the study, Patient Relative Introductory Form, Brief Fatigue Inventory, Pittsburgh Sleep Quality Index and SF-36 Quality of Life Scale were used. The mean age of the participants was 47.34±13.10 years and 67.3% were female. 37.3% of the participants reported that they provided care to their spouses, 33.5% reported that they had a chronic disease, and 47.3% reported that they provided care to their patients between one and five years. The disease stage of 53.8% of the patients cared for was GOLD III. The mean fatigue score of the participants was 6.68±2.26 and the mean sleep quality score was 5.71±3.34. Age, gender, presence of chronic disease, duration of caregiving and GOLD stage were found to have a significant relationship with quality of life sub-dimensions (p<0.05). Fatigue and sleep quality were found to have a very low level and negative relationship with all sub-dimensions of QoL except pain and general health perception sub-dimensions (p<0.001). The data obtained revealed that fatigue level and sleep quality significantly affect quality of life in many aspects in individuals who care for COPD patients. In conclusion, caregivers of patients with COPD experience fatigue and poor sleep quality during the caregiving process. Complementary and supportive methods can be applied by health professionals, especially nurses, to increase the quality of life and sleep quality of caregivers as well as patients and to reduce fatigue and care burden.

Anahtar Kelimeler

COPD, Caregivers, Sleep quality, Fatigue, Quality of life

Kronik Obstrüktif Akciğer Hastalığı Olan Bireye Bakım Veren Bireylerin Yorgunluk ve Uyku Kalitesinin Yaşam Kalitesi ile İlişkisi

Öz

Bu araştırma kronik obstrüktif akciğer hastalığı olan bireylere primer bakım verenlerin uyku kalitesi ve yorgunluk düzeylerinin yaşam kaliteleri ile ilişkisini incelemek amacıyla yürütülen araştırmada 400 bakım verici dahil edilmiştir. Araştırmada Hasta Yakını Tanıtım Formu, Kısa Yorgunluk Envanteri, Pittsburgh Uyku Kalite İndeksi ve SF-36 Yaşam Kalitesi Ölçeği kullanılmıştır. Katılımcıların yaş ortalaması 47,34±13,10, %67,3’ü kadındır. Katılımcıların %37,3’ü eşine bakım verdiğini ve %33,5’i kronik hastalığı olduğunu, %47,3’ü hastasına bir ila beş yıl arasında bakım verdiğini bildirmiştir. Bakım verilen hastaların %53,8’i hastalık evresi GOLD III’ tür. Katılımcıların yorgunluk puan ortalaması 6,68±2,26, uyku kalitesi puan ortalaması 5,71±3,34’tür. Yaş, cinsiyet ve kronik hastalık varlığı, bakım verme süresi ile hastaların GOLD evresinin yaşam kalitesi alt boyutları ile anlamlı ilişkisi olduğu saptanmıştır (p<0,05). Yorgunluğun ve uyku kalitesinin yaşam kalitesinin ağrı ve genel sağlık algısı alt boyutları dışında tüm alt boyutları ile çok düşük düzeyde ve negatif yönlü ilişkisi olduğu saptanmıştır (p<0,001). Elde edilen veriler, KOAH hastalarına bakım veren bireylerde yorgunluk düzeyinin ve uyku kalitesinin yaşam kalitesini birçok yönden anlamlı derecede etkilediğini ortaya koymaktadır. Sonuç olarak, KOAH'lı hastalara bakım veren bireyler, bakım verme sürecinde yorgunluk ve düşük uyku kalitesi yaşamaktadırlar. Hastaların yanı sıra bakım vericilerin de yaşam kaliteleri ile uyku kalitelerinin arttırılması, yorgunluk ve bakım yüklerinin azaltılması için başta hemşireler olmak üzere sağlık profesyonelleri tarafından tamamlayıcı ve destekleyici yöntemler uygulanabilir.

Anahtar Kelimeler

KOAH, Bakım vericiler, Uyku kalitesi, Yorgunluk, Yaşam kalitesi

Etik Beyan

İlgili Üniversiteden Etik Kurul onayı alınmıştır.

Destekleyen Kurum

-

Teşekkür

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Kaynakça

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