Hemodiyalize Giren Yaşlı Bireylerde Kötü Uyku Kalitesi Depresyonu Öngörür Mü?
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Tarih
2013
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Yaşlanma ile birlikte uyku bozukluğu artar. Eşlik eden hastalıklar, uyku bozukluğunundaha da artmasına neden olur. Çalışmanın amacı 65 yaş ve üzeri hemodiyalize giren bireylerdeuyku kalitesi ve depresyon arasındaki ilişkinin değerlendirilmesidir. Gereç ve Yöntem: Hemodiyaliz hastalarında yapılan kesitsel bir çalışmadır. Yüz yüze sormayöntemi ile uygulanan anket formu sosyodemografik verileri; Pittsburg Uyku Kalite İndeksi'ni veBeck Depresyon Ölçeği'ni içeren üç bölümden oluşuyordu. Vital bulgular ve Beden Kitle İndeksideğerlendirmesi tamamlandı. Hemogram ve biyokimyasal parametreler için kan örnekleri alındı. Bulgular: Çalışmaya alınan 52 kadın, 47 erkek olgunun yaş ortalaması 72.115.79 yıl idi.Olguların Beck Depresyon Ölçeği ortalaması 11.956.80 olup; Beck Depresyon Ölçeğine görehafif depresyonu olanlar %77.8, orta depresyonu olanlar %20.2 ve ağır depresyonu olanlar ise%2 idi. Olguların Pittsburg Uyku Kalite İndeksi ortalaması 7 olarak bulundu. İyi uyku kalitesine sahip olanlar %40.4; kötü uyku kalitesine sahip olanlar %59.6 idi. Uyku kalitesine göre yaş,diyaliz süreleri, beden kitle indeksi, sistolik-diyastolik arteryel tansiyonları arasında istatistikselolarak anlamlılık saptanmadı. Beck Depresyon Ölçeği ile uyku kalitesi arasında istatistiksel anlamlıfarklılık vardı (p0.000). Kötü uyuyanların %32.2 inde, iyi uyuyanların ise sadece %7.5 undaorta/ağır depresyon saptandı. Sonuç: Hemodiyalize giren geriatrik hastalarda uyku kalitesi belirgin olarak bozulmuştur. İlerlemiş yaş ve eşlik eden hastalıklar uyku kalitesini kötü etkilemektedir. Kötü uyku kalitesi vedepresyon birbirini tetiklemektedir. Uyku kalitesi sorgulanarak olası depresyonun öngörülmesi,takip ve tedavisinin yapılması son dönem böbrek yetmezliği olan geriatrik hastaların yaşamkalitesini artırılabilir ve olası morbiditenin önüne geçilebilir
Introduction: Sleep disorders increase with aging. Comorbidities cause a further increase insleep disturbance. The aim of the study was to evaluate the relationship between subjective sleepquality and depression in subjects aged older than 65 years and undergoing hemodialysis. Materials and Method: Socio-demographic data of participants were recorded in this crosssectional study. The Pittsburg Sleep Quality Index and the Beck Depression Inventory were administered face to face. Vital measures and Body Mass Index calculations were completed. Bloodsamples were taken for hemogram, biochemical parameters. Results: Fifty two female and 47 male patients were included in the study. Their mean agewas 72.11±5.79 years. The mean Beck Depression Inventory score was 11.95 ± 6.80. Mild, moderate and severe depression, as measured by the Beck Depression Inventory, were 77.8%, 20.2%and 2% of patients, respectively. The mean Pittsburg Sleep Quality Index was 7 . Thosewith good and poor sleep quality were 40.4% and 59.6%, respectively. Statistically significant differences were not found between age, duration of dialysis, body mass index, and systolic anddiastolic arterial blood pressures, and sleep quality. There was a statistically significant differencebetween sleep quality and Beck Depression Inventory (p0.000). Moderate to severe depressionwas detected in 32.2% of poor sleepers and only 7.5% of good sleepers. Conclusion: The quality of sleep is significantly impaired in elderly patients undergoinghemodialysis. Advanced age, with co-morbid diseases, adversely affects the quality of sleep. Poorsleep quality and depression trigger each other. The quality of life in elderly end stage renal failure patients can be improved and possible morbidity can be prevented by investigating patients'quality of sleep to diagnose a possible depression
Introduction: Sleep disorders increase with aging. Comorbidities cause a further increase insleep disturbance. The aim of the study was to evaluate the relationship between subjective sleepquality and depression in subjects aged older than 65 years and undergoing hemodialysis. Materials and Method: Socio-demographic data of participants were recorded in this crosssectional study. The Pittsburg Sleep Quality Index and the Beck Depression Inventory were administered face to face. Vital measures and Body Mass Index calculations were completed. Bloodsamples were taken for hemogram, biochemical parameters. Results: Fifty two female and 47 male patients were included in the study. Their mean agewas 72.11±5.79 years. The mean Beck Depression Inventory score was 11.95 ± 6.80. Mild, moderate and severe depression, as measured by the Beck Depression Inventory, were 77.8%, 20.2%and 2% of patients, respectively. The mean Pittsburg Sleep Quality Index was 7 . Thosewith good and poor sleep quality were 40.4% and 59.6%, respectively. Statistically significant differences were not found between age, duration of dialysis, body mass index, and systolic anddiastolic arterial blood pressures, and sleep quality. There was a statistically significant differencebetween sleep quality and Beck Depression Inventory (p0.000). Moderate to severe depressionwas detected in 32.2% of poor sleepers and only 7.5% of good sleepers. Conclusion: The quality of sleep is significantly impaired in elderly patients undergoinghemodialysis. Advanced age, with co-morbid diseases, adversely affects the quality of sleep. Poorsleep quality and depression trigger each other. The quality of life in elderly end stage renal failure patients can be improved and possible morbidity can be prevented by investigating patients'quality of sleep to diagnose a possible depression
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16
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4
