Araştırma Makalesi
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Spinal Cerrahi Uygulanan Hastalarda Uyku Kalitesi

Yıl 2025, Cilt: 7 Sayı: 3 , 522 - 531 , 26.12.2025
https://izlik.org/JA79WM97BY

Öz

Bu çalışmanın amacı, beyin cerrahisi ünitesinde dejeneratif omurga hastalıkları nedeniyle cerrahi tedavi uygulanan hastaların uyku kalitesini değerlendirmektir. Tanımlayıcı ve kesitsel tipteki araştırma 110 spinal cerrahi uygulanan hastanın katılımıyla Mayıs 2023-Nisan 2024 tarihleri arasında bir üniversite hastanesinde yürütüldü. Veri toplamada Bilgi Formu ve Richards- Campbell Sleep Questionnaire kullanıldı. Verileri değerlendirmede Mann Whitney U testi ve Spearman Korelasyon analizinden yararlanıldı. Hastaların ortalama Richards- Campbell Uyku Ölçeği toplam puanı 52.8 ± 15.6 idi. Hastaların RCSQ toplam puan ortalamalarının ağrı varlığına göre istatistiksel olarak farklılık gösterdiği saptandı. Son 24 saatteki en kötü ağrı skoru ve son 24 saatteki ortalama ağrı skoru ile hastaların ortalama Richards- Campbell Uyku Ölçeği toplam skoru arasında negatif bir korelasyon olduğu bulundu. Dejeneratif spinal cerrahi hastalıklar nedeniyle spinal cerrahi geçiren hastaların uyku kalitelerinin iyi olduğu belirlendi. Ağrı uykuyu olumsuz etkileyen bir faktör olarak bulundu. Hastaların uykusunun beyin ve sinir cerrahisi servis ortamındaki ses (%12,7), ışık (%10) ve ortam sıcaklığı (%9,1) gibi faktörlerden olumsuz etkilendiği tespit edilmiştir.

