KRONİK KONSTİPASYONU OLAN VE OLMAYAN KADINLARDA PSİKOLOJİK DURUM, UYKU KALİTESİ VE TUVALET DAVRANIŞLARININ KARŞILAŞTIRILMASI

Öz

Amaç: Kronik konstipasyonu olan ve olmayan kadınlarda psikolojik durum, uyku kalitesi ve tuvalet davranışlarının karşılaştırılması amaçlandı. Yöntem: Çalışmaya Roma IV tanı kriterlerine göre kronik konstipasyonu olan (konstipasyon grubu, n=30) ve konstipasyonu olmayan (kontrol grubu, n=30) kadınlar dahil edildi. Kadınların fiziksel, demografik ve klinik özellikleri sorgulandı. Psikolojik durum “Depresyon Anksiyete ve Stres Ölçeği (DASÖ-21)” ile, uyku kalitesi “Pittsburgh Uyku Kalite İndeksi (PUKİ)” ile ve tuvalet davranışları “Tuvalet Davranışı-Kadınların Boşaltım Davranışları Ölçeği (TD-KBD)” ile değerlendirildi. Grupların karşılaştırılmasında Mann-Whitney U testi kullanıldı. Bulgular: Konstipasyon grubunda kontrol grubuna göre DASÖ-21 ölçeğinde depresyon (p=0.013, r=0.32; orta düzey etki), anksiyete (p=0.026, r=0.29; küçük-orta düzey etki) ve stres (p=0.006, r=0.33; orta düzey etki) puanlarının anlamlı düzeyde daha yüksek olduğu, PUKİ ölçeği alt parametrelerinde uyku süresi (p=0.045, r=-0.26; orta düzey etki), gündüz işlev bozukluğu (p=0.021, r=-0.30; orta düzey etki) ve toplam puanın (p=0.012, r=-0.32; orta düzey etki) anlamlı düzeyde daha yüksek olduğu, TD-KBD ölçeğinde ise işeme sırasında ıkınma davranışı (p=0.006, r=0.35; orta düzey etki) puanının anlamlı düzeyde daha yüksek olduğu tespit edildi. Sonuç: Konstipasyonda psikolojik durum, uyku kalitesi ve tuvalet davranışları olumsuz olarak etkilenebilmektedir. Konstipasyon yalnızca kolona ait bir problem değildir, konstipasyonun değerlendirme ve tedavi programının çok boyutlu olarak ele alınması önemlidir.

Anahtar Kelimeler

• konstipasyon
• uyku
• depresyon
• anksiyete

Etik Beyan

Ankara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Etik Kurulu

COMPARISON OF PSYCHOLOGICAL STATUS, SLEEP QUALITY AND TOILET BEHAVIORS IN WOMEN WITH AND WITHOUT CHRONIC CONSTIPATION

Öz

Aim: The aim of this study was to compare psychological status, sleep quality, and toileting behaviors in women with and without chronic constipation. Methods: The study included women with chronic constipation according to the Rome 4 diagnostic criteria (constipation group, n=30) and without constipation (control group, n=30). Physical, demographic, and clinical characteristics of the women were assessed. Psychological status was evaluated using the "Depression Anxiety and Stress Scale (DASS-21)," sleep quality using the "Pittsburgh Sleep Quality Index (PSQI)," and toilet behavior using the "Toileting Behavior-Women’s Elimination Behaviors (TB-WEB) Scale." Mann-Whitney U test was used to compare the groups. Results: In the constipation group, compared to the control group, significantly higher scores were found on the DASS-21 scale for depression (p=0.013, r=0.32; moderate effect), anxiety (p=0.026, r=0.29;small to moderate effect), and stress (p=0.006, r=0.33; moderate effect); significantly higher scores were found on the PSQI scale for sleep duration (p=0.045 r=-0.26; moderate effect), daytime dysfunction (p=0.021, r=-0.30; moderate effect), and total score (p=0.012, r=-0.32; moderate effect); and significantly higher scores were found on the TB-WEB scale for straining during urination (p=0.006, r=0.35; moderate effect) compared to the control group. Conclusion: In constipation, psychological well-being, sleep quality, and toilet habits may be negatively affected. Constipation is not solely a colon problem; assessment and treatment programs of constipation are important to approach from a multifaceted perspective.

Anahtar Kelimeler

• constipation
• sleep quality
• depression
• anxiety

Etik Beyan

Ankara Yıldırım Beyazıt University Health Sciences Ethics Committee

Kaynakça

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