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THE RELATIONSHIP BETWEEN SLEEP QUALITY, ANXIETY AND DEPRESSION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Yıl 2019, Sayı: 2, 247 - 252, 01.06.2019

Gül Dural Seyhan Çıtlık Sarıtaş

Öz

Objectives: In patients with Chronic Obstructive Pulmonary Disease COPD , patients may experience inadequate sleep due to symptoms such as shortness of breath. Patients may have poor sleep quality and experience anxiety and depression.Study design: In this descriptive study, voluntary, open communication, 144 COPD patients were included. ‘Data Collection Form’, ‘Pittsburgh Sleep Quality Index PUKI ’ and ‘Hospital Anxiety and Depression Scale HADS ’ were used in the collection of study data. The data for the study were collected from January 2016 to April 2016. Numbers, percentages, mean, independent t-test, pearson correlation analysis were used in the evaluation of the data.Results: It was determined that 59.7% of the patients included in the study were male, 84.7% were 55 years and over, 88.2% were married. Mean PUKI score was 9.01 ± 4.14, mean HAD-A score was 7.53 ± 5.33, mean HAD-D score was 10.27 ± 5.31 and mean HAD-total score was 17.79 ± 9.59. It was determined that 77.8% of the patients participating in the study had poor sleep quality, 75% had no anxiety and 68.7% had depression. There was a significant relationship between sleep quality and anxiety and depression p

