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Yetişkin Bireylerde Uykusuzluk, İlişkili Faktörler ve Uyku Hijyeni Kurallarına Uyum Durumunun Belirlenmesi

Yıl 2025, Cilt: 13 Sayı: 2, 313 - 328, 25.06.2025
https://doi.org/10.33715/inonusaglik.1575945

Öz

Bu çalışmada yetişkin bireylerde uykusuzluk, ilişkili faktörler ve uyku hijyeni kurallarına uyumun değerlendirilmesi amaçlanmıştır. Bir üniversite hastanesinin aile hekimliği polikliniğine başvuran 227 yetişkine Uykusuzluk Şiddeti İndeksi uygulanmış ve uyku hijyeni kurallarına uyumları da incelenmiştir. Normal dağılıma uygunluk gösteren sayısal değerler ‘Pearson Korelasyon’ analizi, kategorik değişkenler ile bağımlı değişkenlerin karşılaştırılmasında ‘Mann Whitney U’ ve ‘Kruskal Wallis’ testleri kullanılmıştır. İstatistiksel analizler sonucunda yetişkinlerin %44’ü farklı düzeylerde uykusuzluk bildirmiştir. Ortalama Uykusuzluk Şiddeti İndeksi puanları ile kronik hastalık varlığı (p=0,000), ilaç kullanımı (p=0,000), öğün atlama (p=0,007), stresli olma (p=0,000) ve kahve tüketimi (p=0,025) arasında pozitif korelasyon bulunmuştur. Analiz sonuçlarına göre yetişkinlerin uyku hijyeni kurallarına uymaması ile uykusuzluk deneyimi arasında zayıf/çok zayıf pozitif korelasyon olduğu bulunmuştur. Kötü uyku hijyeni alışkanlıklarının uzun vadeli etkileri, özellikle kronik hastalıklara yol açma potansiyeli göz önüne alındığında, hem bu konuda toplumsal farkındalığın artırılması hem de sağlık profesyonelleri tarafından bu konunun göz ardı edilmemesi önerilmektedir.

