COVID-19 Pandemi Sürecinde Yoğun Bakım Ünitesinde Yatan Hastaların Uyku Kalitesi ve Etkileyen Faktörlerin Belirlenmesi: Kesitsel Çalışma

Yıl 2023, Cilt: 6 Sayı: 3, 533 - 541, 15.10.2023

Kübra Pamuk , Nuray Turan , Gülsün Özdemir

https://doi.org/10.38108/ouhcd.1170229

Öz

Amaç: Bu araştırma, COVID-19 pandemi sürecinde yoğun bakım ünitesinde yatan hastaların uyku kalitesini ve etkileyen faktörleri saptamak amacı ile gerçekleştirildi.
Yöntem: Kesitsel türdeki araştırmanın evrenini, bir eğitim araştırma hastanesinin yoğun bakım ünitesinde yatan hastalar, örneklemini ise 198 hasta oluşturdu. Araştırma verileri toplanırken Hasta Bilgi Formu ve Richards Campbell Uyku Ölçeği kullanıldı.
Bulgular: Hastaların %55.6’sı erkek, yaş ortalamaları 56.82±17.33 (min.-max.:16-95) yıl, %78.8’i evli, %24.7’si emekli ve %96.4’ü sağlık güvencesine sahipti. Yoğun bakım ünitesinde yatan hastaların Richards Campbell Uyku Ölçeği toplam puan ortalamasının 44.71±14.88 ve %61.1’inin uyku kalitesinin kötü olduğu saptandı. Ev ortamında uykuya rahat geçen, uyku sorunu yaşamayan ve yoğun bakım ünitesi deneyimi olmayan, uykusunun etkilenmediğini ifade eden, uykuya geçiş için ilaç kullanan ve kendilerini huzursuz hissetmeyen hastaların Richards Campbell Uyku Ölçeği puan ortalamaları istatistiksel olarak anlamlı bulundu (p<0.05).
Sonuç: Yoğun bakım ünitesinde yatan hastaların uyku kalitelerinin kötü düzeyde olduğu ve hastaların bireysel özelliklerinin uyku kalitesini olumsuz yönde etkilediği görüldü. Bu kapsamda, yoğun bakım ünitesinde uyku kalitesini arttırmak için çevre düzenlemesinin yapılması ve hemşirelerin hizmet içi eğitim programlarına katılarak farkındalığının arttırılması önerilebilir.

Anahtar Kelimeler

COVID-19, yoğun bakım ünitesi, uyku kalitesi, hemşirelik

Determination of Sleep Quality and Affecting Factors of Patients in the Intensive Care Unit during the COVID-19 Pandemic: Cross-Sectional Study

Öz

Objective: This research was carried out to determine the sleep quality and affecting factors of patients hospitalized in the intensive care unit during the COVID-19 pandemic.
Methods: The cross-sectional study population consisted of patients in the intensive care unit of a training and research hospital, and the sample consisted of 198 patients. Research data were collected through the Patient Information Form and the Richard-Campbell Sleep Questionnaire.
Results: 55.6% of the patients were male, the mean age was 56.82±17.33 (min.-max.:16-95) years,78.8% were married, 24.7% were retired, and 96.4% had health insurance. It was determined that the Richards Campbell Sleep Scale total score average of the patients hospitalized in the ıntensive care unit was 44.71±14.88, and 61.1% had poor sleep quality. It was determined that the Richard-Campbell Sleep Questionnaire mean scores of the patients who slept comfortably in the home, did not have sleep problems and had no experience in the intensive care unit, who stated that their sleep was not affected, who used drugs for the transition to sleep and did not feel restless, were significantly higher (p<0.05).
Conclusion: It was observed that the sleep quality of the patients in the intensive care unit was at a bad level, but the individual characteristics of the patients affected the sleep quality negatively. It can be recommended to make environmental arrangements to increase the sleep quality in the intensive care unit and increase nurses' awareness by participating in in-service training programs.