Anahtar Kelimeler

Anxiety COPD depression nursing sleep quality

Kaynakça

  • Benzo RP, Abascal-bolado B, Dulohery MM. Patient Education and Counseling Self-management and quality of life in chronic obstructive pulmonary disease (COPD): The mediating effects of positive affect. Patient Educ Couns. 2016;99:617–23. [CrossRef]
  • Al-shair K, Dockry R, Mallia-milanes B, Kolsum U, Singh D, Vestbo J. Depression and its relationship with poor exercise capacity, BODE index and muscle wasting in COPD. 2009;1572–9.
  • Afşar BB, Yalçınsoy M, Yakar Hİ, Bilgin S, Akkaya E. K ronik Obstrüktif Akciğer Hastalığı olan bireylerin yeti yitimi, anksiyete ve depresyon yönünden değerlend irilmesi (Evaluation of individuals with Chronic Obstructive Pulmonary Disease in terms of disability, anxiety and depression). Cumhur Med J. 2012;34:260–7.
  • Zamzam MA, Azab NY, Wahsh RA El, Ragab AZ, Allam EM. Quality of life in COPD patients. Egypt J Chest Dis Tuberc. 2013;61:281–9. [CrossRef]
  • Tel H, Demirkol D, Kara S, Aydın D. KOAH COPD KOAH ’ lı Hastaların Bakım Vericilerinde Bakım Yükü ve Yaşam Kalitesi (Care Burden and Quality of Life Among the Caregivers of Patients with COPD). Turk Toraks Derg. 2012;13:87–92.
  • Stege G, Vos PJE, Elshout FJJ Van Den, Dekhuijzen PNR, Ven MJT Van De, Heijdra YF. Sleep, hypnotics and chronic obstructive pulmonary disease. Respir Med. 2008;102:801–14.
  • Gudmundsson G, Gislason T, Janson C, Lindberg E, Suppli C, Brİndum E, et al. Depression, anxiety and health status after hospitalisation for COPD: A multicentre study in the Nordic countries. 2006;87–93.
  • Başyiğit İ. Koah tanimi ve klinik özellikleri. TTD Toraks Cerrahisi Bülteni. 2010;1:102–4.
  • Kayhan S, Çınarka H, Köksal N. Kronik Obstrüktif Akciğer Hastalarının Perioperatif Değerlendirilmesi (Perioperative Evaluation of COPD Patients). Güncel Göğüs Hast Serisi. 2013;1:136–42.
  • Savaş HS, Günen H, Mutlu L cem, Gülbaş G. Kronik Obstrüktif Akciğer Hastalığında Alevlenme Nedenleri. Solunum Hast. 2006;17:8–12.
  • İnce Dİ, Savcı S, Çöplü L, Arıkan H. Kronik Obstrüktif Akciğer Hastalarında Günlük Yaflam Aktivitelerinin Değerlendirilmesi. Toraks Derg. 2005;6:31–6.
  • Mikkelsen RL, Middelboe T, Pisinger C, Mikkelsen RIEL, Middelboe T, Pisinger C. Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review. 2017;9488(August).
  • Çil A, Olgun N. KOAH (Kronik obstruktif akciğer hastalığı)’ın pulmoner rehabilitasyon ile yönetimi. Ege Üniversitesi Hemşirelik Yüksek Okulu Derg. 2005;21:103–13.
  • Suh S, Ellis RJ, Sollers JJ, Thayer JF, Yang H, Emery CF. The effect of anxiety on heart rate variability, depression, and sleep in Chronic Obstructive Pulmonary Disease. J Psychosom Res. 2013;74:407–13. [CrossRef]
  • Pirraglia PA, Casserly B, Velasco R, Borgia ML, Nici L. Association of change in depression and anxiety symptoms with functional outcomes in pulmonary rehabilitation patients. J Psychosom Res. 2011;71:45–9. [CrossRef]
  • Crockett AJ, Cranston J, JR M, JH A. The Impact of Anxiety, Depression and Living alone in Chronic Obstructive Pulmonary Disease. Qual Life Res. 2016;11:309–16.
  • Marco F Di, Verga M, Reggente M, Casanova FM, Santus P, Blasi F, et al. Anxiety and depression in COPD patients: The roles of gender and disease severity. Respir Med. 2006;100:1767–74.
  • Saaresranta T, Irjala K, Aittokallio T, Polo O. Sleep quality, daytime sleepiness and fasting insulin levels in women with chronic obstructive pulmonary disease. 2005;856–63.
  • Bülbül Y. Kronik Obstrüktif Akciğer Hastalığında Uyku Sorunları (Sleep disturbances in chronic obstructive pulmonary disease). Güncel Göğüs Hast Serisi. 2013;1:80–5.
  • Öztürk Ö. Kronik Obstrüktif Akciğer Hastalığı ve Uyku (COPD and Sleep). Solunum. 2011;13:67–77.
  • Society TT. Kronik Obstrüktif Akciğer Hastalığı. Vol. 11. 2010.
  • Ağargun M, Kara H, Anlar O. Pittsburgh uyku kalitesiindeksinin geçerliği ve güvenirliği. Türk Psikiyatr Derg. 1996;7:107–15.
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Türk Psikiyatr Derg. 1997;8:280–7.
  • Hynninen MJ, Pallesen S, Hardie J, Eagan TML, Bjorvatn B, Bakke P, et al. Insomnia symptoms, objectively measured sleep, and disease severity in chronic obstructive pulmonary disease outpatients. Sleep Med. 2013;14:1328–33. [CrossRef]
  • Chen R, Tian J, Zhou L, Chen X, Yan H, Zeng B. The relationship between sleep quality and functional exercise capacity in COPD. 2015.
  • Scharf S, Maimon N, Simon-Tuval T, Bernhard-Scharf B, Reuveni H, Tarasik A. Sleep quality predicts quality of life in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2011;1:1–12.
  • De S. Subjective assessment of quality of sleep in chronic obstructive pulmonary disease patient and its relationship with associated depression. 2012;29:332–6.
  • Elassal G, Elsheikh M, Gawad A, Zeid A. Assessment of depression and anxiety symptoms in chronic obstructive pulmonary disease patients: A case – control study. Egypt J Chest Dis Tuberc. 2014;63:575–82. [CrossRef]
  • Disler RT, Gallagher RD, Davidson PM. International Journal of Nursing Studies Factors influencing self-management in chronic obstructive pulmonary disease: An integrative review §. Int J Nurs Stud. 2012;49:230–42. [CrossRef]
  • Laforest L, Roche N, Devouassoux G, Belhassen M, Chouaid C, Ginoux M, et al. Frequency of comorbidities in chronic obstructive pulmonary disease, and impact on all-cause mortality: A population- based cohort study. Respir Med. 2016;117:33–9. [CrossRef]
  • Kendrová L, Kuriplachová G, Miriam I, Nechvátal P, Miku W, Taká P. ScienceDirect Review article Assessment of depression in patients with chronic obstructive pulmonary disease. 2014;6:6–11.
  • Ohayon MM. Chronic Obstructive Pulmonary Disease and its association with sleep and mental disorders in the general population. J Psychiatr Res. 2014;54:79–84. [CrossRef]
  • Willgoss TG, Yohannes AM, Goldbart J, Fatoye F. “Everything was spiraling out of control”: Experiences of anxiety in people with chronic obstructive pulmonary disease. Hear Lung J Acute Crit Care. 2012;41:562–71. [CrossRef]
  • Miravitlles M, Molina J, Quintano J, Campuzano A, Perez J, Roncero C. ScienceDirect Factors associated with depression and severe depression in patients with COPD´n Pe. Respir Med. 2014;108:1615–25.
  • Cramm JM, Nieboer AP. Patient Education and Counseling Self- management abilities, physical health and depressive symptoms among patients with cardiovascular diseases, chronic obstructive pulmonary disease, and diabetes. Patient Educ Couns. 2012;87:411– 5. [CrossRef]
  • Lee H. Depression and Sleep Disturbance in Patients with Chronic Obstructive Pulmonary Disease. Geriatr Nurs (Minneap). 2010;32:408–17. [CrossRef]
  • Eslaminejad A, Safa M, Boroujerdi G, Hajizadeh F, Foroush MP. Relationship between sleep quality and mental health according to demographics of 850 patients with chronic obstructive pulmonary disease. 2017.