Kaynakça

  • Alanazi, E. M., Alanazi, A. M. M., Albuhairy, A. H. & Alanazi, A. A. A. (2023). Sleep hygiene practices and its impact on mental health and functional performance among adults in Tabuk City: A cross-sectional study. Cureus, 15(3), e36221. https://doi.org/10.7759/cureus.36221
  • Akgül A. Tıbbi arastirmalarda istatistiksel analiz teknikleri SPSS uygulamalari (Statistical Analysis Techniques in Medical Research- SPSS Applications). 3rd Edition. 2005, Emek Ofset Ltd.Şti. Ankara, Turkey.
  • Anderson L. (2020). Skipping meals is associated with symptoms of anxiety and depression in U.S. Older Adults. Innovation in Aging, 4(Suppl 1), 515. https://doi.org/10.1093/geroni/igaa057.1663
  • Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., … Riemann, D. (2011). Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders, 135(1-3), 10–19. https://doi.org/10.1016/j.jad.2011.01.011
  • Baranwal, N., Yu, P. K. & Siegel, N. S. (2023). Sleep physiology, pathophysiology, and sleep hygiene. Progress in Cardiovascular Diseases, 77, 59–69. https://doi.org/10.1016/j.pcad.2023.02.005
  • Barros, M. B. A., Lima, M. G., Ceolim, M. F., Zancanella, E., & Cardoso, T. A. M. O. (2019). Quality of sleep, health and well-being in a population-based study. Revista de saude publica, 53, 82. https://doi.org/10.11606/s1518-8787.2019053001067
  • Bastien, C. H., Vallières, A. & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307. https://doi.org/10.1016/s1389-9457(00)00065-4
  • Başpınar, T. & Yeşilkaya, B. (2021). Beslenme ile uyku ilişkisi (The relationship between nutrition and sleep). Fenerbahce University Journal of Health Sciences, 1(2), 105-116.
  • Bollu, P. C. & Kaur, H. (2019). Sleep medicine: Insomnia and sleep. Missouri Medicine, 116(1), 68–75.
  • Bonnet, M. H. & Arand, D.L. (2024). Risk factors, comorbidities, and consequences of insomnia in adults. Accessed August 7, 2024. https://www.uptodate.com/contents/risk-factors-comorbidities-and-consequences-of-insomnia-in-adults
  • Boysan, M., Güleç, M., Beşiroǧlu, L. & Kalafat, T. (2010). Psychometric properties of the insomnia severity index in Turkish sample. Anadolu Psikiyatri Dergisi, 11(3), 248-252.
  • Chaudhary, N. S., Grandner, M. A., Jackson, N. J. & Chakravorty, S. (2016). Caffeine consumption, insomnia, and sleep duration: Results from a nationally representative sample. Nutrition (Burbank, Los Angeles County, Calif.), 32(11-12), 1193–1199. https://doi.org/10.1016/j.nut.2016.04.005
  • Chehri, A., Shetabi, M., Khazaie, H. & Zakiei, A. (2023). Sleep hygiene and sleep quality in Iranian adolescents during the COVID-19 pandemic. BMC psychology, 11(1), 125. https://doi.org/10.1186/s40359-023-01165-8
  • Clark, I. & Landolt, H. P. (2017). Coffee, caffeine, and sleep: A systematic review of epidemiological studies and randomized controlled trials. Sleep Medicine Reviews, 31, 70–78. https://doi.org/10.1016/j.smrv.2016.01.006
  • Demir, A.U. (2010). Türkiye’de erişkin toplumda uyku epidemiyolojisi araştırması ilk sonuçları. (Preliminary results of sleep epidemiology research in adult population in Turkey). Turkish Sleep Medicine Society Publication. Accessed July 5, 2024. http://78.189.53.61/- /uyku/11uykusunu/7_acilis.pdf
  • Drake, C., Roehrs, T., Shambroom, J. & Roth, T. (2013). Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of clinical sleep medicine: JCSM : official publication of the American Academy of Sleep Medicine, 9(11), 1195–1200. https://doi.org/10.5664/jcsm.3170
  • El Rafihi-Ferreira, R., do Brasil do Carmo, M. M. I., Bassolli, L., Hasan, R., Aizawa, I. M. N. & Toscanini, A. C. (2022). Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study. Psicologia, reflexao e critica: revista semestral do Departamento de Psicologia da UFRGS, 35(1), 39. https://doi.org/10.1186/s41155-022-00243-x
  • Gianfredi, V., Nucci, D., Tonzani, A., Amodeo, R., Benvenuti, A. L., Villarini, M. & Moretti, M. (2018). Sleep disorder, mediterranean diet and learning performance among nursing students: inSOMNIA, a cross-sectional study. Annali di Igiene – Medicina Preventiva e di Comunità, 30(6), 470–481. https://doi.org/10.7416/ai.2018.2247
  • Gottlieb, D. J., Ellenbogen, J. M., Bianchi, M. T. & Czeisler, C. A. (2018). Sleep deficiency and motor vehicle crash risk in the general population: a prospective cohort study. BMC Medicine, 16(1), 44. https://doi.org/10.1186/s12916-018-1025-7
  • Hublin, C., Partinen, M., Koskenvuo, M. & Kaprio, J. (2011). Heritability and mortality risk of insomnia-related symptoms: a genetic epidemiologic study in a population-based twin cohort. Sleep, 34(7), 957–964. https://doi.org/10.5665/SLEEP.1136
  • Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J. & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews, 22, 23–36. https://doi.org/10.1016/j.smrv.2014.10.001
