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Yıl:2023; Cilt: 10; Sayı: 2>> Özet
TAM METİN
Türk Uyku Tıbbı Dergisi; 2023;10(2):91-97
COVID Kapanma Döneminde Çocuklarda Uyku Bozukluğu Riskinde Bilgisayar Oyun Bağımlılığının Rolü Nedir? Kesitsel Bir Çalışma
S Kayhan Aygün, M Mercan Başpınar, S Geylani Güleç, O Basa
Edirne İl Sağlık Müdürlüğü, Edirne
Amaç: Bu çalışmada, Koronavirüs hastalığı-2019 kapanma döneminde çocuklarda uyku bozukluğu görülme riski ve bilgisayar oyun bağımlılığı ile ilişkisini incelemek amaçlanmıştır. Gereç ve Yöntem: Gözlemsel kesitsel tipte olan çalışmamıza üçüncü basamak bir hastanede aile hekimliği polikliniklerine 1 Ekim 2020-1 Ocak 2021 tarihleri arasında başvuran 343 çocuk ve annesi dahil edilmiştir. Anne ve çocuğun sosyo-demografik verileri ile Çocuklar İçin Uyku Bozukluğu Ölçeği ve Çocuklar İçin Bilgisayar Oyun Bağımlılığı Ölçeği’ni içeren yapılandırılmış soru formu uygulanmıştır. Bulgular: Çalışmaya 8-12 yaş arası 165 (%48,1) kız ve 178 (%51,9) erkek çocuk ve anneleri katılmıştır. Uyku bozukluğu riski %74,1 (n=254) oranında gözlenmiş ve bilgisayar oyun bağımlılığı ile yüksek düzeyde ilişkili olduğu saptanmıştır (p<0,001, r=0,787). Uyku bozukluğu riski saptanan çocukların bilgisayar oyun bağımlılığı skoru (61,89±14,77), uyku bozukluğu riski olmayan çocuklardan (38,79±11,84) anlamlı düzeyde daha yüksek (p<0,001) gözlenmiştir. Uyku bozukluğu riski olan çocuklar arasında, pandemi öncesine göre bilgisayar başında geçirdiği süre artan çocukların oranı (%70,1), yatağa yatış zamanı geciken çocukların oranı (%70,0) ve kendine ait bilgisayar ya da tableti olan çocukların oranı (%71,7), uyku bozukluğu riski olmayan çocuklardaki dağılıma göre (sırasıyla %48,3, %58,4, %37,1) daha yüksek saptanmıştır (sırasıyla p<0,001, p=0,004, p<0,001). Bilgisayar oyun bağımlılık düzeyi, annesi ile daha az zaman geçiren (58,68±16,97) ve oyun için kendisine daha az zaman ayrılan çocuklarda (58,05±18,11) diğer çocuklara göre anlamlı düzeyde artış gözlenmiştir (p=0,002). Lojistik regresyon analizinde uyku bozukluğu riski olan çocuklarda oyun bağımlılık skorunun 1,128 kat daha yüksek olduğu gösterilmiştir [Odds oranı=1,128 (1,094-1,162); p<0,001)]. Sonuç: Araştırmamız pandemi dönemi her dört çocuktan üçünde uyku bozukluğu riskinin olduğunu, bilgisayar oyun bağımlılığı düzeyi ile arttığını göstermiş ve anne ile geçirilen sürenin önemine dikkat çekmiştir.
What is the Role of Computer Game Addiction in the Sleep Disturbance Risk Among Children of COVID Lock Down? A Cross-sectional Study
Objective: In this study, it was aimed to examine the risk of sleep disturbance in children and its relationship with computer game addiction during the Coronavirus disease-2019 lock down. Materials and Methods: In our cross-sectional observational study, 343 children and their mothers who applied family medicine clinics of a tertiary hospital between 1 October 2020 and 1 January 2021 were included. A structured questionnaire including the socio-demographic data of the mother and the child, and the Children’s Sleep Disturbance Scale and the Children’s Computer Game Addiction Scale were applied. Results: One-hundred sixty-five (48.1%) girls and 178 (51.9%) boys aged 8-12 years and their mothers participated in the study. The risk of sleep disturbance was observed at a rate of 74.1% (n=254) and it was strongly correlated with computer game addiction (p<0.001, r=0.787). Game addiction scores of boys (58.66±16.68) and primary school children (60.37±16.41) were higher than game addiction of girls (52.91±17.57), and of secondary school children (55.06±17.39) (p=0.023, p=0.040, respectively). Computer game addiction score (61.89±14.77) of children with sleep disturbance risk was significantly higher (p<0.001) than children without sleep disturbance risk (38.79±11.84). Among the children with a risk of sleep disturbance, the proportion of time spent on the computer compared to the pre-pandemic period (70.1%), the proportion of going late to bed-time (70.0%), and the proportion of being own computer or tablet (71.7%) were found to be higher than the proportions in children (48.3%, 58.4%, 37.1%, respectively) without sleep disturbance (p<0.001, p=0.004, p<0.001, respectively). The level of computer game addiction was significantly increased in children who spent less time with their mothers (58.68±16.97) and less time for games (58.05±18.11) compared to other children (p=0.002). In the logistic regression analysis, it was shown that the game addiction score was 1.128 times higher in children with sleep disturbance risk [Odds ratio=1.128 (1.094-1.162; p<0.001)]. Conclusion: Our study showed that three of four children had a risk of sleep disorders during the pandemic period and were associated with an increased level of computer game addiction and drew attention to the importance of the time spent with the mother.

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