Proje Numarası

Yok

Kaynakça

  • Afolalu, E. F., Ramlee, F., & Tang, N.K.Y. (2018). Effects of sleep changes on pain‐ related health outcomes in the general population: a systematic review of longitudinal studies with exploratory meta‐analysis. Sleep Medicine Reviews, 39, 82‐97. http://doi.org/10.1016/j.smrv.2017.08.001
  • Ahn, Y. H., Lee, H. Y., Lee, S. M., & Lee, J. (2023). Factors influencing sleep quality in the intensive care unit: a descriptive pilot study in Korea. Acute and Critical Care, 38(3), 278. http://doi.org/10.4266/acc.2023.00514
  • Ak, E. S., Öngün, P., Şenel, Ç., & Kızılçay, Y. Ç. (2022). Majör ürolojik cerrahi uygulanan hastalarda ameliyat sonrası ağrı düzeyinin uyku kalitesine etkisi. Journal of İnönü University Health Services Vocational School, 10(3), 992-1003. https://dergipark.org.tr/tr/download/article-file/2214420
  • Aksu, N. T., & Erdoğan, A. (2017). Akciğer rezeksiyonu yapılan hastalarda uyku kalitesinin değerlendirilmesi. Journal of Turkish Sleep Medicine, 4, 35-42. http://doi.org/10.4274/jtsm.76486
  • Akutay, S., & Yılmaz, M. (2021). The relationship between pain severity and sleep quality: posttube thoracostomy. Nursing Forum, 56, 860–868. http://doi.org/10.1111/nuf.12630
  • Akyolcu, N., Uğraş, G. A (2017). Sinir sisteminin cerrahi hastalıkları ve bakımı. In: N. Akyolcu, N. Kanan, G. Aksoy. (Eds.), Cerrahi hemşireliği (pp 565-574). İstanbul: Nobel Tıp Kitapevleri.
  • Alqaisi, O. M., & Al-Ghabeesh, S. (2024). Quality of postoperative pain management in orthopedic patients and ıts ımpact on sleep quality and patient satisfaction: An integrative review. Cureus, 16(7), e65872. http://doi.org/10.7759/cureus.65872
  • Altun, N., Yazar, T., Benli, T. (2016). Dejeneratif omurga hastalıkları. Ankara: Türk Omurga Derneği Yayınları-5. https://www.turkomurga.org.tr/upload/DEJENERATIF%20OMURGA.pdf
  • Bayraktar, N. (2016). Nöroşirürjide bakım. In N.Ö. Elbaş. (Ed.), Cerrahi hastalıkları hemşireliği akıl notları. Ankara: Güneş Tıp Kitabevleri.
  • Burger, P., Van den Ende, E. S., Lukman, W., Burchell, G. L., Steur, L. M. H., Merten, H., Nanayakkara, P. W. B., & Gemke, J. B. J. R. (2022). Sleep in hospitalized pediatric and adult patients – a systematic review and meta-analysis. Sleep Medicine:X, 4, 100059. http://doi.org/10.1016/j.sleepx.2022.100059
  • Çakır, M., & Özlü, Karaman, Z. (2024). Postoperative pain, anxiety and sleep conditions of neurosurgery patients. Journal of Midwifery and Health Sciences, 7(2), 396‐402. https://dergipark.org.tr/tr/download/article-file/3684354
  • Chen, X., Hu, Y., Fan, J., & Li, Y. (2023). Post-operative poor sleep quality and its associated factors among non-small cell lung cancer patients: a cross-sectional study. Cancer Management and Research, 15, 1283-1295. http://doi.org/10.2147/CMAR.S430436
  • Chu, T. T. G. (2023). Investigating sleep quality and related factors of postoperative patients at Tay Nguyen Regional General Hospital, Dak Lak Province, Vietnam. MedPharmRes, 7(2), 52-58. http://doi.org/10.32895/UMP.MPR.7.2.7
  • Dolan, R., Huh, J., Tiwari, N., Sproat, T., & Camilleri-Brennan, J. (2016). A prospective analysis of sleep deprivation and disturbance in surgical patients. Annals of Medicine and Surgery, 6, 1-5. http://doi.org/10.1016/j.amsu.2015.12.046
  • Fonseka, R. D., Natarajan, P., Maharaj, M. M., Rooke, K., & Mobbs. R. J. (2022). Two-year continuous data capture using a wearable sensor to remotely monitor the surgical spine patient: a case report. Journal of Spine Surgery, 8(1), 170-179. http://doi.org/10.21037/jss-21-89
  • Greenberg, M. S. (2012). Omurga ve omurilik. In H. Oruçkaptan (Ed.), Nöroşirurji el kitabı (pp 289-318). İstanbul: Güneş Kitabevi.
  • Hu, Z., & Wang, Y. (2018). Effect of progressive muscle relaxation training on anxiety and pain after percutaneous nephrolithotomy. Medical Innovation of China, 15, 94–97. https://qikan.cqvip.com/Qikan/Article/Detail?id=7000891613&from=Qikan_Article_Detail