  • Kalmbach, D. A., Anderson, J. R. & Drake, C. L. (2018). The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. Journal of Sleep Research, 27(6), e12710. https://doi.org/10.1111/jsr.12710
  • Keser, M.G. & Yüksel, A. (2024). An overview of the relationship between meal timing and sleep. Turkish Journal of Sleep Medicine, 11(1), 20-25. doi:10.4274/jtsm.galenos.2023.71676.
  • Kim, S., DeRoo, L. A. & Sandler, D. P. (2011). Eating patterns and nutritional characteristics associated with sleep duration. Public Health Nutrition, 14(5), 889–895. https://doi.org/10.1017/S136898001000296X
  • Kumari, R., Gupta, R.K., Langer, B., Singh, P., Akhtar, N. & Anuradha. (2018). Insomnia and its associated factors: A cross-sectional study in rural adults of North India. Int J Med Sci Public Health, 7 (Online First).
  • Lo, K., Woo, B., Wong, M. & Tam, W. (2018). Subjective sleep quality, blood pressure, and hypertension: a meta-analysis. Journal of Clinical Hypertension (Greenwich, Conn.), 20(3), 592–605. https://doi.org/10.1111/jch.13220
  • Lo Martire, V., Caruso, D., Palagini, L., Zoccoli, G. & Bastianini, S. (2020). Stress & sleep: A relationship lasting a lifetime. Neuroscience and Biobehavioral Reviews, 117, 65–77. https://doi.org/10.1016/j.neubiorev.2019.08.024
  • Matthews, E. E., Arnedt, J. T., McCarthy, M. S., Cuddihy, L. J. & Aloia, M. S. (2013). Adherence to cognitive behavioral therapy for insomnia: a systematic review. Sleep Medicine Reviews, 17(6), 453–464. https://doi.org/10.1016/j.smrv.2013.01.001
  • McEwen, B. S., & Karatsoreos, I. N. (2015). Sleep Deprivation and Circadian Disruption: Stress, Allostasis, and Allostatic Load. Sleep Medicine Clinics, 10(1), 1–10. https://doi.org/10.1016/j.jsmc.2014.11.007
  • Metwally, A., Alalawi, A. D., Al Sarrar, A. A., Alamin, O. M., Saad, A. A., & Almalki, M. D. (2023). Prevalence of insomnia and ıts associated factors in the general population of Saudi Arabia: A cross-sectional study. Cureus, 15(8), e44342. https://doi.org/10.7759/cureus.44342
  • Morin, C. M. & Jarrin, D. C. (2022). Epidemiology of Insomnia: Prevalence, Course, Risk Factors, and Public Health Burden. Sleep Medicine Clinics, 17(2), 173–191. https://doi.org/10.1016/j.jsmc.2022.03.003
  • Netzer, N. C., Strohl, K. P. &Pramsohler, S. (2024). Influence of nutrition and food on sleep-is there evidence?. Sleep Breath, 28(1), 61-68. doi:10.1007/s11325-023-02921-1
  • Önal, G. Ş. &Hisar, K. M. (2018). Frequency of insomnia and depression symptoms in a university students and related factors. Gumushane Univ. J. Health Sci. 7(1), 125-130.Pham, H. T., Chuang, H. L., Kuo, C. P., Yeh, T. P., & Liao, W. C. (2021). Electronic device use before bedtime and sleep quality among university students. Healthcare (Basel, Switzerland), 9(9), 1091. https://doi.org/10.3390/healthcare9091091
  • Rampling, C. M., Gupta, C. C., Shriane, A. E., Ferguson, S. A., Rigney, G. & Vincent, G. E. (2022). Does knowledge of sleep hygiene recommendations match behaviour in Australian shift workers? A cross-sectional study. BMJ Open, 12(7), e059677. https://doi.org/10.1136/bmjopen-2021-059677
  • Roy, S.K., Bhattacharjee, A.K., Chakraborti, C. & Singh, R. (2015). Prevalence of insomnia in urban population of West Bengal: a community-based cross-sectional study. Int J Med Public Health., 5, 293-296.
  • Troxel, W. M., Buysse, D. J., Matthews, K. A., Kip, K. E., Strollo, P. J., Hall, M., … Reis, S. E. (2010). Sleep symptoms predict the development of the metabolic syndrome. Sleep, 33(12), 1633–1640. https://doi.org/10.1093/sleep/33.12.1633
  • Uysal, H., Ayvaz, M.Y. & Oruçoğlu, H.B. (2018). Üniversite öğrencilerinin beslenme durumu ve uyku kalitesinin değerlendirilmesi. Türk Uyku Tıbbı Dergisi, 5(2), 31-39. doi:10.4274/jtsm.69775.
  • Work Health Solutions. Why sleep hygiene matters more than you think: understanding the importance of good sleep habits. Retrieved from: https://workhealthsolutions.com/docs/why-sleep-hygiene-matters-more-than-you-think-understanding-the-importance-of-good-sleep-habits/
  • Yetkin, S. & Aydin, H. (2014). Bir semptom ve bir hastalık olarak uykusuzluk. Türk Uyku Tıbbı Dergisi, 1(1), 1-8. doi:10.4274/jtsm.01.
  • Zhao, M., Tuo, H., Wang, S. & Zhao, L. (2020). The effects of dietary nutrition on sleep and sleep disorders. Mediators of Inflammation, 2020, 3142874. https://doi.org/10.1155/2020/3142874
  • Zulfakar, S. S., Amin, A. N., Syed Idrus, S. N., Mohd, F. H., Nor Azman, N. I. N., Hamzah, N. F. S. & Haswadi, S. H. (2022). The Association between insomnia & stress levels among faculty of health sciences students. Jurnal Personalia Pelajar, 24(2). Retrieved from https://spaj.ukm.my/personalia/index.php/personalia/article/view/206

