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Amaç: Uyku sorunları ve yorgunluk tüm yaş gruplarında rastlanan bir durum olmakla birlikte, yaşlılarda fiziksel, sosyal ve psikolojik değişiklikler nedeniyle daha sık görülmektedir. Çevresel faktörler uyku kalitesi ve yorgunluğu etkileyebilmektedir. Çalışmamızın amacı huzurevinde ve evde yaşayan yaşlılarda uyku kalitesi ve yorgunluk düzeylerinin incelenmesi idi. Yöntem: Çalışmaya 65-85 yaş arası, Standardize Mini Mental Test’ten 24 puan ve üzeri alan ve huzurevinde veya kendi evinde yaşayan yaşlı bireyler katıldı. Yaşlı bireylerin uyku kalitesi Pittsburgh Uyku Kalite İndeksi (PUKİ), yorgunluk şiddeti Yorgunluk Şiddet Ölçeği (YŞÖ) ve yorgunluk düzeyi ise Yorgunluk Etki Ölçeği (YEÖ) ile değerlendirildi. Bulgular: Çalışmaya huzurevinde yaşayan 70 birey (yaş ortalamaları: 69,75±2,39 yıl) ve kendi evinde yaşayan 70 yaşlı birey (yaş ortalamaları: 71,62±5,12 yıl) katıldı. PUKİ, YŞÖ ve YEÖ değerleri açısından gruplar arasında istatistiksel olarak anlamlı fark bulundu (p<0,05). Evde yaşayan yaşlılarda PUKİ değerlerine göre uyku kalitesinin daha düşük olduğu belirlendi (p<0,05). YŞÖ puanı, YEÖ’nün kognitif, fiziksel ve psikososyal etki alt ölçekleri ve toplam puanının ise huzurevinde yaşayan yaşlılarda anlamlı olarak daha yüksek olduğu bulundu (p<0,05). YŞÖ ve YEÖ puanlarının yüksek olması yorgunluk şiddetinin ve etkisinin artığını göstermekte idi. PUKİ ile YŞÖ arasında evde yaşayan (r=0,198 p>0,05) ve huzurevinde yaşayan yaşlılarda (r=0,157 p>0,05) ilişki bulunmazken PUKİ ve YEÖ toplam puanı (evde yaşayan yaşlılar r=0,249 huzurevinde yaşayan yaşlılar r=0,282 p<0,05) arasında anlamlı ilişki bulundu. Sonuç: Çalışmada huzurevi veya ev gibi farklı ortamlarda yaşayan yaşlılarda uyku kalitesi ve yorgunluğun birbirinden farklılık gösterebileceği ve uyku kalitesi ile yorgunluk şiddetinin birbirini etkilemediği bulundu. Yaşlı bireylerde uyku ve yorgunluğu etkileyen bireysel ve çevresel faktörlerin daha detaylı araştırıldığı çalışmalara ihtiyaç bulunmaktadır.
Objective: While sleep problems and fatigue are a condition that is common in all age groups, it is more common in the elderly due to physical, social and psychological changes. Environmental factors can affect the quality of sleep and fatigue. The aim of our study was to study the quality of sleep and fatigue levels in the elderly people living in the room and home. Method: Study was attended by older individuals aged 65-85 years of age, with 24 points and above from the Standardized Mini Mental Test and living in the living room or in their own home. The quality of sleep in elderly individuals was assessed by the Pittsburgh Sleep Quality Index (PUKI), the fatigue severity fatigue severity measurement (YES) and the fatigue level was assessed by the fatigue effect measurement (YES). Results: The study was attended by 70 persons living in the living room (age average: 69.75±2.39 years) and 70 elderly persons living in their own home (age average: 71.62±5.12 years). There were statistically significant differences between the groups in terms of PUKI, YES and YEÖ values (p<0,05). It was found that the quality of sleep in the elderly living in the home was lower than the PUKI values (p<0,05). The YES score found that the cognitive, physical and psychosocial effects of the YES were lower scales and the total score was significantly higher in the elderly living in the shelter (p<0,05). The high score of YES and YES showed the intensity and impact of fatigue increased. There was no relationship between PUKI and YŞÖ living in the house (r=0,198; p>0,05) and the elderly living in the shelter (r=0,157; p>0,05); the total score of PUKI and YÖ (the elderly living in the house r=0,249; the elderly living in the shelter r=0,282; p<0,05) found a meaningful relationship. The study found that the quality of sleep and fatigue in the elderly people living in different environments, such as the living room or the home, may differ and that the quality of sleep and fatigue cannot affect each other. It requires more detailed studies of the individual and environmental factors that affect sleep and fatigue in elderly individuals.
Purpose: Although sleep problems and fatigue are common in all age groups, it can be seen frequently in elderly because of physical, social and psychological changes. Environmental factors can be affected sleep quality and fatigue. The aim of the study was to investigate sleep quality and fatigue in elderly living in nursing home or at home. Methods: The study included individuals aged between 65-85 years, who can take 24 or more points from the Standardized Mini Mental Test and who was living at rest home or at home. The sleep quality was evaluated with the Pittsburgh Sleep Quality Index (PSQI), fatigue was assessed with Fatigue Severity Scale (FSS) and Fatigue Impact Scale (FIS). Results: Seventy elderly living in nursing home (mean age: 69.75±2.39 years) and 70 elderly living at home (mean age:71.62±5.12 years) were included the study. It was found that there was a statistically significant difference between the groups in PSQI, FSS and FIS values (p<0.05). Sleep quality was found to be lower in the elderly living at home according to PSQI values (p<0.05). FSS score, cognitive, physical and psychosocial effect subscales and total score of FIS were significantly higher in elderly living in nursing home (p<0.05). The high scores on the FSS and FIS indicated increased severity and impact of fatigue. There was no correlation between PSQI and FSS in home (r=0.198; p>0.05) and nursing home group (r=0.157; p>0.05). It was found that PSQI and FIS (r= 0.249 in home group; r=0.282 in nursing home group; p>0.05) scores were correlated. Conclusion: In the study, it was found that sleep quality and fatigue may differ in elderly people living in different environments such as nursing home or home, and sleep quality and fatigue severity did not affect each other. Further studies investigating individual and environmental factors affecting sleep and fatigue in elderly individuals are needed.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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