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Yıl:2022; Cilt: 9; Sayı: 3>> Özet
TAM METİN
Türk Uyku Tıbbı Dergisi; 2022;9(3):278-287
Hipertansiyon Hastalarında Uyku Kalitesinin Öz Bakım Gücü ve Kan Basıncı Kontrolüne Etkisi
Y Yılmaz, R Hacıhasanoğlu Aşılar
Kelkit Lokman Hekim Mesleki ve Teknik Anadolu Lisesi, Gümüşhane
Amaç: Bu araştırma hipertansiyon hastalarında uyku kalitesinin öz bakım gücü ve kan basıncı kontrolüne etkisini belirlemek amacı ile yapıldı. Gereç ve Yöntem: Tanımlayıcı-kesitsel özellikte olan bu araştırma, Türkiye’de Doğu Karadeniz Bölgesi’nde bir ilin ilçe merkezinde bulunan 1 ve 2 no’lu aile sağlığı merkezlerinde Şubat-Mayıs 2016 tarihleri arasında yürütüldü. Araştırmaya 18 yaş ve üzeri 291 hipertansiyon hastası alınarak, veriler tanımlayıcı soru formu, Pittsburgh uyku kalitesi indeksi (PUKİ) ve öz bakım gücü ölçeği kullanılarak toplandı. Hastaların kan basıncı, boy ve kilo ölçümleri yapıldı. Bulgular: Hipertansif hastaların %43,3’ünün uyku kalitesinin kötü ve öz bakım gücü ölçeği puan ortalamasının 93,64±22,19 olduğu belirlendi. Uyku kalitesi iyi olan hipertansif hastaların uyku kalitesi kötü olanlara göre kan basıncı kontrol oranlarının önemli düzeyde yüksek ve PUKİ toplam puan ortalaması ile sistolik kan basıncı ortalaması arasında çok zayıf düzeyde pozitif yönde anlamlı bir ilişki olduğu saptandı (p<0,05). Ayrıca PUKİ toplam puan ortalaması ile öz bakım gücü ölçeği puan ortalamaları arasında çok zayıf düzeyde negatif yönde anlamlı bir ilişki belirlendi (p<0,01, p<0,001). Sonuç: Hastaların yaklaşık yarısının uyku kalitesinin kötü, öz bakım gücü algılarının orta düzeyin üzerinde olduğu ve uyku kalitesi iyileştikçe öz bakım gücünün ve kan basıncı kontrol oranının arttığı belirlendi. Sonuç olarak, hemşireler hipertansiyon yönetiminde hipertansif hastaların uyku kalitesini değerlendirmeli ve hastanın hastalığına ve tedaviye uyumunda bu durumu göz önünde bulundurmalıdırlar.
Effect of Sleep Quality on Self Care Agency and Blood Pressure Control in Hypertensive Patients
Objective: The aim of this study was to determine the effect of sleep quality on self-care agency and blood pressure control in patients with hypertension. Materials and Methods: This descriptive-cross-sectional study was carried out in family health centers no.1 and no.2, located in the district center of a province in the Eastern Black Sea Region of Turkey, between February and May 2016. Two hundred-ninety one hypertension patients aged 18 years and older were included in the study. Data were collected using the descriptive questionnaire, the Pittsburgh sleep quality index (PSQI) and the self-care agency scale. Blood pressure, height and weight measurements of the patients were made. Results: It was determined that 43.3% of the hypertensives had poor sleep quality and the mean score of the self-care scale was 93.64±22.19. Hypertensive patients with good sleep quality had a significantly higher blood pressure control rate than those with poor sleep quality, and there was a very weak positive significant correlation between PSQI total score and mean systolic blood pressure (p<0.05). In addition, a very weak negative and significant correlation was determined between the PSQI total score and the self-care agency scale mean score (p<0.01, p<0.001). Conclusion: It was determined that about half of the patients had poor sleep quality, their perception of self-care agency was above moderate, and as sleep quality improved, self-care power and blood pressure control ratio increased. As a result, nurses should evaluate the sleep quality of hypertensive patients in the management of hypertension and should consider this situation in the patient’s compliance with the disease and treatment.

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