Tuğba ÇAM YANIK, Gülay ALTUN UĞRAŞ

COVID-19 Pandemi Sürecinde Akupresürün Cerrahi Hemşirelerinin Uyku Kalitesi ve Gündüz Uykululuğuna Etkisi: Tek Kör Randomize Kontrollü Çalışma Protokolü

Amaç: Bu araştırma, COVID-19 pandemisinde kendi kendine uygulanan akupresürün cerrahi hemşirelerinin uyku kalitesi ve gündüz uykululuklarına etkisini belirlemek amacıyla planlandı. Çalışma tasarımı: Bu çalışma, prospektif, iki kollu (1:1), randomize kontrollü tek kör çalışmadır. Örneklem ve Yöntem: Protokolün hazırlanmasında SPIRIT 2013 kontrol listesi ve CONSORT akış şeması kullanılmıştır. Çalışmanın örneklemini, Mart 2021-Haziran 2021 tarihleri arasında Türkiye’de bir üniversite hastanesinin cerrahi kliniklerinde vardiyalı çalışan 60 cerrahi hemşiresi oluşturacaktır. Hemşireler, akupresür (çalışma) ve plasebo akupresür (kontrol) gruplarına randomizasyonla atanacaktır. Akupresür grubuna (n:30) HT7 ve SP6 noktalarına basınç uygulanırken, plasebo akupresür grubuna (n:30) aynı noktaların 1.5 cm çevresindeki noktalara daha hafif basınç uygulanacaktır. Akupresür 4 hafta boyunca haftada 3 kez uyumadan bir saat önce yapılacaktır. Araştırmanın primary outcome olan uyku kalitesi Pittsburg Uyku Kalitesi İndeksi (PUKİ) ile; secondary outcome olan gündüz uykululuk durumu ise Epworth Uykululuk Ölçeği (EUÖ) ile değerlendirilecektir. Körlenmiş hemşireler PUKİ ve EUÖ’ni, akupresür/plasebo akupresür öncesi ve sonrası dolduracaktır. Tartışma: COVID-19 pandemisinde çalışan sağlık profesyonellerinin uyku problemleri yaşadığı bilinmektedir. Akupresürün uyku kalitesini arttırdığı bilinmesine karşın pandemide vardiyalı çalışan cerrahi hemşirelerinde etkili olup olmadığı bilinmemektedir. Etki: Bu çalışmada cerrahi hemşirelerinin uyku kalitesinin arttırılması ve gündüz uykululuğunun azaltılmasında nonfarmakolojik bir yöntem olan akupresürün etkisinin belirlenmesine yönelik kanıt düzeyi yüksek sonuçlar elde edilmesi beklenmektedir. Çalışma sonuçları, COVID-19 pandemisi gibi sağlık profesyonellerinin aşırı strese maruz kaldıkları dönemde hemşirelerin yaşadıkları uyku sorunlarıyla baş etmesine yardımcı olabilecek ve yeni araştırmalara rehberlik edebilecektir. Kayıt numarası: Bu çalışma ClinicalTrials.gov’a Mart 2021 tarihinde kayıt edilmiştir (NCT04800939).

Anahtar Kelimeler:

Akupresür, cerrahi, hemşire, uyku kalitesi

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