Özge Yavuz SARI, SARP ÜNER, Berkem BÜYÜKAKKUŞ, Emine Özlem BOSTANCI, Aytek Hüseyin ÇELİKÖZ, Mehmet BUDAK

Bir üniversitenin yurtta kalan öğrencilerinde uyku kalitesi ve etkileyen bazı faktörler

AMAÇ: Uyku bozuklukları beden ve ruh sağlığını, sosyal yaşamı olumsuz etkileyen, akademik başarıda ve iş verimliliğinde düşüşe, kazalarda artışa neden olabilen, sıklığı açısından dikkat çekici bir halk sağlığı sorunudur. Bu çalışmada bir üniversitenin yurtta kalan öğrencilerinde, uyku kalitesi durumunun incelenmesi ve uyku kalitesini etkileyen bazı faktörlerin değerlendirilmesi amaçlanmıştır. YÖNTEM: Kesitsel tipte epidemiyolojik çalışmaya 180'i kadın 277 öğrenci katılmıştır. Veriler öğrencilerin demografik özelliklerini, Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Epworth Uykululuk Ölçeğini (EUÖ) içeren anket formu ile toplanmıştır. BULGULAR: Araştırma sonucunda öğrencilerin %41,1'inin PUKİ'ye göre uyku kalitesinin düşük olduğu görülmüştür. Erkeklerde, kilolu ve obez olanlarda ve 4 kişilik odalarda kalanlarda uyku kalitesi daha kötüdür. Son bir ayda zorlayıcı bir olay yaşayanlarda, ilaç kullananlarda, uyku sorunu ve uykuya dalma sorunu olduğunu düşünenlerde uyku kalitesinin kötü olması sıklığı daha yüksek bulunmuş ve aradaki farkın istatistiksel olarak anlamlı olduğu görülmüştür. Logistik regresyon analizine göre, uyku kalitesine uyku sorunu yaşama (OR=12,75), uykuya dalma problemi yaşama (OR=8,83), ilaç kullanımı (OR=2,54) ve son bir ayda zorlayıcı bir olay yaşama durumu (OR=2,66) etki etmektedir. SONUÇ: Uyku kalite bozukluğunun önlenebilir bir sorun olması, konu ile ilgili müdahalelerin önemini arttırmaktadır. Sağlıklı yaşam alışkanlıklarının geliştirilmesi, uyuma yerinin fiziki koşullarının iyileştirilmesi, stres ile mücadelenin uyku kalitesi ile ilgili sorunların önlenmesinde ve tedavisinde etkili olacağı düşünülmektedir.

[Sleep quality and some factors affecting sleep quality in the students living in the residence hall of a university]

AIM: Sleep disorders are remarkable public health problems as they adversely affect physical, mental and social health and may cause accidents and decline in academic performance and labor productivity. Aim of the study is assessing sleep quality and determining some factors affecting sleep quality in the students living in the residence hall of a university. METHOD: It is a cross sectional study conducted with 277 students, 180 of whom are female. Data were collected via a questionnaire including Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and socio-demographic characteristics query. RESULTS: According to PSQI, 41.1% of students have bad sleep quality. Sleep quality of male students and students who are overweight/obese or living in more crowded rooms in the hall of residence is worse than other students'. Prevalence of bad sleep quality is higher in medication users, participants thinking that they have problems in sleeping or falling asleep and had stressful experience in the last month. The differences between groups were statistically significant. In logistic regression analyzes, using medication (OR=2.54), having problems in sleep (OR=12.75), having problems in falling asleep (OR=8.83) and bad experiences in the last month (OR=2.66) have effects on sleep quality. CONCLUSIONS: Interventions about sleep disorders are important due to their preventable characteristics. Developing healthy life habits, improving physical conditions and coping with stress will be effective on preventing and treating sleep disorders.