Anahtar Kelimeler

COVID-19, intensive care unit, sleep quality, nursing

Kaynakça

• Algın Dİ, Akdağ G, Erdinç O. (2016). Kaliteli uyku ve uyku bozuklukları. Osmangazi Tıp Dergisi, 38 (Özel Sayı 1), 29-34.
• Alimoradi Z, Broström A, Tsang HW, Griffiths MD, Haghayegh S, Ohayon, MM, ve ark. (2021). Sleep problems during COVID-19 pandemic and its’ association to psychological distress: A systematic review and meta-analysis. EClinicalMedicine, 36, 100916.https://doi.org/10.1016/j.eclinm.2021.100916
• Atar NY, Kırbıyık E, Kaya N, Kaya H, Turan N, Palloş N, ve ark. (2012). Bir üniversite hastanesinin cerrahi kliniğinde yatan hastaların uyku kalitesi ve uyku durumunu etkileyen faktörler. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 4(2), 74-84.
• Bai Y, Wang X, Huang Q, Wang H, Gurarie D, Ndeffo-Mbah M, ve ark. (2020). SARS-CoV-2 infection in health care workers: A retrospective analysis and a model study. Sleep Medicine. https://doi.org/10.1101 /2020.03.29.20047159
• Beck F, Léger D, Fressard L, Peretti‐Watel P, Verger P, Coconel Group. (2021). Covid‐19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the population level. Journal of Sleep Research, 30(1), e13119. https://doi.org/10.1111/jsr.13119
• Bohlken J, Schömig F, Seehagen T, Köhler S, Gehring K, Roth-Sackenheim C, ve ark. (2020). Experience of practice-based psychiatrists and neurologists during the COVID-19 pandemic. Psychiatrische Praxis, 47(4), 214-217.
• Boyko Y, Jennum P, Nikolic M, Holst R, Oerding H, Toft P. (2017). Sleep in intensive care unit: The role of environment, Journal of Critical Care, 37, 99-105.
• Cao X-L, Wang S-B, Zhong B-L, Zhnag L, Ungvari GS, Ungvari, GS, ve ark. (2017). The prevalence of insomnia in the general population in China: a meta-analysis. PLoS One, 12(2), e0170772.
• Carrera-Hernández L, Aizpitarte-Pejenaute E, Zugazagoitia-Ciarrusta N, Goñi-Viguria R. (2018). Patients’ perceptions of sleep in a critical care unit. Enfermería Intensiva (English ed.), 29(2), 53-63.
• Chan MC, Spieth PM, Quinn K, Parotto M, Zhang H, Slutsky AS. (2012). Circadian rhythms: from basic mechanisms to the intensive care unit. Critical Care Medicine, 40(1), 246–253.
• Cruz MM, Miyazawa M, Gozal D. (2020). Putative contributions of circadian clock and sleep in the context of SARS-CoV-2 infection. European Respiratory Journal, 55(6), 2001023. https://doi.org/10.1183/13993003.01023-2020
• Çulha Y, Turan N, Aydın GÖ, Kaya H, Aştı TA. (2020). Hemşirelik öğrencilerinde iletişim teknolojisi kullanımının uyku ve fiziksel aktivite düzeyi üzerine etkisi. Hemşirelik Akademik Araştırma Dergisi, 6(3), 433-441.
• Demir G, Öztunç G. (2017). Gürültünün yoğun bakım ünitesinde yatan hastaların gece uykusu ve yaşamsal bulguları üzerine etkisi. Türk Yoğun Bakım Dergisi, 15(3), 107-116.
• Domaç MF, Karacı R. (2020). COVID-19 ve uyku. Uludüz D, Özge A, editörler, Nörolojik Bilimler ve COVID-19. 1. Baskı. Ankara: Türkiye Klinikleri.
• Engwall M, Fridh I, Johansson L, Bergbom I, Lindahl B. (2015). Lighting, sleep and circadian rhythm: An intervention study in the intensive care unit. Intensive and Critical Care Nursing, 31, 325-335.
• Erdöl HŞ. (2014). Uyku. Aştı TA, Karadağ A, editörler. Hemşirelik Esasları. İstanbul: Nobel Tıp Kitabevleri, s.1100-1114.
• Ersoy EO, Yüce GD, Duru S, Fırat H, Ardıç S, Kurt B. (2016). Obstrüktif uyku apne sendromunda laboratuvar parametrelerinin yeri. Türk Uyku Tıbbı Dergisi, 3,1-5.
• Jahrami H, BaHammam AS, Bragazzi NL, Saif Z, Faris M, Vitiello MV. (2021). Sleep problems during the COVID-19 pandemic by population: A systematic review and meta-analysis. Journal of Clinical Sleep Medicine, 17(2), 299-313.
• Kankaya EA, Bilik O. (2019). Three enemies of circadian rhythm: anxiety, sleeplessness and pain in patients following open-heart surgery. Clinical and Experimental Health Sciences, 9(3), 246-252.
