Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Dahiliye Kliniklerinde Yatan Hastalarda Uykusuzluk Düzeyi ve Etkileyen Faktörlerin İncelenmesi: Tanımlayıcı Çalışma
Investigation of Insomnia Level and Affecting Factors in Patients Hospitalized in Internal Medicine Clinics: A Descriptive Study
Serkan AYa , Kadriye SAYIN KASARb
aAksaray Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik AD, İç Hastalıkları Hemşireliği Yüksek Lisans Programı, Aksaray, Türkiye
bAksaray Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği AD, Aksaray, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):819-29
doi: 10.5336/nurses.2024-107073
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, dahiliye kliniklerinde yatan hastaların uykusuzluk düzeyini belirlemek ve etkileyen faktörlerin incelenmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki bu araştırma Ocak-Mayıs 2024 tarihleri arasında, Aksaray Eğitim ve Araştırma Hastanesi dahiliye kliniklerinde yatan 210 hastayla yürütülmüştür. Veriler ''Kişisel Bilgi Formu'' ve ''Hastane Kaynaklı Uykusuzluk Ölçeği'' kullanılarak toplanmıştır. Araştırmadan elde edilen veriler SPSS 26.0 programı kullanılarak 2 bağımsız grup arasında t-testi, Mann-Whitney U testi, varyans analizi ve Kruskal-Wallis analizi ile incelenmiştir. Bulgular: Çalışmaya katılan hastaların yaş ortalaması 63,26±8,90 ve %56,2'si kadındır. Hastaların %75,2'sinde hastanede yatarken uyku sürecinde değişiklik olduğunu ve yarıdan fazlası (%62,9) uyku ile ilgili sorun yaşadığını ifade etmektedir. Katılımcıların Hastane Kaynaklı Uykusuzluk Ölçeği toplam puan ortalaması 2,26±0,619 olarak saptanmıştır. Katılımcıların toplam ölçek puanlarının yattığı klinik, yatağa girdikten sonra uykuya dalma süresi, uyku ile ilgili sorun yaşama durumu, hastanede yatma süresi, hastanede yatarken uyku sürecinde değişiklik olma durumu, gürültü, kalabalık, aydınlatma, ışık, ortamın sıcaklığı\soğukluğu, hasta bakım ve tedavi uygulamaları\sık sık girip çıkma ve hastalık şiddeti gibi faktörlerden etkilendiği bulunmuştur (p<0,05). Hastaların eğitim durumu, kronik hastalık türü, daha önce hastaneye yatma durumları ile hastane kaynaklı uykusuzluk toplam puanı ve alt boyutlarının puanları arasında istatistiksel olarak anlamlı bir farklılık bulunmamıştır (p>0,05). Sonuç: Çalışma sonucunda, dahiliye kliniklerinde yatan hastaların yarıdan fazlası kötü uyku kalitesi ve yetersiz uyku süresi bildirdi. Bununla birlikte, hastanede uyku kalitesi ve düzeninin bazı çevresel ve demografik değişkenlerden etkilendiği bulundu. Hastanede yatan yetişkinlerden uyku düzeyinin düzenli olarak değerlendirilmesi ve özellikle risk altında olanların uyku kalitesini iyileştirmek için gerekli müdahalelerin yapılmasına ihtiyaç vardır.

Anahtar Kelimeler: Yatan hasta; uykusuzluk; dahiliye klinikleri; etkileyen faktörler; hemşirelik
ABSTRACT
 Objective: This study was conducted to determine the level of insomnia in patients hospitalized in internal medicine clinics and to examine the affecting factors. Material and Methods: This descriptive and cross-sectional study was conducted with 210 patients hospitalized in the internal medicine clinics of Aksaray Training and Research Hospital between January-May 2024. Data were collected using the ''Personal Information Form'' and the ''Hospital-acquired Insomnia Scale''. The data obtained from the research were analyzed using the SPSS 26.0 program using t-test, Mann-Whitney U test, analysis of variance and Kruskal-Wallis analysis between 2 independent groups. Results: The mean age of the patients participating in the study was 63.26±8.90 and 56.2% were female. 75.2% of patients reported changes in their sleep patterns during hospitalization, and more than half (62.9%) reported experiencing sleep problems. The total mean score of the participants on the Hospital-Acquired Insomnia Scale was determined as 2.26±0.619. It was found that the total scale scores of the participants were affected by factors such as the clinic they were hospitalized in, the time it took to fall asleep after going to bed, having problems with sleep, the duration of hospitalization, changes in the sleep process while hospitalized, noise, crowding, lighting, temperature, coldness of the environment, patient care and treatment practices, frequent entry and exit, and disease severity (p<0.05). No statistically significant difference was found between the patients' educational status, type of chronic disease, previous hospitalization status and the total hospital insomnia score and its subdimensions (p>0.05). Conclusion: As a result of the study, more than half of the patients hospitalized in internal medicine clinics reported poor sleep quality and insufficient sleep duration. However, sleep quality and pattern in the hospital were found to be affected by some environmental and demographic variables. There is a need for regular assessment of sleep levels in hospitalized adults and implementation of necessary interventions to improve sleep quality, especially in those at risk.

Keywords: Inpatient; insomnia; internal medicine clinics; affecting factors; nursing
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