Sağlık Çalışanlarının Uykusuzluk-Yorgunluk Düzeylerı ve Akdeniz Diyetine Uyumları Arasındaki İlişki: COVID-19 Pandemi Sürecinde Üçüncü Basamak Bir Hastanede Yapılan Pilot Çalışma

Öz

Amaç: Bu çalışmanın amacı, sağlık çalışanlarının uykusuzluk-yorgunluk düzeylerini ve Akdeniz Diyeti’ne uyumlarının belirlenmesi ve bunlar arasındaki ilişkinin incelenmesidir. Gereç ve Yöntem: Bu kesitsel çalışmaya, üçüncü basamak bir devlet hastanesinde çalışan 132 sağlık çalışanı katılmıştır. Katılımcıların genel özellikleri, uykusuzluk (Uykusuzluk Şiddeti İndeksi/UŞİ, puan aralığı 0-28), yorgunluk (Chalder Yorgunluk Ölçeği/CYÖ, puan aralığı 0-33) düzeyleri ve Akdeniz diyetine uyum (Akdeniz Diyeti Bağlılık Ölçeği/MEDAS, puan aralığı 0-14) durumlarını içeren bir çevrim içi anket formu kullanılmıştır. Elde edilen skorlar arasındaki ilişki Basit ve Çoklu Doğrusal Regresyon Analizleri ile test edilmiştir. Bulgular: Çalışmaya yaş ortalaması 30.8±8.3 yıl olan, %80.3’ü lisans mezunu, %62.1’i hemşire/ebe 93 kadın (%70.5) ve 39 erkek (%29.5) sağlık çalışanı katılmıştır. Yorgunluk ve Akdeniz diyetine uyum skorları kadınlarda erkeklerden daha yüksektir (CYÖ için ortalama±standart sapma 18.2±6.8 ile 11.2±6.7, p<0.001, ve MEDAS için ortanca (çeyrekler arası aralık) 6.0 (3) ile 6.0 (2), p=0.036). Yaş, cinsiyet, vardiyalı çalışma ve COVID-19 ile ilgili serviste görev alma durumundan bağımsız olarak (Model 4), Akdeniz diyetine uyum ile uykusuzluk-yorgunluk skorları arasında ilişki bulunmamıştır (MEDAS-ISI ilişkisi için β1=-0.066, Beta=-0.144, %95 GA=(-0.145)-(0.012), p=0.096, and MEDAS-CFS ilişkisi için β1=-0.039, Beta=-0.134, %95 GA=(-0.094)-(0.017), p=0.169). Sonuç: Anksiyete, yorgunluk, tükenmişlik, uykusuzluk gibi fiziksel ve ruhsal etkilerin beslenme durumunu etkileyebileceği düşünüldüğünden bu konuda daha fazla çalışma yapılmasına ihtiyaç vardır.

Anahtar Kelimeler

• COVID-19
• Anksiyete
• Uyku
• Akdeniz diyeti
• İş Stresi

The Relationship Between Insomnia-Fatigue Level, And Mediterranean Diet Compliance Of Healthcare Professionals: A Pılot Study in a Tertiary Hospital Example During the COVID-19 Pandemic Process

Öz

Aim: This study was aimed to determine the levels of insomnia-fatigue and compliance with Mediterranean diet of healthcare professionals and to examine relationships among them. Material: 132 healthcare professionals working in a tertiary public hospital participated in this cross-sectional study. An online survey form that included general characteristics, levels of insomnia (Insomnia Severity Index/ISI, score range 0-28), fatigue (Chalder Fatigue Scale/CFS, score range 0-33) and compliance with Mediterranean diet (Mediterranean Diet Adherence Screener/MEDAS, score range 0-14) of participants were used. The relationships between the obtained scores were tested using Simple and Multiple Linear Regression Analyses. Results: 93 women (70.5%) and 39 men (29.5%) with a mean age of 30.8±8.3 years, 80.3% undergraduate degrees, 62.1% nurses/midwives’ healthcare professionals were included in the study. Fatigue and compliance of Mediterranean diet scale scores were found to be higher in women than men (CFS mean±standard deviation 18.2±6.8 vs 11.2±6.7, p<0.001, and MEDAS median (interquartile range) 6.0 (3) vs 6.0 (2), p=0.036). Regardless of age, sex, shift working, and working in any service related to COVID-19 (Model 4), no correlation was found between the score of compliance to Mediterranean diet and insomnia-fatigue scores (for MEDAS-ISI relationship β1=-0.066, Beta=-0.144, 95% CI=(-0.145)-(0.012), p=0.096, and for MEDAS-CFS relationship β1=-0.039, Beta=-0.134, 95% CI=(-0.094)-(0.017), p=0.169). Conclusion: Further research on this subject is needed because it is thought that physical and psychological such as anxiety, fatigue, burnout, and insomnia might affect their nutrition status negatively.

Anahtar Kelimeler

• COVID-19
• Anxiety
• Sleep
• Mediterranean diet
• Job stress

Kaynakça

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