  • Jensen, J., Specht, K., & Mainz, H. (2024). Orthopaedic patients' experiences of their sleep during hospitalisation and suggestions for improvements. International Journal of Orthopaedic and Trauma Nursing, 53, 101056. http://doi.org/10.1016/j.ijotn.2023.101056
  • Köse, G., Tastan, S., Temiz, N. Ç., Sarı, M., & Izci, Y. (2019). The effect of low back pain on daily activities and sleep quality in patients with lumbar disc herniation: A pilot study. Journal of Neuroscience Nursing, 51(4), 184-189. https://doi.org/10.1097/JNN.0000000000000446
  • Ogden, M., Akgul, M. H., Yuksel, U., Bakar, B., Kamasak, K., & Özveren, M. F. (2018). An evaluation of the quality of sleep before and after surgical treatment of patients with cervical disc herniation. Journal of Korean Neurosurgical Society, 61(5), 600-607. https://doi.org/10.3340/jkns.2017.0248
  • Öngün, P., Seyhan Ak, E., Kırtıl, İ., Kızılay, Y. O., & Turan, K. (2023). Comparison of postoperative pain, anxiety, and sleep quality in robotic-assisted and manual total knee replacement surgery. Journal of Robotic Surgery, 17(4), 1835–1842. http://doi.org/10.1007/s11701-023-01593-z
  • Oral, S. E., Kıranşal, N., & Deniz, M. (2022). Cerrahi kliniklerde yatan hastalarda ağrı ve anksiyetenin uyku kalitesine etkisi. Journal of Turkish Sleep Medicine, 9, 288-293. https://l24.im/4UCE8Wa
  • Özkan, Z. K., Dığın, F., & Kalaycı, E. (2023). Sleep quality and related factors in surgical ıntensive care patients. Journal of Turkish Sleep Medicine, 10(1), 71-77. http://doi.org/10.4274/jtsm.galenos.2022.95867
  • Özlü, Z. K., & Özer, N. (2015). Richard-Campbell Sleep Questionnaire validity and reliability study. Journal of Turkish Sleep Medicine, 2(2), 29-32. https://l24.im/mtq3zBJ
  • Para, E., & Uslu, Y. (2022). Postoperative sleep quality and affecting factors sleep patterns in surgical patients. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 9(4), 443-450. https://dergipark.org.tr/tr/download/article-file/2121493
  • Richards, K. (1987). Techniques for measurement of sleep in critical care. Focus on Critical Care, 14(4), 34-40. https://pubmed.ncbi.nlm.nih.gov/3650169
  • Richards, K. C., O’Sullivan, P. S., & Phillips, R. L. (2000). Measurement of sleep in critically ill patients. Journal of nursing measurement, 8(2), 131-144. https://pubmed.ncbi.nlm.nih.gov/11227580
  • Sayar, S., Sayar, F., Gündoğdu, F., & Küçükköseler, A. D. (2024). Quality of sleep and factors affecting sleep quality n hosptalized patents in the orthopedics and traumatology clinic. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 15(1), 106-113. http://doi.org/10.31067/acusaglik.134910
  • Tat Çatal, A., & Cebeci, F. (2020). Lomber disk hernisinde ağrı, anksiyete, depresyon döngüsü ve hemşirenin rolü. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 7(1), 73-77. http://doi.org/10.31125/hunhemsire.715178
  • Tegegne, S. S., & Alemnew, E. F. (2022). Postoperative poor sleep quality and its associated factors among adult patients: a multicenter cross-sectional study. Annals of Medicine and Surgery, 22(74), 103273. http://doi.org/10.1016/j.amsu.2022.103273
  • Thanh, C. T. G., & Xuan, M. T. T. (2024). Sleep quality and its associated factors among postoperative patients: A cross-sectional study. Pancreas, 28, 7-5. https://doi.org/10.54660/.IJMRGE.2024.5.3.14-18
  • Vitale, J. A., Banfi, G., Vigano, M., & Negrini, F. (2023). How do patients sleep after orthopaedic surgery? changes in objective sleep parameters and pain in hospitalized patients undergoing hip and knee arthroplasty. International Orthopaedics, 47, 1929–1938. http://doi.org/10.1007/s00264-023-05862-2
  • Yavuz, A. Y., & Uysal, E. (2022). Treatment method selection for sleep quality due to lumbar DISC herniation: Early surgery or others?; A single center clinical trial. Journal of Clinical Neuroscience, 101, 162-167. https://doi.org/10.1016/j.jocn.2022.04.046

