Premenstrual Sendromlu Kadınlarda Uyku Hijyen Girişimlerinin Etkisi
Amaç: Çalışma premenstrual sendromda uyku hijyen eğitimlerinin etkisini değerlendirmeyi amaçlamıştır.Gereç ve Yöntem: Çalışmada, pre-test post-test, non-randomize, control grup tasarım kullanıldı. Çalışma, premenstrual sendromlu 88 kadınile gerçekleştirildi (Girişim grubu= 47; Kontrol Grubu n=41). Girişim grubunda yer alan katılımcılar uyku hijyen girişimlerini kullandı. Çalışmanın birinci adımında, girişim grubunda yer alan katılımcılara uyku hijyen eğitimi yapıldı. İkinci adımda, girişim grubundaki katılımcılar iki menstrual siklus boyunca uyku hijyen girişimlerini uyguladılar. Veriler, girişim öncesi ve girişim sonrası (1.menstruasyon ve 2.menstruasyon) Premenstrual Sendrom Ölçeği (PMSÖ), Pittsburgh Uyku Kalitesi Ölçeği (PUKÖ) kullanılarak elde edildi. Bulgular: Çalışmadan elde edilen bulgular sonucunda, girişim grubunun ve control grubunun hem PMSÖ puanları hem de PUKÖ puanlarının takip sürecinde benzer olduğu, gruplar arasında istatistiksel olarak anlamlı düzeyde fark olmadığı belirlendi (p>0.05).Bununla birlikte, 1.menstruasyon ve 2.menstruasyon PMSÖ puan farkları gruplar arasında karşılaştırıldığında, gruplar arasında istatistiksel olarak anlamlı fark bulunduğu belirlendi. Deney grubunun PMSÖ puanları, takip sürecinde, kontrol grubuna göre istatistiksel olarak anlamlı düzeyde azalmıştı (p<0.001). Tartışma: Premenstrual semptom yaşayan kadınların, uyku hijyen girişimlerini kullanması, premenstrual semptomlarının azaltılmasında yardımcı olabilir.
The Effect of a Sleep Hygiene Interventions in Women with Premenstrual Syndrome
Objective: This research aims to reveal the influence of sleep hygiene interventions on premenstrual syndrome.Material and Methods: In the study was used a pre-test post-test non-randomized, control group desing. This study, which was included a total of 88 (intervention group n=47; control group n=41) women with PMS. The intervention group participants were used sleep hygiene intervention. In the first step, the participants in the intervention group received sleep hygiene education. In the second step, the participants of the intervention group used the sleep hygiene intervention for two menstrual cycles. Data were obtained by using premenstrual syndrome scale (PMS scale) and Pittsburgh Sleep Quality Index (PSQI) in pre-intervention and post-intervention (1th menstruation and 2nd menstruation period). Results: The results obtained from the study showed that there was no significant difference between two groups, both the 1st menstruation and 2nd menstruation PSQI scores (p>0.05) and PMS scale score (p>0.05). Nevertheless, when the differences in the 1th menstruation and 2nd menstruation PMS scale scores of the two groups were compared, a statistically significant improvement was detected (p<0.001). Conclusions: Sleep hygiene intervention may be useful to reduce premenstrual symptoms in women.
___
- 1. American Psychiatric Association, a Diagnostic and Statistical Manual of Mental Disorders. 4th Ed. Text revision. Washington, DC: American Psychiatric Association. 2000; 771-774. https://www.psychiatry.org/ Accessed 26 March 2016.
- 2. Freeman EW. Premenstrual syndrome and premenstrual dysphoric disorder: definitions and diagnosis. Psychoneuro endocrinology 2003; 28: 25-37.
- 3. Angst J, Sellaro R, Merikangas KR. Endicott J. The epidemiology of perimenstrual psychological symptoms. Acta Psychiatrica Scandinavica 2001; 104 (2): 110-116.
- 4. Steiner M, Peer M, Palova E, Freeman EW, Macdougall M, Soares CN. The Premenstrual Symptoms Screening Tool revised for adolescents (PSST-A): prevalence of severe PMS and premenstrual dysphoric disorder in adolescents. Archives of Women's Mental Health. 2011; 14 (1): 77-81.