Kronik Obstruktif Akciğer Hastalığı Olan Bireylerde Uyku Kalitesi ile Anksiyete ve Depresyon Arasındaki İlişki

Yıl 2019, Sayı: 2, 247 - 252, 01.06.2019

Gül Dural Seyhan Çıtlık Sarıtaş

Öz

Amaç: Kronik Obstrüktif Akciğer Hastalığı KOAH ’nda, hastalar yoğun yaşadıkları nefes darlığı gibi semptomlar nedeni ile uykularını yeterli alamamakta, uyku kalitesi olumsuz etkilenmekte, anksiyete ve depresyon yaşayabilmektedir. Bu çalışma KOAH olan bireylerde uyku kalitesi ile anksiyete ve depresyon arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır.Yöntem: Tanımlayıcı tipteki bu çalışma; gönüllü olan, iletişime açık, 144 KOAH hastası ile yapıldı. Çalışma verilerinin toplanmasında hastaların tanıtıcı özelliklerini içeren ‘’Veri Toplama Formu’’, ‘’ Pittsburgh Uyku Kalitesi İndeksi PUKİ ’’ ve ‘’ Hastane Anksiyete ve Depresyon Ölçeği HAD ’’ kullanılmıştır. Çalışmanın verileri Ocak 2016-Nisan 2016 tarihlerinde hastalara açıklama yapıldıktan sonra anket formunun uygulanması ile toplanmıştır. Verilerin değerlendirilmesinde sayı, yüzde, ortalama, bağımsız gruplarda t-testi, pearson korelasyon analiz kullanılmıştır. Bulgular: Çalışma kapsamına alınan hastaların %59.7’sinin erkek, %84.7’sinin 55 yaş ve üstü, %88.2’sinin evli, %51.4’ünün ilköğretim mezunu olduğu belirlendi. Hastaların PUKİ puan ortalaması 9.01±4.14, HAD-A puan ortalaması 7.53±5.33, HAD-D puan ortalaması 10.27±5.31 ve HAD-Toplam puan ortalaması 17.79±9.59 olarak bulunmuştur. Araştırmaya katılan hastaların %77.8’inin kötü uyku kalitesine sahip olduğu, %75’inin anksiyetesinin olmadığı ve %68.7’inin depresyonu olduğu belirlendi. Uyku kalitesi ile anksiyete ve depresyon arasında anlamlı ilişki olduğu saptanmıştır p