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Özgen F, Uyku ve Uyku Bozuklukları, Psikiyatri Dünyası, 2001;5:41-48
Gelder M, Sleep-Wake Disorders, Eds: Andreasen N, Geddes J, İn: New Oxford Textbook of Psychiatry, 2th edition, New York, Oxford University Press, 2009, p:924-927
Öztürk O, Uyku Bozuklukları, Ruh Sağlığı ve Hastalıkları, 10th edition, Ankara, Feryal Basımevi, 2004, p:482
Manni R, Ratti MT, Marchioni E, et al. Poor sleep in adolescents: a study of 869 17-year-old Italian secondary school students. Journal of Sleep Research 2003;6:44-49.
Eisendrath S, Lichtmachr J, Sleep Disorders, Eds:Queen G, Papadakis M, McPhee S, İn: Current Medical Diagnosis and Treatment, 51st edition, Lange&Mc Graw Hill, United States of America, 2013; p:1075-1078
Vgontzas AN, Kales A, et al. Sleep and its disorders, Annual Review of Medicine, 1999; 50:387-400
Braunwald E, Fauer AS, Kasper DL, Sleep Disorders, Ed: Charles A, Harrison Textbook of Internal Medicine, 16.edition, The McGraw-Hill Companies, United States of America, 2005; p:154
Ram S, Seirevan R, et al. Prevalence and impact of sleep disorders and sleep habits in the United States, Sleep Breath, 2010;14:63-70
Erişkin Toplumda Ulusal Uyku Epidemiyolojisi Araştırması (TAPES), http://78.189.53.61/- /uyku/11uykusunu/8_a_demir.pdf [Acces date: Ağustos 2014]
Hidalgo MP, Caumo W, et al. Sleep disturbances associated with minor psychiatric disorders in medical students. Neurological Science, 2002;23:35-39
Young TB, et al. Epidemiology of daytime sleepiness: definitions, symptomatology and prevalence. Journal Clinical Psychiatry 2004;65(16):12-6.
Trockel, M.T, Barnes, M.D, Egget, D.L, et al. Health-related variables and academic performance among first-year college students, implications for sleep and other behaviors. Journal of American College Health, 2000;49:125-131.
Yang M, Wu H, Hsieh M, Liu M, Lu F, et al. Coping with sleep disturbances among young adults: a survey of first-year college students in Taiwan. Behavioral Medicine, 2003:29;133-138.
Feng S, Chen W, Yang Z, et al. Study on the status and quality of sleep-related influencing factors in medical college students. Zhonghua Liuxingbingxue Zazhi, 2005;26:328-331.
Suen K, Hon L, Tam W, et al. Association between sleep behavior and sleeprelated factors among university students in Hong Kong. Chronobiology International, 2008;25:760-775.
Verlander LA, Benedict JO, Hanson DP, et al. Stress and sleep patterns of college students. Percept Mot Skills, 1999;88:893-898.
Jean-Louis G, Von Gizycki H, Zizi F, Nunes J, et al. Mood states and sleepiness in college students: influences of age, sex, habitual sleep, and substance use. Percept Mot Skills, 1998;87:507-512.
Mesquita G, Reimão R, et al. Nightly use of computer by adolescents, Its effects on quality of sleep. Arq Neuropsiquiatr, 2007;65:428-432
Johnson JG, Cohen P, Kasen S, et al. Association between television viewing and sleep problems during adolescence and early adulthood. Arch Pediatr Adolesc Med, 2004;158:562-568.
Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research, Psychiatry Res. 1989;2:193-213.
Ağargün MY, Kara H, Anlar Ö, et al. Pittsburgh Uyku Kalitesi İndeksinin Geçerliliği ve Güvenirliği, Türk Psikiyatri Dergisi, 1996;2:107-115.
johns M, et al. A New Method for Measuring Daytime Sleepines: The Epworth Sleepiness Scale, Sleep, 1991;14 (6):540-545
