Koroner Arter Baypas Operasyonu Sonrası Uyku Bozukluğu

Giriş: Koroner arter baypas operasyonu sonrasında görülen uyku bozukluğu hastaların yaşam kalitesini önemli ölçüde olumsuz etkilemektedir. Bu çalışmanın amacı, preoperatif birinci gün, postoperatif üçüncü, yedinci ve 30. gün koroner arter baypas operasyonu yapılan hastaların uyku kalitesini araştırmaktır. Hastalar ve Yöntem: Ocak 2017-Ocak 2018 tarihleri arasında kliniğimizde elektif şartlarda koroner arter baypas operasyonu yapılan 99 hasta bu çalışmaya dahil edildi. Hastalar, preoperatif birinci gün, postoperatif üçüncü, yedinci ve 30. gün Pittsburgh Uyku Kalitesi Endeksi anketini yaptılar. Bulgular: Hastaların yaş ortalaması 61.5 ± 11.4 yıl (35-80), 67’si erkek, 22’si kadındı. Hastalara yapılan Pittsburgh Uyku Kalitesi Endeksi anketi sonucuna göre postoperatif üçüncü gün, preoperatif birinci güne göre istatistiksel olarak artış saptanmıştır. Postoperatif yedinci gün ve postoperatif 30. gün postoperatif üçüncü güne göre istatistiksel olarak anlamlı düşüş saptanmıştır. Postoperatif dönem yapılan Pittsburgh Uyku Kalitesi Endeksi anketi puanları yaş ile istatistiksel olarak anlamlı ilişkili saptanmıştır (p= 0.002, p= 0.004, p= 0.009). Sonuç: Uyku bozukluğu koroner arter baypas operasyonu sonrasında fiziksel ve duygusal adaptasyon ve iyileşme üzerindeki etkisinin sık görülmesine rağmen bu konuda yapılan araştırma sayısı oldukça azdır.

Anahtar Kelimeler:

Pittsburgh Uyku Kalitesi Endeksi anketi, uyku bozukluğu, koroner arter baypas

Sleep Disorder After Coronary Artery Bypass Operation

Introduction: In general, after coronary artery bypass operation, 39% to 69% of patients experience insomnia, poor sleep quality, and lack of sleep continuity (frequent awakening, difficult sleep, restless sleep, and early morning awakening). The aim of this study was to investigate the sleep quality of patients on the preoperative 1st day, postoperative 3rd day, postoperative 7th day, and postoperative 30th day of a coronary artery bypass operation. Patients and Methods: Ninety-nine patients who underwent elective coronary bypass operation in our clinic between January 2017 and January 2018 were included in this study. The patients were assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire on the preoperative 1st day, postoperative 3rd day, postoperative 7th day, and postoperative 30th day. Results: The mean age of total patients was 61.5 ± 11.4 years (range: 35-80); 67 were male and 22 were female. According to the results of the PSQI survey conducted on patients, there is a statistically significant increase in sleep quality on the postoperative 3rd day in comparison with the results of the preoperative 1st day evaluation. According to the postoperative 3rd day evaluation, there is a statistically significant decrease in sleep quality compared with the postoperative 7th and 30th days. Also, the PSQI scores of the postoperative period have a statistically significant correlation with age (p= 0.002, p= 0.004, p= 0.009). Conclusion: Although sleep disturbance has a significant impact on the physical and emotional adaptation and recovery after coronary artery bypass operation, the number of studies conducted on this subject is quite low.