INSOMNIA, RELATED FACTORS AND DETERMINATION OF THE STATUS OF COMPLIANCE WITH SLEEP HYGIENE RULES IN ADULT INDIVIDUALS

Yıl 2025, Cilt: 13 Sayı: 2, 313 - 328, 25.06.2025
https://doi.org/10.33715/inonusaglik.1575945

Öz

This study aimed to evaluate insomnia, related factors, and adherence to sleep hygiene rules in adult individuals. The Insomnia Severity Index was administered to 227 adults who applied to the family medicine policlinic of a university hospital, and their adherence to sleep hygiene rules was also examined. Numerical values showing conformity to normal distribution were analysed by ‘Pearson Correlation’ analysis, ‘Mann Whitney U’ test and ‘Kruskal Wallis’ tests were used to compare categorical variables and dependent variables. As a result of the statistical analyses, 44% of the adults reported different levels of insomnia. A positive correlation was found between the mean Insomnia Severity Index scores and the presence of chronic disease (p=0.000), medication use (p=0.000), skipping meals (p=0.007), being stressed (p=0.000), and coffee consumption (p=0.025). According to the results of the analyses, it was found that there was a weak/very weak positive correlation between the adults' non-compliance with the sleep hygiene rules and their experience of insomnia. Considering the long-term effects of poor sleep hygiene habits, especially the potential to lead to chronic diseases, it is recommended that both public awareness be increased on this issue and that this issue is not ignored by health professionals.

