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Gebelerde Huzursuz Bacak Sendromunun Uyku Kalitesi ve Kaygı Düzeyi Üzerine Etkisi

Amaç:Bu çalışmada gebelerde huzursuz bacak sendromunun uyku kalitesi ve kaygı düzeyi üzerine etkisinin incelenmesi amaçlandı. Hastalar ve Yöntem:Tanımlayıcı türde yapılan çalışmanın verileri Nisan-Haziran 2019 tarihleri arasında kişisel bilgi formu, Huzursuz Bacak Sendromu (HBS) Tanı Formu, Huzursuz Bacak Sendromu Şiddeti Derecelendirme Skalası (HBSŞDS), Spielberger Sürekli Kaygı Envanteri-STAI Form TX-2 (SSKE) ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ile 245 gebeden toplandı. İstatistiksel verilerin analizinde tanımlayıcı istatistiklerle birlikte, Student t Testi, Pearson korelasyon analizi, Lojistik ve Linear regresyon analizi kullanıldı. Bulgular:Gebelerin yaş ortalaması 27.82±5.70, gebelik haftası ortalaması 32.55±5.77’dir. Gebelerin HBS puan ortalaması 6.77±9.35, PUKİ puan ortalaması 6.54±4.01 ve SSKE puan ortalaması 51.08±10.45 olarak saptandı. HBS tanı formuna göre gebelerin %18’inde HBS (+) saptandı. HBS varlığı ile PUKİ ve HBSŞDS puan ortalaması arasında anlamlı fark saptandı (p<0.001). HBSŞDS ile PUKİ puan ortalaması arasında anlamlı, zayıf, pozitif yönlü (p<0.001) ve PUKİ ile SSKE puan ortalaması arasında anlamlı, çok zayıf, ilişki vardır (p=0.003). Lojistik regresyon analizine göre gebelerin HBSŞDS puan ortalamasındaki 1 puanlık artış, HBS görülme durumunu 1 puan arttırırken (p<0.001), linear regresyon analize göre gebelerin PUKİ puan ortalaması gebelerin HBS şiddetini etkilemektedir (p<0.01) (Tablo 5). Sonuç:Çalışmamızda gebelerin HBS ile uyku kaliteleri arasındaki ilişki vardır ancak HBS kaygı düzeylerini etkilememektedir. Doğum öncesi izlemlerde hemşire ve ebeler tüm gebelerin HBS, uyku kalitesi ve kaygı düzeyleri değerlendirmeli ve bilgilendirmelidir.

The Effect of Restless Leg Syndrome in Pregnant Women on Sleep Quality and Anxiety Level

Purpose:In this study, it was aimed to examine the effect of restless leg syndrome in pregnant women on sleep quality and anxiety. Patients and Methods:Data of the descriptive study were collected from 245 pregnant women via a personal information form, Restless Leg Syndrome (RLS) Diagnostic Form, Restless Leg Syndrome Severity Grading Scale (RLSSGS), Spielberger Trait Anxiety Inventory-STAI Form TX-2 (SSKE) and Pittsburgh Sleep Quality Index (PSQI), between April-June 2019. In the analysis of the statistical data, descriptive statistics were used besides Student t Test, Pearson’s correlation analysis, Logistic and Linear regression analysis. Results:Age and gestational week averages of the pregnant women were 27.82±5.70 and 32.55±5.77, respectively. The pregnant women’s score averages were found to be; 6.77±9.35 for the RLS, 6.54±4.01 for the PSQI and 51.08±10.45 for the SSKE. According to the RLS Diagnostic Form, RLS (+) was determined in 18% of the pregnant women. It was determined that there was a significant difference between the RLS presence and the PSQI and RLSSGS score averages (p<0.001). There was a significant, weak and positive correlation between the RLSSGS and PSQI score averages (p<0.001) and a significant and very weak correlation between the PSQI and SSKE score averages (p=0.003). According to the logistic regression analysis, a 1-point increase in the RLSSGS score averages of the pregnant women caused a 1-point increase in the RLS frequency (p<0.001). According to the linear regression analysis, the PSQI score averages of the pregnant women affected their RLS severity (p<0.01) (Table 5). Conclusion:In our study, there was a correlation between the RLS and sleep quality of pregnant women; however, the RLS did not affect their anxiety levels. Nurses and midwives should evaluate the RLS, sleep quality and anxiety levels of all pregnant women and inform them during prenatal follow-ups.

Keywords:

Restless leg, pregnant woman, nurse sleep,

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