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  Citation Number 2
 Views 11
 Downloands 1
Yoğun Bakım Hastalarının Akut Fizyolojik Durum Değişiklikleri İle Hasta Yakınlarında Görülen Anksiyete Ve Uyku Bozukluğu İlişkisi
2020
Journal:  
Selçuk Tıp Dergisi
Author:  
Abstract:

Amaç: Yoğun bakım ünitesinde (YBÜ) yatan hastaların genel durum ciddiyeti ile aile üyelerinde görülen akut stres semptomları arasındaki ilişkinin incelenmesi amaçlandı. Hastalar ve Yöntem: Yerel etik kurul onayı ve yazılı bilgilendirilmiş onam alındıktan sonra, yoğun bakımda yatan 60 hastanın yakınlarında bu prospektif tanımlayıcı çalışma gerçekleştirildi. Hastaların klinik özellikleri (APACHE II skoru) kaydedildi. Birinci derece aile üyelerinin demografik verileri ve durumluluk-süreklilik kaygı ölçeği (DSKÖ) ile Pittsburgh uyku kalitesi indeksi (PUKİ) skorları  YBÜ’ye kabul edildikten sonraki 24 saat içinde ve 21. Gün kaydedildi. Bulgular: APACHE 2 ile DKÖ skorları arasında 1. günde orta düzeyde (r=0.477), 21. günde güçlü (r = 0.503) düzeyde korelasyon saptandı (p<0.05).   APACHE 2 skoru ile PUKİ arasında 21. günde orta düzeyde (r = 0.503) anlamlı korelasyon bulundu. DKÖ skorları değerlendirildiğinde  1. gün cinsiyetler arasında fark yoktu. Her iki cinsiyette 21. günde DKÖ skorlarında artış saptandı, bu artış kadınlarda daha yüksekti (p=0.003). PUKİ değerlerinde 1. günde istatistiksel olarak bir fark bulunmazken, 21. günde her iki cinsiyette artış saptanmıştır (p<0.001). Uyku bozukluğundaki  artış kadınlarda daha fazladır (p=0.008). Yakınlık derecesine göre analiz edildiğinde DKÖ değerleri anne ve babalarda hem 1. hemde 21. günde daha yüksek idi (p<0.001). Grup içi değerlendirmede anne ve babanın kaygılarının gün geçtikçe arttığı gözlendi (p<0.05). Sonuç: Hastanın akut fizyolojik durumu ile kaygı düzeyi ve  uyku kalitesi arasında zaman ilerledikçe giderek artan düzeyde ilişki saptanmıştır.

Keywords:

Relationship of anxiety and sleep disorder seen in the vicinity of the patient with acute physiological conditions of patients with intensive care
2020
Author:  
Abstract:

Objective: The aim was to study the relationship between the seriousness of the general condition of patients in the intensive care unit and the symptoms of acute stress seen in family members. Patients and Method: After the approval of the local ethical board and the written informed approval, this prospective identification study was carried out near 60 patients under intensive care. Clinical characteristics of patients (APACHE II score) were recorded. The demographic data of first-degree family members and the status-continuity anxiety scale (DSKÖ) with the Pittsburgh Sleep Quality Index (PUKI) scores within 24 hours after acceptance to the YBU and 21. The day was recorded. Results: The correlation between APACHE 2 and DKÖ scores was found at the average level (r=0.477) on the 1st day and at the strong level (r=0.503) on the 21st day (p<0.05). A significant correlation between APACHE 2 score and PUKI was found at the middle level (r = 0.503) in the 21st day. When the score was assessed on the 1st day there was no difference between the gender. In the 21st day of both sexes, there was an increase in the DKÖ scores, which was higher in women (p=0.003). While there was no statistical difference in PUKI values on the 1st day, an increase in both sexes was observed on the 21st day (p<0.001). The increase in sleep disorders is higher in women (p=0.008). When it was analyzed according to the approximation degree, the ADC values were higher in both parents and mothers in the 1st and 21st days (p<0.001). In the group assessment, the concerns of parents and fathers were observed increasing day by day (p<0.05). The result: the relationship between the patient's acute physiological condition and the level of anxiety and the quality of sleep is established at an increasing level over time.

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Selçuk Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Selçuk Tıp Dergisi