Depremzedelerde Vestibüler Etkilenimin, Emosyonel Durumun ve Uyku Kalitesinin Değerlendirilmesi

Yıl 2024, Sayı: 24, 1175 - 1185, 30.12.2024

Eda Akbaş , Ahmet Koçyiğit , Emin Ulaş Erdem

https://doi.org/10.38079/igusabder.1375643

Öz

Amaç: Bu çalışmanın amacı, 6 Şubat 2023 Kahramanmaraş depremini yaşamış, geçici olarak Zonguldak ilinde ikamet eden depremzedelerin baş dönmesi, denge, fonksiyonel performans, anksiyete ve uyku kalitesi düzeylerinin değerlendirilerek aralarındaki ilişkinin incelenmesidir.
Yöntem: Çalışmaya, 30 depremzede (deney grubu) ve 30 depreme maruz kalmayan yetişkin (kontrol grubu) olmak üzere toplam 60 gönüllü katıldı. Katılımcıların değerlendirilmesinde fonksiyonel egzersiz kapasitesi için 6 Dakika Yürüme Mesafesi Testi (6DYT), vestibüler sistem için Baş Dönmesi Engellilik Envanteri (BDEE), denge için Berg Denge Ölçeği (BDÖ), düşme etkinliği için Uluslararası Düşme Etkinlik Ölçeği (UDEÖ), anksiyete için Deprem Kaygı Ölçeği (DKÖ) ve Depresyon Anksiyete Stres Ölçeği (DASÖ), uyku kalitesinin değerlendirmesi için Pittsburgh Uyku Kalite İndeksi (PUKİ) kullanıldı.
Bulgular: BDEE, DKÖ ve PUKİ skorları deney grubunda anlamlı olarak daha yüksekken (p<0,05), 6DYT, BDÖ, UDEÖ ve DASÖ alt boyutlarında gruplar arası anlamlı farklılık elde edilmedi (p>0,05). 6DYT ile BDEE (r=-0,479) ve DKÖ (r=-0,479) skorları arasında negatif yönde orta düzeyde; BDEE ile UDEÖ (r=0,384) skorları arasında pozitif yönde orta düzeyde; DKÖ ile DASÖ-Depresyon, DASÖ-Stres ve UDEÖ skorları arasında pozitif yönde orta düzeyde; DKÖ ile DASÖ-Anksiyete (r=0,740) skorları arasında pozitif yönde yüksek düzeyde; DASÖ-Depresyon ile DASÖ-Anksiyete (r=0,624), DASÖ-Stres (r=0,679) ve UDEÖ (r=0,372) skorları arasında pozitif yönde yüksek düzeyde; DASÖ-Anksiyete ile DASÖ-Stres (r=0,611) ve UDEÖ (r=0,477) skorları arasında pozitif yönde orta düzeyde; DASÖ Stres ile UDEÖ (r=0,422) skorları arasında pozitif yönde orta düzeyde anlamlı korelasyon elde edildi (p<0,05).
Sonuç: Bu çalışmadan elde edilen bulgular, Kahramanmaraş depremlerini yaşamış bireylerde vestibüler sistem semptomlarında ve deprem kaygısında artma, uyku kalitesinde ise azalma olduğunu göstermiştir. Bu çalışmada elde edilen sonuçların depremzedeler özelinde afetzedelerin rehabilitasyon süreçlerine katkı sağlayacağı düşünülmektedir.

Anahtar Kelimeler

Depremzede, baş dönmesi, denge, anksiyete, uyku

Evaluation of Vestibular Influence, Emotional State and Sleep Quality in Earthquake Victims

Öz

Aim: The aim of this study is to evaluate the dizziness, balance, functional performance, anxiety, and sleep quality levels of earthquake victims who experienced the February 6, 2023 Kahramanmaraş earthquake and temporarily reside in Zonguldak province, and to examine the relationship between them.
Method: A total of 60 volunteers, 30 earthquake victims (experiment group) and 30 adults not exposed to the earthquake (control group), participated in the study. In the evaluation of the participants, 6 Minute Walk Distance Test (6MWD) for functional exercise capacity, Dizziness Disability Inventory (DDI) for the vestibular system, Berg Balance Scale (BBS) for balance, International Fall Effectiveness Scale (FES-I) for fall activity, Earthquake Anxiety Scale (EAS) and Depression Anxiety Stress Scale (DASS) for anxiety, and lastly, Pittsburgh Sleep Quality Index (PSQI) were used to evaluate sleep quality.
Results: While DDI, EAS and PSQI scores were significantly higher in the experimental group (p<0.05), there was no significant difference between the groups in the 6MWD, DDI, FES-I and DASS subscales (p>0.05). There was a moderate negative difference between 6MWD and DDI (r=-0.479) and EAS (r=-0.479) scores; There is a moderate positive difference between DDI and FES-I (r=0.384) scores; There is a moderate positive difference between EAS and DAS-Depression, DAS-Stress and FES-I scores; There is a high level of positive difference between EAS and DAS-Anxiety (r=0.740) scores; There is a high positive difference between DAS-Depression and DAS-Anxiety (r=0.624), DAS-Stress (r=0.679) and FES-I (r = 0.372) scores; There is a moderate positive difference between DAS-Anxiety and DAS-Stress (r=0.611) and FES-I (r=0.477) scores; A moderately significant positive correlation was obtained between DAS-Stress and FES-I (r=0.422) scores (p<0.05).
Conclusion: The findings obtained from this study showed that there was an increase in vestibular system symptoms and earthquake anxiety and a decrease in sleep quality in individuals who experienced the Kahramanmaraş earthquakes. It is thought that the results obtained in this study will contribute to the rehabilitation processes of disaster victims, especially earthquake victims.

Anahtar Kelimeler

Earthquake victim, dizziness, balance, anxiety, sleep

Kaynakça

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