Keywords:

Pittsburgh Sleep Quality Index survey, sleep disorder, coronary artery bypass,

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1. Khalida AM, Al-gersha K, Haboubi G, Al-Asady N. Effect of nursing educational program on recovery following CABG surgery: intervention study. Sci J Nursing/Baghdad 2005;18.
2. Yang PL, Huang GS, Tsai CS, Lou MF. Sleep quality and emotional correlates in Taiwanese coronary artery bypass graft patients 1 week and 1 month after hospital discharge: a repeated descriptive correlational study. PLoS One 2015;10.
3. Kazuhiro PI, Yusuke K, Koji H, Yasuyuki H, Koichiro O, et al. Relationship between daytime sleepiness and health utility in patients after cardiac surgery: a preliminary study. Int J Environ Res Public Health 2018;15:2716.
4. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi indeksi’nin geçerliği ve güvenirliği. Türk Psikiyatri Dergisi 1996;7:107-15.
5. Machado F, Souza R, Poveda V, Costa A. Non-pharmacological interventions to promote the sleep of patients after cardiac surgery: a systematic review. Rev Latino-Am Enfermagem Review Article 2017;25:e2926.
6. Redeker NS. Sleep and quality of life in cardiac surgery. Sleep Quality Life Clin Med 2008:367-73.
7. Aydın S, Yavuz T, Düver H, Kutsal A. The evaluation of quality of Life in elderly patients after coronary by pass operation by means of SF-36. Turk J Geriatr 2002;5:64-7.
8. Arıtürk AZ, Abakay A, Ülgen S. Obstructive sleep apnea syndrome and cardiovascular problems. Dicle Med J 2011;38:253-6.
9. Liao WC, Huang CY, Huang TY, Hwang SL. A systematic review of sleep patterns and factors that disturb sleep after heart surgery. J Nurs Res 2011;19:275-88.
10. Redeker NS, Ruggiero JS, Hedges C. Patterns and predictors of sleep pattern disturbance after cardiac surgery. Res Nurs Health 2004;27:217-24.
11. Dianatkhah M, Ghaeli P, Talasaz AH, Karimi AA, Salehiomran A, Bina P, et al. Evaluating the potential effect of melatonin on the post-cardiac surgery sleep disorder. J Teh Univ Heart Ctr 2015;10:122-8.
12. Vitiello MV, Larsen LH, Moe KE. Age-related sleep change: gender and estrogen effects on the subjective-objective sleep quality relationships of healthy, noncomplaining older men and women. J Psychosom Res 2004;56:503-10.
13. Slaven JE, Andrew ME, Violanti JM, Burchfiel CM. A statistical test to determine the quality ofaccelerometer data. Physiol Meas 2006;27:413-23.
14. Cappuccio FP, Cooper D, D’Elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: A systematic review and meta-analysis of prospective studies. Eur Heart J 2011;32:1484-92.
15. Knapp-Spooner C, Yarcheski A. Sleep patterns and stress in patients having coronary bypass. Heart Lung 1992;21:342-9.
16. Rothenhausler H, Grieser B, Nollert G, Reichart B, Schelling G, Kapfhammer H. Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: a prospective 12-month follow-up study. General Hospital Psychiatry 2005;27:18-28.
17. Ranjbaran S, Dehdari T, Sadeghniiat-Haghighi K, Mahmoodi Majdabadi M. Poor sleep quality in patients after coronary artery bypass graft surgery: An Intervention Study Using the PRECEDE-PROCEED Model. J Teh Univ Heart Ctr 2015;10:1-8.
18. Mitchisson AR, Kim HM, Rosemberg JM, Geisser M, Kirsh M, Cikrit D, et al. Acute postoperative management using massage as an adjuvant therapy. Arch Surg 2007;142:1158-67.
19. Foulk MA, Ingersoll-Dayton B, Kavanagh J, Robinson E, Kales HC. Mindfulness-based cognitive therapy with older adults: an exploratory study. J Gerontol Soc Work 2014;57:498-520.
20. Haimov I, Shatil E. Cognitive training improves sleep quality and cognitive function among older adults with insomnia. PLoS One 2013;8:e61390.
21. Lawlor DA, Hopker SW. The effectiveness of exercise as an intervention in the management of depression: systematic review and meta-regression analysis of randomised controlled trials. Br Med J 2001;322:763-7.

ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi