Kahramanmaraş Depremi Sonrası Sağlık Çalışanlarında Uyku Kalitesi

Öz

Amaç: 6 Şubat 2023’te meydana gelen Kahramanmaraş merkezli yıkıcılığı ve öldürücülüğü bu şiddetle olan bir deprem daha önce yaşanmamıştır. Bu çalışmanın amacı, depremin ardından sağlık çalışanlarında travma sonrası semptomlar, psikolojik semptomlar ve uyku kalitesi arasındaki ilişkiyi analiz etmektir. Yöntem: Kesitsel araştırma olarak planlanan çalışmamıza, Kahramanmaraş depremine maruz kalan ve depremden sonraki ikinci haftadan itibaren Harran üniversitesi Hastanesinde çalışan sağlık çalışanlarından 100 kişi çalışmaya dahil edilmiştir. Kişilerden, Olay Etki Ölçeği, Pittsburgh Uyku Kalitesi Ölçeği ve Semptom Kontrol Listesi -90 doldurması istendi. Bulgular: Çalışmaya yaş ortalaması 30,2 ± 6,8 yıl olan 52 (%52) kadın 48 (%48) erkek dahil edildi. Katılımcıların kaldığı evin hasarlı olması, tıbbi hastalık öyküsünün olması, mutsuzluk, kabus, ve uykusuzluk şikayetlerinin olması; toplam uyku kalitesi açısından istatistiksel olarak anlamlı farka neden olmuştur. Kurulan yol analizlerinde; olay etki ölçeğinin total puanının (β=.39, p<.001) toplam uyku kalitesini anlamlı şekilde yordadığı görülmüştür. Olay etki ölçeği ve semptom kontrol listesi -90 ölçeklerin alt başlıklarına göre ayrıntılı olarak değerlendirdiğimizde ise; depresyon belirtilerinin (β=.28, p<.001), yeniden yaşama puanının (β=.26, p=0.002), aşırı uyarılma puanının (β=.23, p=0.003) ve tıbbi hastalık öyküsü olmasının (β=.23, p=0.005) toplam uyku kalitesi puanını anlamlı şekilde yordadığı görülmüştür. Sonuç: Çalışmamızda psikolojik belirtiler, travma sonrası stres belirtileri ve uyku kalitesinin negatif ilişkili olduğu ortaya konmuştur. Özellikle ikincil travmalara maruz kalan sağlık personelinin ruhsal belirtiler ve uyku bozuklukları konusunda uyarılması ve bilgilendirilmesi kritik önem taşımaktadır.

Anahtar Kelimeler

• deprem
• sağlık çalışanları
• travma sonrası stres belirtileri
• uyku kalitesi

Sleep Quality in Healthcare Professionals After Kahramanmaraş Earthquake

Abstract

Objective: On 6 February 2023, a catastrophic and lethal earthquake centred in Kahramanmaraş occurred with unprecedented intensity. The objective of this study was to analyse the relationship between post-traumatic symptoms, psychological symptoms and sleep quality in healthcare professionals following the earthquake. Method: In the present study, which was designed as a cross-sectional investigation, 100 healthcare professionals who had been exposed to the Kahramanmaraş earthquake and who were employed at Harran University Hospital since the second week following the earthquake were included in the study. The participants were requested to complete the Event Impact Scale, the Pittsburgh Sleep Quality Scale and the Symptom Checklist-90. Results: The present study comprised 52 (52%) female and 48 (48%) male participants, with a mean age of 30.2 ± 6.8 years. Statistically significant differences in total sleep quality scores were found to be associated with the presence of a damaged house, a history of medical illness, unhappiness, nightmares, and insomnia. The event impact scale total score (β=.39, p<.001) significantly predicted total sleep quality, as indicated by path analyses. A detailed evaluation of the event impact scale and symptom checklist-90 was conducted according to the subheadings of the scales. The results revealed a significant association between depression symptoms (β=.28, p<.001) and re-experiencing score (β=.26, p=. 002), hyperarousal score (β=.23, p=0.003) and having a history of medical illness (β=.23, p=0.005) were found to significantly predict the total sleep quality score. Conclusion: Psychological symptoms, posttraumatic stress symptoms, and sleep quality were revealed to be negatively associated in our study. It is critical to warn and advise healthcare professionals, particularly those who have been exposed to secondary traumas, about mental symptoms and sleep disturbances.

Keywords

• earthquake
• healthcare professionals
• post-traumatic stress symptoms
• sleep quality

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