The evaluation of sleep quality, anxiety disorder and depression in older adults with Parkinson disease

Abstract

Amaç: Bu çalışmanın amacı, Parkinson hastalığı olan yaşlı yetişkinlerde uyku bozukluğu, anksiyete ve depresyon sıklığı yanı sıra bu şikayetler ile hastalığın evresi ve süresi arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Parkinson hastalığı tanısı ile takip edilen toplam 585 yaşlı yetişkine Epworth Uykululuk Ölçeği, Pittsburgh Uyku Kalitesi İndeksi, Uykusuzluk Şiddet İndeksi, Beck Depresyon Envanteri ve Hamilton Anksiyete Ölçeği uygulandı. Elde edilen veriler 585 sağlıklı bireyden oluşan kontrol grubunun verileri ile karşılaştırılarak yorumlanmıştır. Bulgular: Pittsburgh Uyku Kalitesi İndeksine göre hasta grubunda gündüz işlevleri ve subjektif uyku kalitesi istatistiksel olarak anlamlı düzeyde daha kötü bulunmuştur. Beck Depresyon Envanteri puanı ile Birleşik Parkinson Hastalığı Derecelendirme Ölçeği ve Hoehn Yahr Ölçeği arasında pozitif ve istatistiksel olarak anlamlı bir ilişki belirlenmiştir. Hastalığın evresi arttıkça depresyon sıklığı artarken, hastalık süresi arttıkça anksiyete sıklığı da artmaktadır. Sonuç: Özellikle Parkinson hastalığı olan, klinik olarak daha ağır olan ve daha uzun süredir tedavi gören yaşlı yetişkinlerde depresyon ve anksiyete varlığı sorgulanmalıdır. Tedaviye bağlı komplikasyonları olan hastalar uyku bozuklukları açısından değerlendirilmelidir. Parkinson hastalığının sadece motor semptomlarla ilişkili olmadığı, motor dışı semptomların etkili bir şekilde tedavi edilmesinin hastaların yaşam kalitelerini de artıracağı unutulmamalıdır.

Keywords

• anksiyete
• depresyon
• yaşlı
• Parkinson hastalığı
• uyku bozukluğu

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