• Knauert MP, Haspel JA, Piasni MA. (2015). Sleep loss and circadian rhythm disruption in the intensive care unit. Clinics in Chest Medicine, 36, 419-429.
• Korompeli A, Muurlink O, Kavrochorianou N, Katsoulas T, Fildissis G, Baltopoulos G. (2017). Circadian disruption of ICU patients: A review of pathways, expression, and interventions. Journal of Critical Care, 38, 269-277.
• Kotfis K, Roberson SW, Wilson JE, Dabrowski W, Pun BT, Ely EW. (2020). COVID-19: ICU delirium management during SARS-CoV-2 pandemic. Critical Care, 24(1), 1-9.
• Liguori C., Pierantozzi M., Spanetta M., Sarmati L., Cesta N., Iannetta M, ve ark. (2020). Subjective neurological symptoms frequently occur in patients with SARS-CoV2 infection. Brain Behavior and Immunity, 88, 11-16.
• Lin LY, Wang J, Ou-Yang XY, Miao Q, Chen R, Liang F. X., et al. (2021). The immediate impact of the 2019 novel coronavirus (COVID-19) outbreak on subjective sleep status. Sleep Medicine, 77, 348-354.
• Locihova H, Axmann K, Ziakova K, Serkova, D. (2020). Effect of a multicomponent sleep protocol on sleep quality in conscious patients in the intensive care unit. Journal of Turkish Sleep Medicine, 7(3), 140-149.
• Lu L, Wang S-B, Rao W, Zhang Q, Ungvari GS, Ng CH, ve ark. (2019). The prevalence of sleep disturbances and sleep quality in older Chinese adults: a comprehensive meta-analysis. Behavioral Sleep Medicine. 17(6), 683-697.
• Özlü ZK, Özer N. (2015). Richard-Campbell Uyku Ölçeği geçerlilik ve güvenilirlik çalışması. Türk Uyku Tıbbi Dergisi, 2, 29-32.
• Pamuk P, Turan N. (2022). The effect of light on sleep quality and physiological parameters in patients in the intensive care unit. Applied Nursing Research, 66, 151607. https://doi.org/ 10.1016/j.apnr.2022.151607
• Pataka A, Kotoulas S, Sakka E, Katsaounou P, Pappa S. (2021). Sleep dysfunction in COVID-19 patients: prevalence, risk factors, mechanisms, and management. J. Pers. Med. 11, 1203-1311. https://doi.org/ 10.3390/jpm11111203
• Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M., ve ark. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health, 16(1), 57-68.
• Shneider A, Kudriavtsev A, Vakhrusheva A. (2020). Can melatonin reduce the severity of COVID-19 pandemic? International Reviews of Immunology, 39(4), 153-162.
• Stewart AJ, Green C, Stewart J, Tiruvoipati R. (2017). Factors influencing quality of sleep among non-mechanically ventilated patients in the Intensive Care Unit, Australian Critical Care, 30, 85-90.
• Sultana A, Sharma R, Hossain MM, Bhattacharya S, Purohit N. (2020). Burnout among healthcare providers during COVID-19 pandemic: Challenges and evidence-based interventions. Indian Journal of Medical Ethics, 5(4), 1-6.
• Tapan ÖO, Tapan U, Alasan F, Akgül FA, Genç S. (2022). Factors that affect sleep quality in hospitalized patients with COVID-19 Pneumonia. Journal of Turkish Sleep Medicine, 9, 51-56.
• Tony AA, Tony EA, Ali SB, Ezzeldin AM, Mahmoud, AA. (2020). COVID-19-associated sleep disorders: A case report. Neurobiology of Sleep and Circadian Rhythms, 9, 100057.
• Xiao H, Zhang Y, Kong D, Li S, Yang N. (2020). Social capital and sleep quality in individuals who self-isolated for 14 days during the coronavirus disease 2019 (COVID-19) outbreak in January 2020 in China. Medical Science Monitor, 26, e923921. https://doi.org/ 10.12659/MSM.923921
• Yakut E, Kuru Ö, Güngör, Y. (2020). Sağlık personelinin COVID-19 korkusu ile tükenmişliği arasındaki ilişkide aşırı iş yükü ve algılanan sosyal desteğin etkisinin yapısal eşitlik modeliyle belirlenmesi. EKEV Akademi Dergisi, 24(83), 241-262.
• Zhang H, Qin S, Zhang L, Feng Z, Fan C. (2020). A psychological investigation of coronavirus disease 2019 (COVID-19) patients in mobile cabin hospitals in Wuhan. Annals of Translational Medicine, 8(15), 941-952. https://doi.org/10.21037/atm-20-4907.