Kaynakça

  • Alanazi, E. M., Alanazi, A. M. M., Albuhairy, A. H. & Alanazi, A. A. A. (2023). Sleep hygiene practices and its impact on mental health and functional performance among adults in Tabuk City: A cross-sectional study. Cureus, 15(3), e36221. https://doi.org/10.7759/cureus.36221
  • Akgül A. Tıbbi arastirmalarda istatistiksel analiz teknikleri SPSS uygulamalari (Statistical Analysis Techniques in Medical Research- SPSS Applications). 3rd Edition. 2005, Emek Ofset Ltd.Şti. Ankara, Turkey.
  • Anderson L. (2020). Skipping meals is associated with symptoms of anxiety and depression in U.S. Older Adults. Innovation in Aging, 4(Suppl 1), 515. https://doi.org/10.1093/geroni/igaa057.1663
  • Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C., Voderholzer, U., … Riemann, D. (2011). Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders, 135(1-3), 10–19. https://doi.org/10.1016/j.jad.2011.01.011
  • Baranwal, N., Yu, P. K. & Siegel, N. S. (2023). Sleep physiology, pathophysiology, and sleep hygiene. Progress in Cardiovascular Diseases, 77, 59–69. https://doi.org/10.1016/j.pcad.2023.02.005
  • Barros, M. B. A., Lima, M. G., Ceolim, M. F., Zancanella, E., & Cardoso, T. A. M. O. (2019). Quality of sleep, health and well-being in a population-based study. Revista de saude publica, 53, 82. https://doi.org/10.11606/s1518-8787.2019053001067
  • Bastien, C. H., Vallières, A. & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307. https://doi.org/10.1016/s1389-9457(00)00065-4
  • Başpınar, T. & Yeşilkaya, B. (2021). Beslenme ile uyku ilişkisi (The relationship between nutrition and sleep). Fenerbahce University Journal of Health Sciences, 1(2), 105-116.
  • Bollu, P. C. & Kaur, H. (2019). Sleep medicine: Insomnia and sleep. Missouri Medicine, 116(1), 68–75.
  • Bonnet, M. H. & Arand, D.L. (2024). Risk factors, comorbidities, and consequences of insomnia in adults. Accessed August 7, 2024. https://www.uptodate.com/contents/risk-factors-comorbidities-and-consequences-of-insomnia-in-adults
  • Boysan, M., Güleç, M., Beşiroǧlu, L. & Kalafat, T. (2010). Psychometric properties of the insomnia severity index in Turkish sample. Anadolu Psikiyatri Dergisi, 11(3), 248-252.
  • Chaudhary, N. S., Grandner, M. A., Jackson, N. J. & Chakravorty, S. (2016). Caffeine consumption, insomnia, and sleep duration: Results from a nationally representative sample. Nutrition (Burbank, Los Angeles County, Calif.), 32(11-12), 1193–1199. https://doi.org/10.1016/j.nut.2016.04.005
  • Chehri, A., Shetabi, M., Khazaie, H. & Zakiei, A. (2023). Sleep hygiene and sleep quality in Iranian adolescents during the COVID-19 pandemic. BMC psychology, 11(1), 125. https://doi.org/10.1186/s40359-023-01165-8
  • Clark, I. & Landolt, H. P. (2017). Coffee, caffeine, and sleep: A systematic review of epidemiological studies and randomized controlled trials. Sleep Medicine Reviews, 31, 70–78. https://doi.org/10.1016/j.smrv.2016.01.006
  • Demir, A.U. (2010). Türkiye’de erişkin toplumda uyku epidemiyolojisi araştırması ilk sonuçları. (Preliminary results of sleep epidemiology research in adult population in Turkey). Turkish Sleep Medicine Society Publication. Accessed July 5, 2024. http://78.189.53.61/- /uyku/11uykusunu/7_acilis.pdf
  • Drake, C., Roehrs, T., Shambroom, J. & Roth, T. (2013). Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of clinical sleep medicine: JCSM : official publication of the American Academy of Sleep Medicine, 9(11), 1195–1200. https://doi.org/10.5664/jcsm.3170
