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Yıl:2024; Cilt: 11; Sayı: 1>> Özet
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Türk Uyku Tıbbı Dergisi; 2024;11(1):26-33
Gebelikte Görülen Karpal Tünel Sendromu Semptomları Gebelerin Uyku Kalitesini Etkiler Mi?
D Öztürk, M Sarı, G Özbay, B Ünver, PE Şeker Arı, N Bek
Lokman Hekim Üniversitesi, Ankara
Amaç: Gebelik döneminin farklı trimesterlerinde karpal tünel sendromu (KTS) ile uyku kalitesi arasındaki ilişkiyi incelemek ve trimesterler arasında uyku kalitesi ile KTS semptomları açısından fark olup olmadığını araştırmaktır. Gereç ve Yöntem: Bu çalışma, Ağustos 2021-Haziran 2022 tarihleri arasında, kadın hastalıkları ve doğum polikliniği’nde gerçekleştirildi. Çalışmanın örneklemini 18-45 yaş arasındaki gönüllü gebeler oluşturdu. Gebelerin; demografik verileri kişisel bilgi formu ile, uyku kaliteleri Pittsburgh uyku kalitesi indeksi (PUKİ) ile, KTS semptomları Boston karpal tünel sorgulama anketi (BKTS) ile ve kavrama kuvveti el dinamometresi ile değerlendirildi. Gruplar arası karşılaştırma Kruskal-Wallis testi ile, değişkenler arasındaki ilişki ise Spearman korelasyon testi ile analiz edildi. Bulgular: Çalışmamıza dahil edilen 219 gebenin yaş ortalaması 29,00±4,50 yıl, gestasyonel yaş ortalaması ise 22,70±11,18 hafta olarak hesaplandı. PUKİ’ye göre gebelerin %80,5’inin (n=177) uyku kalitesinin kötü olduğu saptandı (≥5 puan). Trimesterler değerlendirilen parametreler yönünden karşılaştırıldığında; 1. ve 2. trimester ile 2. ve 3. trimester arasında PUKİ’nin öznel uyku kalitesi alt boyutu arasından anlamlı fark olduğu bulundu (p=0,002). BKTS-Semptom ile PUKİ öznel uyku kalitesi ve PUKİ gündüz işlev bozukluğu arasında pozitif yönde; dominant el kavrama kuvveti arasında ise negatif yönde ilişki bulundu (p<0,05). Ayrıca, BKTS-Fonksiyon puanı ile PUKİ öznel uyku kalitesi, uyku süresi ve toplam puanları arasında pozitif ve dominant el kavrama kuvveti arasında negatif yönde ilişki tespit edildi (p<0,001). Sonuç: Gebelerin uyku kalitesi düşüktür ve uyku kalitesini düşüren nedenlerin arasında KTS varlığı doğrulanmıştır. Gebelikteki KTS semptomları, 1. ve 3. trimesterde bulunan gebelerin uyku kalitesini olumsuz etkilemektedir
Do Carpal Tunnel Syndrome Symptoms During Pregnancy Affect the Sleep Quality of Pregnant Women?
Objective: To examine the relationship between carpal tunnel syndrome (CTS) and sleep quality in different trimesters of pregnancy and to investigate whether there is a difference between trimesters in terms of sleep quality and CTS symptoms. Materials and Methods: This study was conducted between August 2021 and June 2022 at gynecology and obstetrics polyclinic. The sample of the study consisted of voluntary pregnant women between the ages of 18 and 45 years. Demographic data of pregnant women were evaluated with personal information form, sleep quality with Pittsburgh sleep quality index (PSQI), CTS symptoms with Boston carpal tunnel questionnaire (BCTQ), and grip strength with hand dynamometer. Kruskal-Wallis and Spearman correlation tests were used in the analyses. Results: The mean age of 219 pregnant women included in our study was 29.00±4.50 years, and the mean gestational age was 22.70±11.18 weeks. According to PSQI, 80.5% (n=177) of the pregnant women had poor sleep quality (=5 points). When the trimesters were compared in terms of the evaluated parameters, a significant difference was found between the 1st and 2nd trimesters and the 2nd and 3rd trimesters among the subjective sleep quality sub-dimensions of PSQI (p=0.002). A positive correlation was found between BCTQ-Symptom and PSQI subjective sleep quality and PSQI daytime dysfunction, and a negative relationship was found between dominant handgrip strength (p<0.05). In addition, a positive correlation was found between the BCTQ-Function score and PSQI subjective sleep quality, sleep duration, and total scores, and a negative relationship was found between dominant hand grip strength (p<0.001). Conclusion: The sleep quality of pregnant women is low, and the presence of CTS has been confirmed as one of the reasons that reduce sleep quality. CTS symptoms during pregnancy negatively affect the sleep quality of pregnant women in the 1st and 3rd trimesters.

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