Sleep Quality in Patients Undergoing Spinal Surgery

Yıl 2025, Cilt: 7 Sayı: 3 , 522 - 531 , 26.12.2025
https://izlik.org/JA79WM97BY

Öz

The purpose of this study was to evaluate the sleep quality of patients who underwent surgical treatment for degenerative spine diseases in the neurosurgery unit. The descriptive and cross-sectional study was conducted between May 2023 and April 2024 with the participation of 110 patients undergoing spinal surgery. The descriptive and cross-sectional study was conducted between May 2023 and April 2024 with the participation of 110 patients undergoing spinal surgery. An Information Form and the Richards-Campbell Sleep Questionnaire were used for data collection. The Mann Whitney U test and Spearman correlation analysis were used to evaluate the data. The patients' average total Richards-Campbell Sleep Questionnaire score was 52.8 ± 15.6. It was found that the mean Richards-Campbell Sleep Questionnaire total ranks of the patients differed statistically according to the presence of pain. A negative correlation was found between the worst pain score in the last 24 hours, and the average pain score in the last 24 hours, and the mean Richards- Campbell Sleep Questionnaire total score of the patients. It was determined that patients who underwent spinal surgery for degenerative spine diseases had moderate sleep quality. Pain was found to be a factor that negatively affected sleep. It was determined that the patients' sleep was negatively affected by factors such as sound (12.7%), light (10%), and ambient temperature (9.1%) in the brain and neurosurgery service environment.

