Ülker KOÇAK, Meryem ALBAYRAK, Reyhan EROL, Cihat ŞANLI

Çocuklarda Uyku Özellikleri Ve Uyku Bozukluklarının Değerlendirilmesi: Kırıkkale’den Bir Ön Çalışma

Amaç: Çalışmanın amacı, Kırıkkale’de yaşayan çocuklarda uyku düzeni ve alışkanlıklarının belirlenerek, uyku sorunlarının aydınlatılması, ailelerin uyku konusunda bilgilendirilmesidir.Olgular ve Metod: İki ay-16 yaş arası 240 çocuk gelişme basamakları ve uyku özellikleri dikkate alınarak yaş gruplarına (2-5 ay, 6-11 ay, 12-17 ay, 18-23 ay, 2-4 yaş, 5-6 yaş, 7-10 yaş, 11-16 yaş) ayrıldı. Her gruba 30 çocuk alındı. Ebeveynler ve yedi yaş üzeri çocuklara, yüz yüze görüşme yöntemiyle uyku özellikleri, sorunları ve uykuyu etkileyebilecek faktörler hakkında çoktan seçmeli sorulardan oluşan anket yapıldı.Bulgular: Toplam uyku süresi diğer ülkelerin verileri ile benzerdi. Odada elektromanyetik alet bulunması ile uyku düzeni ve bozukluğu arasında ilişki bulunmadı (p>0.05). İki yaşından büyük çocukların yaklaşık 1/3’ünün en az haftada bir kez kabus gördüğü saptandı. Uyku bozukluğu açısından, cinsiyet ve sosyoekonomik düzeyler arasında farklılık bulunmadı. En sık görülen uyku bozuklukları %8 horlama, %7 ağzı açık uyuma, %5 uykuda konuşma, %4 diş gıcırdatma, %3 horlama + apne olarak saptandı. Uyku bozukluğu olmayan çocukların okul başarısı daha yüksek olarak saptandı (p<0.05). Yatmadan önce diş fırçalama, kitap okuma, müzik dinleme gibi ritüelleri uygulayan annelerin eğitim düzeylerinin diğer annelere göre yüksek olduğu (p<0.05) ve uyku ritüelleri uygulanmayan çocuklarda okul başarısının daha düşük olduğu saptandı (p<0.05).Sonuç: Ebeveynlerin çocuklarının uyku düzeni ve problemleri hakkında sorgulanması, altta yatan sorunların tespitinde önemli ip uçları verebilir. Aynı zamanda iyi uyku ve uyku hijyeni hakkında aileler bilgilendirilmelidir.

Anahtar Kelimeler:

Uyku düzeni, uyku bozuklukları, çocuk

EVALUATION OF SLEEP PATTERNS AND SLEEP DISTURBANCES IN CHILDREN: A PRELIMINARY STUDY IN KIRIKKALE

Aim: The aim of this study was to determine the sleep patterns and habits of children in Kırıkkale to detect sleeping problems while informing the parents about sleep.Methods: Twohundredforty children with the age range of 2 months-16 years were divided into eight groups with respect to age (2-5 months, 6-11 months, 12-17 months, 18-23 months, 2-4 years, 5-6 years, 7-10 years, 11-16 years). Each group contained 30 subjects. Parents and children older than 7 years were questioned for sleeping paterns, disorders and factors affecting their sleep by multiple-choice questions and using face-toface interview technique.Results: Total sleep duration was comparable with the duration of other countries. No correlation was found between the existence of electromagnetic devices in the room and the sleeping patterns and disorders (p>0.05). Nearly 1/3 children older than 2-years of age were found to have nightmares at least once a week. There were no differences in sleeping disorders between different genders and socioeconomic levels of the children (p>0.05). Sleeping disorders increased with age were snoring (8%), sleeping with open mouth (7%), talking in sleep (5%), teeth grinding (4%), snoring and apnea (3%). Children who do not have any sleeping disorders have school success higher than the others with sleeping disorders (p<0.05). The education levels of mothers who carry out sleep rituals including tooth brushing, reading book, listening music were higher than the other mothers (p<0.05) and school success of children who do sleep rituals were lower thatn the other children (p< 0.05).Conclusion: Parents should ask to their children about the sleeping patterns and disorders of the children, because this would be an important occasion to discover an underlying disorder. Furthermore, parents should be given information about sleep disorders and sleep hygiene

Keywords:

Sleep patterns, sleep disorders, children,

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