- 5. Nisar N, Zehra N, Haider G, Munir AA, Sohoo NA, Frequency, intensity and impact of premenstrual syndrome in medical participants. J Coll Physicians Surg Pak 2008; 18(8): 481-4.
- 6. Guvenç G, Kilic A, Akyuz A, Ustunsoz A. Premenstrual syndrome and attitudes toward menstruation in a sample of nursing participants. Journal of Psychosomatic Obstetrics & Gynecology 2012; 33 (3): 106-111.
- 7. Delara, F, Ghofranipour P, Azadfallah, SS, Tavafian A, Kazemnejad A, Montazeri. Health related quality of life among adolescents with premenstrual disorders: a cross sectional study. Health Qual Life Outcomes 2012; 10 (1).
- 8. Gürkan ÖC, Türk S. Experience and Coping with Premenstrual Syndrome of Participants at University. Health and Society 2008; 18 (2): 17-23
.
9. Reid RL, Premenstrual Syndrome. in: Gibbs RS, Karlan BY, Haney AF, Nygaard IE (Eds), Danforth's Obstetrics and Gynecology, Lippincott Williams & Wilkins, Philadelphia, 2008.
- 10. Karaman HIO, Tanriverdi G, Degirmenci Y. Subjective sleep quality in premenstrual syndrome. Gynecological Endocrinology 2012; 28 (8): 661 - 664.
- 11. National Sleep Foundation. Sleep in America poll 2007. Conference held March 5–6, 2007, Washington, DC. http://sleepfoundation.org (accessed 15.06.2015).
- 12. Baker FC, Lamarche LJ, Iacovides S, Colrain IM. Sleep and menstrual-related disorder. Sleep Medicine Clinics 2008; 3(1): 25-35.
- 13. Lamarche LJ, Driver HS, Wiebe S, Crawford L, De Koninck J. Nocturnal sleep, daytime sleepiness, and napping among women with significant emotional/behavioral premenstrual symptoms. Journal of Sleep Research 2007; 16 (3): 262-268.
- 14. Manber R, Bootzin RR. Sleep and the menstrual cycle. Health Psychology1997; 16 (3): 209-14.
- 15. Hauri P, Current Concepts: The Sleep Disorders. The Upjohn Company, Kalamazoo, Michigan.1997.
- 16. Friedman L, Benson K, Noda A, Zarcone V, Wicks D, et al. An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults. Journal of Geriatric Psychiatry and Neurology 2000; 13(1): 17-27.
- 17. Chen PH, Kuo HY, Chueh KH. Sleep hygiene education: efficacy on sleep quality in working women. Journal of Nursing Research 2000; 18 (4): 283-289.
- 18. Mastin DF, Bryson J, Corwyn R. Assessment of sleep hygiene using the Sleep Hygiene Index. Journal of Behavioral Medicine 2006; 29 (3): 223-227.
- 19. Stepanski EJ, Wyatt JK. Use of sleep hygiene in the treatment of insomnia. Sleep Medicine Reviews 2003; 7(3): 215-225.
- 20. Gençdoğan B. A New Scale for Premenstrual Syndrome. Psychiatry in Turkey 2006; 8 (2): 83–87.
- 21. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research 1989; 28 (2): 193-213.
- 22. Ağargün MY, Kara H, Anlar OA. Validity and reliability of Pittsburgh Sleep Quality Index. Turk Psychiatry Journal 1996; 7 (2): 107-115.
- 23. Blunden SL, Chapman J, Rigney GA. Are sleep education programs successful? The case for improved and consistent research efforts, Sleep Medicine Reviews 2012; 16(4): 355-370.
- 24. Daley A. Exercise and premenstrual symptomatology: a comprehensive review. J Women’s Health (Larchmt) 2009; 8 (6): 895-899.
- 25. Salamat S, Ismail KM, O’Brien S. Premenstrual syndrome. Obstetrics, Gynecology & Reproductive Medicine 2008; 18 (2): 29-32.