Gebelerde Ağrı, Uyku, Yorgunluk ve Yaşam Kalitesi İlişkisi

Abstract

Amaç: Bu çalışmada fizyolojik bir süreç olan gebelikte ağrı, uyku, yorgunluk ve sağlıkla ilgili yaşam kalitesinin değerlendirilmesi ve aralarındaki ilişkilerin incelenmesi amaçlandı. Gereç ve Yöntem: Bu çalışma Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı'na ayaktan müracaat eden 78 gönüllü gebe katılımı ile gerçekleştirildi. Araştırmada, veri toplama aracı olarak, gebelerde ağrı, uyku ve yorgunluğu değerlendirmek amacıyla “Görsel Analog Skala”, yaşam kalitesini değerlendirmek için de ‘’Nottingham Sağlık Profili’’ ölçekleri kullanıldı. Sosyodemografik bilgiler kaydedildi. Ağrı, yorgunluk, uyku ve yaşam kalitesi ilişkisini incelemek için Spearman’ın korelasyon analizi kullanıldı (p˂0,05). Bulgular: Bu çalışmada gebelerin Görsel Anolog Skala üzerindeki ağrı puanı ortalamalarının 2,97±3,74 olduğu, uyku problemi tanımlayan %45,40’lık kesimin uyku problemi ortalamalarının 5,09±1,91 olduğu ve yorgunluk düzeyleri incelendiğinde ise, puan ortalamalarının 5,02±3,44 olduğu, sonucuna ulaşıldı. Yaşam kalitesi ölçeği, Nottingham Sağlık Profilinde ise toplam puan ortalamaları 190,20±146,84 olarak bulundu. Gebelerde yorgunluk ile ağrı (r = 0,385, p = 0,001) ve yaşam kalitesi (r = 0,402, p = 0,001) arasında anlamlı bir ilişki bulunurken, yaşam kalitesinin alt bileşenlerinden, enerji seviyesi (r = 0,464, p = 0,001) ve fiziksel mobilite (r = 0,338, p = 0,003) arasında da anlamlı bir ilişki olduğu saptandı. Uyku kalitesi ile ağrı (r =-0,047, p = 0,690), yorgunluk (r =-0,001, p = 0,992) ve yaşam kalitesi (r = -0,122, p = 0,294) arasında ise, bir ilişki bulunamadı. Sonuç: Bu çalışma ışığında gebelerde sıklıkla görülen, ağrı, uyku kalitesi ve yorgunluk düzeyindeki olumsuz değişimler gebelerin yaşam kalitesini düşürerek, onları olumsuz yönde etkilemektedir.

Keywords

• gebelik
• ağrı
• uyku
• yorgunluk
• yaşam kalitesi

Correlation Between Pain, Sleep, Fatigue and Quality Of Life in Pregnant Women

Abstract

Objective: This study aimed to evaluate pain, sleep, fatigue and health-related quality of life during pregnancy, which is a physiological process, and to investigate the correlations among these factors. Methods: This study was carried out with the participation of 78 volunteer pregnant women who applied to Ondokuz Mayıs University, Faculty of Medicine, Department of Gynaecology and Obstetrics as outpatients. In the study, "Visual Analogue Scale" was used to evaluate pain, sleep and fatigue and "Nottingham Health Profile" scales were used to evaluate quality of life. Sociodemographic data was recorded. Spearman's correlation analysis was used to analyse the correlation between pain, sleep, fatigue and quality of life (p˂0,05). Results: In this study, it was concluded that the mean pain score of the pregnant women on the Visual Anologue Scale was 2,97±3,74, the mean sleep problem score of the 45,40 % who defined sleep problems was 5,09±1,91, and the mean score was 5,02±3.44 when fatigue levels were examined. In the quality of life scale, Nottingham Health Profile, the mean total score was found to be 190,20±146,84. There was a significant relationship between fatigue and pain (r = 0,385, p = 0,001) and quality of life (r = 0,402, p = 0,001), while there was a significant relationship between energy level (r = 0,464, p = 0,001) and physical mobility (r = 0,338, p = 0,003), which are subcomponents of quality of life. No correlation was found between sleep quality and pain (r = -0,047, p = 0,690), fatigue (r = -0,001, p = 0,992) and quality of life (r = -0,122, p = 0,294). Conclusion: In the light of this study, negative changes in the level of pain, sleep quality and fatigue, which are frequently seen in pregnant women, reduce the quality of life of pregnant women and affect them negatively.

Keywords

• pregnancy
• pain
• sleep
• fatique
• quality of life

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