Anahtar Kelimeler

Anksiyete depresyon hemşirelik KOAH uyku kalitesi

Kaynakça

  • Benzo RP, Abascal-bolado B, Dulohery MM. Patient Education and Counseling Self-management and quality of life in chronic obstructive pulmonary disease (COPD): The mediating effects of positive affect. Patient Educ Couns. 2016;99:617–23. [CrossRef]
  • Al-shair K, Dockry R, Mallia-milanes B, Kolsum U, Singh D, Vestbo J. Depression and its relationship with poor exercise capacity, BODE index and muscle wasting in COPD. 2009;1572–9.
  • Afşar BB, Yalçınsoy M, Yakar Hİ, Bilgin S, Akkaya E. K ronik Obstrüktif Akciğer Hastalığı olan bireylerin yeti yitimi, anksiyete ve depresyon yönünden değerlend irilmesi (Evaluation of individuals with Chronic Obstructive Pulmonary Disease in terms of disability, anxiety and depression). Cumhur Med J. 2012;34:260–7.
  • Zamzam MA, Azab NY, Wahsh RA El, Ragab AZ, Allam EM. Quality of life in COPD patients. Egypt J Chest Dis Tuberc. 2013;61:281–9. [CrossRef]
  • Tel H, Demirkol D, Kara S, Aydın D. KOAH COPD KOAH ’ lı Hastaların Bakım Vericilerinde Bakım Yükü ve Yaşam Kalitesi (Care Burden and Quality of Life Among the Caregivers of Patients with COPD). Turk Toraks Derg. 2012;13:87–92.
  • Stege G, Vos PJE, Elshout FJJ Van Den, Dekhuijzen PNR, Ven MJT Van De, Heijdra YF. Sleep, hypnotics and chronic obstructive pulmonary disease. Respir Med. 2008;102:801–14.
  • Gudmundsson G, Gislason T, Janson C, Lindberg E, Suppli C, Brİndum E, et al. Depression, anxiety and health status after hospitalisation for COPD: A multicentre study in the Nordic countries. 2006;87–93.
  • Başyiğit İ. Koah tanimi ve klinik özellikleri. TTD Toraks Cerrahisi Bülteni. 2010;1:102–4.
  • Kayhan S, Çınarka H, Köksal N. Kronik Obstrüktif Akciğer Hastalarının Perioperatif Değerlendirilmesi (Perioperative Evaluation of COPD Patients). Güncel Göğüs Hast Serisi. 2013;1:136–42.
  • Savaş HS, Günen H, Mutlu L cem, Gülbaş G. Kronik Obstrüktif Akciğer Hastalığında Alevlenme Nedenleri. Solunum Hast. 2006;17:8–12.
  • İnce Dİ, Savcı S, Çöplü L, Arıkan H. Kronik Obstrüktif Akciğer Hastalarında Günlük Yaflam Aktivitelerinin Değerlendirilmesi. Toraks Derg. 2005;6:31–6.
  • Mikkelsen RL, Middelboe T, Pisinger C, Mikkelsen RIEL, Middelboe T, Pisinger C. Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review. 2017;9488(August).
  • Çil A, Olgun N. KOAH (Kronik obstruktif akciğer hastalığı)’ın pulmoner rehabilitasyon ile yönetimi. Ege Üniversitesi Hemşirelik Yüksek Okulu Derg. 2005;21:103–13.
  • Suh S, Ellis RJ, Sollers JJ, Thayer JF, Yang H, Emery CF. The effect of anxiety on heart rate variability, depression, and sleep in Chronic Obstructive Pulmonary Disease. J Psychosom Res. 2013;74:407–13. [CrossRef]
  • Pirraglia PA, Casserly B, Velasco R, Borgia ML, Nici L. Association of change in depression and anxiety symptoms with functional outcomes in pulmonary rehabilitation patients. J Psychosom Res. 2011;71:45–9. [CrossRef]
  • Crockett AJ, Cranston J, JR M, JH A. The Impact of Anxiety, Depression and Living alone in Chronic Obstructive Pulmonary Disease. Qual Life Res. 2016;11:309–16.
  • Marco F Di, Verga M, Reggente M, Casanova FM, Santus P, Blasi F, et al. Anxiety and depression in COPD patients: The roles of gender and disease severity. Respir Med. 2006;100:1767–74.
  • Saaresranta T, Irjala K, Aittokallio T, Polo O. Sleep quality, daytime sleepiness and fasting insulin levels in women with chronic obstructive pulmonary disease. 2005;856–63.
  • Bülbül Y. Kronik Obstrüktif Akciğer Hastalığında Uyku Sorunları (Sleep disturbances in chronic obstructive pulmonary disease). Güncel Göğüs Hast Serisi. 2013;1:80–5.