Proje Numarası

Yok

Kaynakça

  • Afolalu, E. F., Ramlee, F., & Tang, N.K.Y. (2018). Effects of sleep changes on pain‐ related health outcomes in the general population: a systematic review of longitudinal studies with exploratory meta‐analysis. Sleep Medicine Reviews, 39, 82‐97. http://doi.org/10.1016/j.smrv.2017.08.001
  • Ahn, Y. H., Lee, H. Y., Lee, S. M., & Lee, J. (2023). Factors influencing sleep quality in the intensive care unit: a descriptive pilot study in Korea. Acute and Critical Care, 38(3), 278. http://doi.org/10.4266/acc.2023.00514
  • Ak, E. S., Öngün, P., Şenel, Ç., & Kızılçay, Y. Ç. (2022). Majör ürolojik cerrahi uygulanan hastalarda ameliyat sonrası ağrı düzeyinin uyku kalitesine etkisi. Journal of İnönü University Health Services Vocational School, 10(3), 992-1003. https://dergipark.org.tr/tr/download/article-file/2214420
  • Aksu, N. T., & Erdoğan, A. (2017). Akciğer rezeksiyonu yapılan hastalarda uyku kalitesinin değerlendirilmesi. Journal of Turkish Sleep Medicine, 4, 35-42. http://doi.org/10.4274/jtsm.76486
  • Akutay, S., & Yılmaz, M. (2021). The relationship between pain severity and sleep quality: posttube thoracostomy. Nursing Forum, 56, 860–868. http://doi.org/10.1111/nuf.12630
  • Akyolcu, N., Uğraş, G. A (2017). Sinir sisteminin cerrahi hastalıkları ve bakımı. In: N. Akyolcu, N. Kanan, G. Aksoy. (Eds.), Cerrahi hemşireliği (pp 565-574). İstanbul: Nobel Tıp Kitapevleri.
  • Alqaisi, O. M., & Al-Ghabeesh, S. (2024). Quality of postoperative pain management in orthopedic patients and ıts ımpact on sleep quality and patient satisfaction: An integrative review. Cureus, 16(7), e65872. http://doi.org/10.7759/cureus.65872
  • Altun, N., Yazar, T., Benli, T. (2016). Dejeneratif omurga hastalıkları. Ankara: Türk Omurga Derneği Yayınları-5. https://www.turkomurga.org.tr/upload/DEJENERATIF%20OMURGA.pdf
  • Bayraktar, N. (2016). Nöroşirürjide bakım. In N.Ö. Elbaş. (Ed.), Cerrahi hastalıkları hemşireliği akıl notları. Ankara: Güneş Tıp Kitabevleri.
  • Burger, P., Van den Ende, E. S., Lukman, W., Burchell, G. L., Steur, L. M. H., Merten, H., Nanayakkara, P. W. B., & Gemke, J. B. J. R. (2022). Sleep in hospitalized pediatric and adult patients – a systematic review and meta-analysis. Sleep Medicine:X, 4, 100059. http://doi.org/10.1016/j.sleepx.2022.100059
  • Çakır, M., & Özlü, Karaman, Z. (2024). Postoperative pain, anxiety and sleep conditions of neurosurgery patients. Journal of Midwifery and Health Sciences, 7(2), 396‐402. https://dergipark.org.tr/tr/download/article-file/3684354
  • Chen, X., Hu, Y., Fan, J., & Li, Y. (2023). Post-operative poor sleep quality and its associated factors among non-small cell lung cancer patients: a cross-sectional study. Cancer Management and Research, 15, 1283-1295. http://doi.org/10.2147/CMAR.S430436
  • Chu, T. T. G. (2023). Investigating sleep quality and related factors of postoperative patients at Tay Nguyen Regional General Hospital, Dak Lak Province, Vietnam. MedPharmRes, 7(2), 52-58. http://doi.org/10.32895/UMP.MPR.7.2.7
  • Dolan, R., Huh, J., Tiwari, N., Sproat, T., & Camilleri-Brennan, J. (2016). A prospective analysis of sleep deprivation and disturbance in surgical patients. Annals of Medicine and Surgery, 6, 1-5. http://doi.org/10.1016/j.amsu.2015.12.046
  • Fonseka, R. D., Natarajan, P., Maharaj, M. M., Rooke, K., & Mobbs. R. J. (2022). Two-year continuous data capture using a wearable sensor to remotely monitor the surgical spine patient: a case report. Journal of Spine Surgery, 8(1), 170-179. http://doi.org/10.21037/jss-21-89
  • Greenberg, M. S. (2012). Omurga ve omurilik. In H. Oruçkaptan (Ed.), Nöroşirurji el kitabı (pp 289-318). İstanbul: Güneş Kitabevi.
  • Hu, Z., & Wang, Y. (2018). Effect of progressive muscle relaxation training on anxiety and pain after percutaneous nephrolithotomy. Medical Innovation of China, 15, 94–97. https://qikan.cqvip.com/Qikan/Article/Detail?id=7000891613&from=Qikan_Article_Detail
  • Jensen, J., Specht, K., & Mainz, H. (2024). Orthopaedic patients' experiences of their sleep during hospitalisation and suggestions for improvements. International Journal of Orthopaedic and Trauma Nursing, 53, 101056. http://doi.org/10.1016/j.ijotn.2023.101056
