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

Yıl 2025, Cilt: 6 Sayı: 3, 292 - 302, 04.12.2025

Aylin Bayındır Gümüş , Şahinde Canbulat , Sema Milli , Hülya Yardımcı

https://izlik.org/JA24WP55HN

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

https://izlik.org/JA24WP55HN

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

Etik Beyan

First, after applying to the Ministry of Health Scientific Research Platform and getting approval, permission was obtained from the Health Sciences University, Gülhane Health Application and Research Center. With these permissions, approval was obtained from the Ethics Committee of the Rectorate of Ankara University (numbered 68 dated 26.4.2021). The study was conducted to the principles outlined in the Declaration of Helsinki. Participants were included in the study after they were informed, and their consent was obtained through an online questionnaire.

Destekleyen Kurum

This study was conducted without support from any institution or organization.

Teşekkür

The authors thank all healthcare professionals who participated in the study for their valuable time and their devotion during the COVID-19 pandemic process.

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