  • Öztürk Ö. Kronik Obstrüktif Akciğer Hastalığı ve Uyku (COPD and Sleep). Solunum. 2011;13:67–77.
  • Society TT. Kronik Obstrüktif Akciğer Hastalığı. Vol. 11. 2010.
  • Ağargun M, Kara H, Anlar O. Pittsburgh uyku kalitesiindeksinin geçerliği ve güvenirliği. Türk Psikiyatr Derg. 1996;7:107–15.
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Türk Psikiyatr Derg. 1997;8:280–7.
  • Hynninen MJ, Pallesen S, Hardie J, Eagan TML, Bjorvatn B, Bakke P, et al. Insomnia symptoms, objectively measured sleep, and disease severity in chronic obstructive pulmonary disease outpatients. Sleep Med. 2013;14:1328–33. [CrossRef]
  • Chen R, Tian J, Zhou L, Chen X, Yan H, Zeng B. The relationship between sleep quality and functional exercise capacity in COPD. 2015.
  • Scharf S, Maimon N, Simon-Tuval T, Bernhard-Scharf B, Reuveni H, Tarasik A. Sleep quality predicts quality of life in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2011;1:1–12.
  • De S. Subjective assessment of quality of sleep in chronic obstructive pulmonary disease patient and its relationship with associated depression. 2012;29:332–6.
  • Elassal G, Elsheikh M, Gawad A, Zeid A. Assessment of depression and anxiety symptoms in chronic obstructive pulmonary disease patients: A case – control study. Egypt J Chest Dis Tuberc. 2014;63:575–82. [CrossRef]
  • Disler RT, Gallagher RD, Davidson PM. International Journal of Nursing Studies Factors influencing self-management in chronic obstructive pulmonary disease: An integrative review §. Int J Nurs Stud. 2012;49:230–42. [CrossRef]
  • Laforest L, Roche N, Devouassoux G, Belhassen M, Chouaid C, Ginoux M, et al. Frequency of comorbidities in chronic obstructive pulmonary disease, and impact on all-cause mortality: A population- based cohort study. Respir Med. 2016;117:33–9. [CrossRef]
  • Kendrová L, Kuriplachová G, Miriam I, Nechvátal P, Miku W, Taká P. ScienceDirect Review article Assessment of depression in patients with chronic obstructive pulmonary disease. 2014;6:6–11.
  • Ohayon MM. Chronic Obstructive Pulmonary Disease and its association with sleep and mental disorders in the general population. J Psychiatr Res. 2014;54:79–84. [CrossRef]
  • Willgoss TG, Yohannes AM, Goldbart J, Fatoye F. “Everything was spiraling out of control”: Experiences of anxiety in people with chronic obstructive pulmonary disease. Hear Lung J Acute Crit Care. 2012;41:562–71. [CrossRef]
  • Miravitlles M, Molina J, Quintano J, Campuzano A, Perez J, Roncero C. ScienceDirect Factors associated with depression and severe depression in patients with COPD´n Pe. Respir Med. 2014;108:1615–25.
  • Cramm JM, Nieboer AP. Patient Education and Counseling Self- management abilities, physical health and depressive symptoms among patients with cardiovascular diseases, chronic obstructive pulmonary disease, and diabetes. Patient Educ Couns. 2012;87:411– 5. [CrossRef]
  • Lee H. Depression and Sleep Disturbance in Patients with Chronic Obstructive Pulmonary Disease. Geriatr Nurs (Minneap). 2010;32:408–17. [CrossRef]
  • Eslaminejad A, Safa M, Boroujerdi G, Hajizadeh F, Foroush MP. Relationship between sleep quality and mental health according to demographics of 850 patients with chronic obstructive pulmonary disease. 2017.
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Research Article
Yazarlar

Gül Dural

Seyhan Çıtlık Sarıtaş

Yayımlanma Tarihi 1 Haziran 2019
Yayımlandığı Sayı Yıl 2019Sayı: 2

Kaynak Göster

EndNote Dural G, Sarıtaş SÇ (01 Haziran 2019) Kronik Obstruktif Akciğer Hastalığı Olan Bireylerde Uyku Kalitesi ile Anksiyete ve Depresyon Arasındaki İlişki. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 247–252.