Ağargün MY, Çilli AS, Kara H, Bilici M, et al. Epworth Uykululuk Ölçeğinin Geçerliliği ve Güvenilirliği, Türk Psikiyatri Dergisi, 1999;10(4):261-267.
Miletin MS, Hanly PJ, et al. Measurement proporties of the Epworth sleepiness scale, Sleep Medicine, 2003;4:195-199.
Tsui, Y, Wing, Y.K, et al. A study on the sleep patterns and problems of university business students in Hong Kong. Journal of American College Health, 2009;58:167-176.
Saygılı S, Akıncı A, et al. Üniversite Öğrencilerinde Uyku Kalitesi Ve Yorgunluk, Electronic Journal of Vocational Colleges, Aralık 2011:88-94.
Abolfotouh M, Bassiouni F, et al. Health-related lifestyles and risk behaviours among students living in Alexandria University hostels, Eastern MediterraneanHealth Journal, 2007;13(2):376-391
Cheng S, Shih C, et al. A study on the sleep quality of incoming university students, Psychiatry Research, 2012;197:270-274
Gupta K, Mueller W.H, Chan W, et al. Is Obesıty Associated With Poor Sleep Quality In Adolescents, American Journal of Human Biology, 2002;14(6):762-768.
Fernandez MJ, Vgontzas AN, Bixler EO, Singareddy R, Shaffer ML, Calhoun SL, Karataraki M, et al. Clinical and polysomnographic predictors of the natural history of poor sleep in the general population, Sleep, 2012;1;35(5):689-97.
Brown F, Buboltz C, Soper B, et al. Relationship Of Sleep Hygiene Awareness, Sleep Hygiene Practises, Sleep Quality İn University Students. Behavioral Medicine, 2002;28(1):33-38
Altıntaş H, Sevencan F, et al. HÜTF Dönem 4 Öğrencilerinin Uyku Bozukluklarının ve Uykululuk Hallerinin Epworth Uykululuk Ölçeği İle Değerlendirilmesi, Sürekli Tıp Eğitimi Dergisi, 2006:15(7):114-120
Şenol V, Soyer F, Akça R, et al. Adolesanlarda Uyku Kalitesi ve Etkileyen Faktörler, Kocatepe Tıp Dergisi, 2012;14:93-102
Sven KP, Ton WS, Han KL, et al. Associations Of Sleep Hygiene Related Factors And Sleep Quality Among Unıversity Students İn Hong-Kong, Chronobiology International, 2000; 25(5):760-775.
Lund HG, Reider BD, Whiting AB, Prichard JR, et al. Sleep Patterns and Predictors of Disturbed Sleep in a Large Population of College Students, Journal of Adolescent Health 2010; 46(2):124-132
Colleen E, Carney, Jack D, et al. Daily Activities And Sleep Quality In Collage Students, Chronobiology Intenational, 2006;23(3):623-637.
Şahin S, Açıkel C, et al. An Assessment of Daytime Sleepiness Among Students of The Gülhane Military Faculty of Medicine Using the Epworth Sleepiness Scale, TAF Preventive Medicine Bulletin, 2014:13(1):7-12
Roth T, Roehrs TA, Rosenthal L, et al. Normative and pathological aspects of daytime sleepiness. American Psychiatric Press. 1994;28:707-728.
Eller T, Aluoja A, Vasar V, Veldi M, et al. Symptoms of anxiety and depression in Estonian medical students with sleep problems, Depression Anxiety, 2006;23(4):250-6.
Temel F, Hancı P, et al. Ankara'da bir meslek lisesi 10. ve 11. sınıf öğrencilerinin uyku kalitesi ve etkileyen faktörler, Çocuk Sağlığı ve Hastalıkları Dergisi, 2010;53:122-131
Eller T, Aluoja A, et al. Symptoms Of Anxiety And Depression In Estonian Medical Students With Sleep Problems, Depression and Anxiety, 2006;23,4:250-256
42. Buysse D, Hall M, et al. Relationships Between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Clinical/Polysomnographic Measures in a Community Sample, J Clin Sleep Med. 2008;4(6):563-571.