  • El Rafihi-Ferreira, R., do Brasil do Carmo, M. M. I., Bassolli, L., Hasan, R., Aizawa, I. M. N. & Toscanini, A. C. (2022). Cognitive and psychological factors associated with severe insomnia in Brazilian women: a cross-sectional study. Psicologia, reflexao e critica: revista semestral do Departamento de Psicologia da UFRGS, 35(1), 39. https://doi.org/10.1186/s41155-022-00243-x
  • Gianfredi, V., Nucci, D., Tonzani, A., Amodeo, R., Benvenuti, A. L., Villarini, M. & Moretti, M. (2018). Sleep disorder, mediterranean diet and learning performance among nursing students: inSOMNIA, a cross-sectional study. Annali di Igiene – Medicina Preventiva e di Comunità, 30(6), 470–481. https://doi.org/10.7416/ai.2018.2247
  • Gottlieb, D. J., Ellenbogen, J. M., Bianchi, M. T. & Czeisler, C. A. (2018). Sleep deficiency and motor vehicle crash risk in the general population: a prospective cohort study. BMC Medicine, 16(1), 44. https://doi.org/10.1186/s12916-018-1025-7
  • Hublin, C., Partinen, M., Koskenvuo, M. & Kaprio, J. (2011). Heritability and mortality risk of insomnia-related symptoms: a genetic epidemiologic study in a population-based twin cohort. Sleep, 34(7), 957–964. https://doi.org/10.5665/SLEEP.1136
  • Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J. & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews, 22, 23–36. https://doi.org/10.1016/j.smrv.2014.10.001
  • Kalmbach, D. A., Anderson, J. R. & Drake, C. L. (2018). The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. Journal of Sleep Research, 27(6), e12710. https://doi.org/10.1111/jsr.12710
  • Keser, M.G. & Yüksel, A. (2024). An overview of the relationship between meal timing and sleep. Turkish Journal of Sleep Medicine, 11(1), 20-25. doi:10.4274/jtsm.galenos.2023.71676.
  • Kim, S., DeRoo, L. A. & Sandler, D. P. (2011). Eating patterns and nutritional characteristics associated with sleep duration. Public Health Nutrition, 14(5), 889–895. https://doi.org/10.1017/S136898001000296X
  • Kumari, R., Gupta, R.K., Langer, B., Singh, P., Akhtar, N. & Anuradha. (2018). Insomnia and its associated factors: A cross-sectional study in rural adults of North India. Int J Med Sci Public Health, 7 (Online First).
  • Lo, K., Woo, B., Wong, M. & Tam, W. (2018). Subjective sleep quality, blood pressure, and hypertension: a meta-analysis. Journal of Clinical Hypertension (Greenwich, Conn.), 20(3), 592–605. https://doi.org/10.1111/jch.13220
  • Lo Martire, V., Caruso, D., Palagini, L., Zoccoli, G. & Bastianini, S. (2020). Stress & sleep: A relationship lasting a lifetime. Neuroscience and Biobehavioral Reviews, 117, 65–77. https://doi.org/10.1016/j.neubiorev.2019.08.024
  • Matthews, E. E., Arnedt, J. T., McCarthy, M. S., Cuddihy, L. J. & Aloia, M. S. (2013). Adherence to cognitive behavioral therapy for insomnia: a systematic review. Sleep Medicine Reviews, 17(6), 453–464. https://doi.org/10.1016/j.smrv.2013.01.001
  • McEwen, B. S., & Karatsoreos, I. N. (2015). Sleep Deprivation and Circadian Disruption: Stress, Allostasis, and Allostatic Load. Sleep Medicine Clinics, 10(1), 1–10. https://doi.org/10.1016/j.jsmc.2014.11.007
  • Metwally, A., Alalawi, A. D., Al Sarrar, A. A., Alamin, O. M., Saad, A. A., & Almalki, M. D. (2023). Prevalence of insomnia and ıts associated factors in the general population of Saudi Arabia: A cross-sectional study. Cureus, 15(8), e44342. https://doi.org/10.7759/cureus.44342