  • Köse, G., Tastan, S., Temiz, N. Ç., Sarı, M., & Izci, Y. (2019). The effect of low back pain on daily activities and sleep quality in patients with lumbar disc herniation: A pilot study. Journal of Neuroscience Nursing, 51(4), 184-189. https://doi.org/10.1097/JNN.0000000000000446
  • Ogden, M., Akgul, M. H., Yuksel, U., Bakar, B., Kamasak, K., & Özveren, M. F. (2018). An evaluation of the quality of sleep before and after surgical treatment of patients with cervical disc herniation. Journal of Korean Neurosurgical Society, 61(5), 600-607. https://doi.org/10.3340/jkns.2017.0248
  • Öngün, P., Seyhan Ak, E., Kırtıl, İ., Kızılay, Y. O., & Turan, K. (2023). Comparison of postoperative pain, anxiety, and sleep quality in robotic-assisted and manual total knee replacement surgery. Journal of Robotic Surgery, 17(4), 1835–1842. http://doi.org/10.1007/s11701-023-01593-z
  • Oral, S. E., Kıranşal, N., & Deniz, M. (2022). Cerrahi kliniklerde yatan hastalarda ağrı ve anksiyetenin uyku kalitesine etkisi. Journal of Turkish Sleep Medicine, 9, 288-293. https://l24.im/4UCE8Wa
  • Özkan, Z. K., Dığın, F., & Kalaycı, E. (2023). Sleep quality and related factors in surgical ıntensive care patients. Journal of Turkish Sleep Medicine, 10(1), 71-77. http://doi.org/10.4274/jtsm.galenos.2022.95867
  • Özlü, Z. K., & Özer, N. (2015). Richard-Campbell Sleep Questionnaire validity and reliability study. Journal of Turkish Sleep Medicine, 2(2), 29-32. https://l24.im/mtq3zBJ
  • Para, E., & Uslu, Y. (2022). Postoperative sleep quality and affecting factors sleep patterns in surgical patients. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 9(4), 443-450. https://dergipark.org.tr/tr/download/article-file/2121493
  • Richards, K. (1987). Techniques for measurement of sleep in critical care. Focus on Critical Care, 14(4), 34-40. https://pubmed.ncbi.nlm.nih.gov/3650169
  • Richards, K. C., O’Sullivan, P. S., & Phillips, R. L. (2000). Measurement of sleep in critically ill patients. Journal of nursing measurement, 8(2), 131-144. https://pubmed.ncbi.nlm.nih.gov/11227580
  • Sayar, S., Sayar, F., Gündoğdu, F., & Küçükköseler, A. D. (2024). Quality of sleep and factors affecting sleep quality n hosptalized patents in the orthopedics and traumatology clinic. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 15(1), 106-113. http://doi.org/10.31067/acusaglik.134910
  • Tat Çatal, A., & Cebeci, F. (2020). Lomber disk hernisinde ağrı, anksiyete, depresyon döngüsü ve hemşirenin rolü. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 7(1), 73-77. http://doi.org/10.31125/hunhemsire.715178
  • Tegegne, S. S., & Alemnew, E. F. (2022). Postoperative poor sleep quality and its associated factors among adult patients: a multicenter cross-sectional study. Annals of Medicine and Surgery, 22(74), 103273. http://doi.org/10.1016/j.amsu.2022.103273
  • Thanh, C. T. G., & Xuan, M. T. T. (2024). Sleep quality and its associated factors among postoperative patients: A cross-sectional study. Pancreas, 28, 7-5. https://doi.org/10.54660/.IJMRGE.2024.5.3.14-18
  • Vitale, J. A., Banfi, G., Vigano, M., & Negrini, F. (2023). How do patients sleep after orthopaedic surgery? changes in objective sleep parameters and pain in hospitalized patients undergoing hip and knee arthroplasty. International Orthopaedics, 47, 1929–1938. http://doi.org/10.1007/s00264-023-05862-2
  • Yavuz, A. Y., & Uysal, E. (2022). Treatment method selection for sleep quality due to lumbar DISC herniation: Early surgery or others?; A single center clinical trial. Journal of Clinical Neuroscience, 101, 162-167. https://doi.org/10.1016/j.jocn.2022.04.046
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Zeynep Kızılcık Özkan 0000-0003-1892-241X

Figen Dığın 0000-0003-1861-0221

Emine Koç 0000-0002-5749-2435

Bircan Anıl 0009-0003-5653-5901

Proje Numarası Yok
Gönderilme Tarihi 23 Eylül 2024
Kabul Tarihi 29 Aralık 2024
Yayımlanma Tarihi 26 Aralık 2025
IZ https://izlik.org/JA79WM97BY
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 3

Kaynak Göster

APA Kızılcık Özkan, Z., Dığın, F., Koç, E., & Anıl, B. (2025). Sleep Quality in Patients Undergoing Spinal Surgery. Genel Sağlık Bilimleri Dergisi, 7(3), 522-531. https://izlik.org/JA79WM97BY

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