  • Morin, C. M. & Jarrin, D. C. (2022). Epidemiology of Insomnia: Prevalence, Course, Risk Factors, and Public Health Burden. Sleep Medicine Clinics, 17(2), 173–191. https://doi.org/10.1016/j.jsmc.2022.03.003
  • Netzer, N. C., Strohl, K. P. &Pramsohler, S. (2024). Influence of nutrition and food on sleep-is there evidence?. Sleep Breath, 28(1), 61-68. doi:10.1007/s11325-023-02921-1
  • Önal, G. Ş. &Hisar, K. M. (2018). Frequency of insomnia and depression symptoms in a university students and related factors. Gumushane Univ. J. Health Sci. 7(1), 125-130.Pham, H. T., Chuang, H. L., Kuo, C. P., Yeh, T. P., & Liao, W. C. (2021). Electronic device use before bedtime and sleep quality among university students. Healthcare (Basel, Switzerland), 9(9), 1091. https://doi.org/10.3390/healthcare9091091
  • Rampling, C. M., Gupta, C. C., Shriane, A. E., Ferguson, S. A., Rigney, G. & Vincent, G. E. (2022). Does knowledge of sleep hygiene recommendations match behaviour in Australian shift workers? A cross-sectional study. BMJ Open, 12(7), e059677. https://doi.org/10.1136/bmjopen-2021-059677
  • Roy, S.K., Bhattacharjee, A.K., Chakraborti, C. & Singh, R. (2015). Prevalence of insomnia in urban population of West Bengal: a community-based cross-sectional study. Int J Med Public Health., 5, 293-296.
  • Troxel, W. M., Buysse, D. J., Matthews, K. A., Kip, K. E., Strollo, P. J., Hall, M., … Reis, S. E. (2010). Sleep symptoms predict the development of the metabolic syndrome. Sleep, 33(12), 1633–1640. https://doi.org/10.1093/sleep/33.12.1633
  • Uysal, H., Ayvaz, M.Y. & Oruçoğlu, H.B. (2018). Üniversite öğrencilerinin beslenme durumu ve uyku kalitesinin değerlendirilmesi. Türk Uyku Tıbbı Dergisi, 5(2), 31-39. doi:10.4274/jtsm.69775.
  • Work Health Solutions. Why sleep hygiene matters more than you think: understanding the importance of good sleep habits. Retrieved from: https://workhealthsolutions.com/docs/why-sleep-hygiene-matters-more-than-you-think-understanding-the-importance-of-good-sleep-habits/
  • Yetkin, S. & Aydin, H. (2014). Bir semptom ve bir hastalık olarak uykusuzluk. Türk Uyku Tıbbı Dergisi, 1(1), 1-8. doi:10.4274/jtsm.01.
  • Zhao, M., Tuo, H., Wang, S. & Zhao, L. (2020). The effects of dietary nutrition on sleep and sleep disorders. Mediators of Inflammation, 2020, 3142874. https://doi.org/10.1155/2020/3142874
  • Zulfakar, S. S., Amin, A. N., Syed Idrus, S. N., Mohd, F. H., Nor Azman, N. I. N., Hamzah, N. F. S. & Haswadi, S. H. (2022). The Association between insomnia & stress levels among faculty of health sciences students. Jurnal Personalia Pelajar, 24(2). Retrieved from https://spaj.ukm.my/personalia/index.php/personalia/article/view/206
Toplam 41 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Dahili Hastalıklar Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Simge Kalav 0000-0003-2261-7813

Ebru Bulut 0000-0002-7435-3664

Sakine Boyraz Özkavak 0000-0001-9699-6495

Erken Görünüm Tarihi 17 Haziran 2025
Yayımlanma Tarihi 25 Haziran 2025
Gönderilme Tarihi 30 Ekim 2024
Kabul Tarihi 17 Şubat 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 13 Sayı: 2

Kaynak Göster

APA Kalav, S., Bulut, E., & Boyraz Özkavak, S. (2025). INSOMNIA, RELATED FACTORS AND DETERMINATION OF THE STATUS OF COMPLIANCE WITH SLEEP HYGIENE RULES IN ADULT INDIVIDUALS. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 13(2), 313-328. https://doi.org/10.33715/inonusaglik.1575945