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ObjectivesPalliative care patients experience problems in sleep quality due to stress, chronic diseases, and physical and psychosocial problems. Our aim is to determine the perceived stress and sleep quality levels of our palliative care patients and their related factors.MethodsThis cross-sectional, descriptive research was conducted between November 2023 and February 2024 at a palliative clinic located in Ankara, Turkey, that is affiliated with a training and research hospital. In the research, a data form, the Perceived Stress Scale and the Pittsburgh Sleep Quality Index were used as data collection instruments. Kolmogorov–Smirnov and Shapiro–Wilk tests, and Mann–Whitney U and Kruskal–Wallis H tests were used for the analysis.ResultsThe total score on the Perceived Stress Scale was determined to be 35.81±7.45. The total score for Pittsburgh Sleep Quality Index was 13.20±3.20. Significant relationships were found between insufficient self-efficacy scores and habitual sleep efficiency, daytime dysfunction and total Pittsburgh Sleep Quality Index scores. Significant relationships were found between insufficient self-efficacy scores and sleep latency, habitual sleep efficiency, daytime dysfunction and total Pittsburgh Sleep Quality Index scores.ConclusionsThis study determined that certain descriptive characteristics of palliative care patients affect their sleep quality and perceived stress level, as well as that some components of sleep quality and perceived stress level are related. Palliative care is holistic in nature, encompassing symptom management; therefore, the importance of patients’ psychosocial integrity should not be overlooked. Consequently, identifying components that may hinder symptom management and addressing the patient comprehensively will be crucial.
ObjectivesPalliative care patients experience problems in sleep quality due to stress, chronic diseases, and physical and psychosocial problems. Our aim is to determine the perceived stress and sleep quality levels of our palliative care patients and their related factors.MethodsThis cross-sectional, descriptive research was conducted between November 2023 and February 2024 at a palliative clinic located in Ankara, Turkey, that is affiliated with a training and research hospital. In the research, a data form, the Perceived Stress Scale and the Pittsburgh Sleep Quality Index were used as data collection instruments. Kolmogorov–Smirnov and Shapiro–Wilk tests, and Mann–Whitney U and Kruskal–Wallis H tests were used for the analysis.ResultsThe total score on the Perceived Stress Scale was determined to be 35.81±7.45. The total score for Pittsburgh Sleep Quality Index was 13.20±3.20. Significant relationships were found between insufficient self-efficacy scores and habitual sleep efficiency, daytime dysfunction and total Pittsburgh Sleep Quality Index scores. Significant relationships were found between insufficient self-efficacy scores and sleep latency, habitual sleep efficiency, daytime dysfunction and total Pittsburgh Sleep Quality Index scores.ConclusionsThis study determined that certain descriptive characteristics of palliative care patients affect their sleep quality and perceived stress level, as well as that some components of sleep quality and perceived stress level are related. Palliative care is holistic in nature, encompassing symptom management; therefore, the importance of patients’ psychosocial integrity should not be overlooked. Consequently, identifying components that may hinder symptom management and addressing the patient comprehensively will be crucial.
Giriş: Cerrahi girişim öncesi hastalarda anksiyete, korku ve uykusuzluk gibi problemler ortaya çıkmaktadır. Bu durum hastaların yaşam kalitesini azaltmakta, yorgunluk, sinirlilik ve çeşitli postoperatif komplikasyonlara neden olmaktadır. Amaç: Bu araştırma elektif cerrahi planlanan hastalarda cerrahi korku uykululuk ve uykusuzluk arasındaki ilişkinin belirlenmesi amacıyla yapıldı. Yöntem: Tanımlayıcı nitelikte tasarlanan araştırma, Nisan-Ekim 2021 tarihleri arasında bir üniversite hastanesinde yürütüldü. Veriler, ilgili hastanenin cerrahi kliniklerinde yatan ve elektif cerrahi operasyon geçirecek olan 310 hastadan toplandı. Verilerin toplanmasında Hasta Soru Formu, Cerrahi Korku Ölçeği, Epworth Uykululuk Ölçeği ve Uykusuzluk Şiddeti İndeksi kullanıldı. Bulgular: Araştırmada hastaların Cerrahi Korku Ölçeği toplam puan ortalamasının 30,78±21,82; Epworth Uykululuk Ölçeği toplam puan ortalamasının 6,41±4,40; Uykusuzluk Şiddeti İndeksi toplam puan ortalamasının ise 10,03±5,78 olduğu belirlendi. Cerrahi Korku alt boyut ve toplam puan ortalamaları ile Epworth Uykululuk Ölçeği ve Uykusuzluk Şiddeti İndeksi toplam puan ortalamaları arasında pozitif yönde istatistiksel olarak anlamlı bir ilişki olduğu saptandı (p < .01). Epworth Uykululuk Ölçeği ve Uykusuzluk Şiddeti İndeksi toplam puan ortalamaları arasında pozitif yönde istatistiksel olarak anlamlı bir ilişki olduğu belirlendi (p
Temel insan ihtiyaçlarından biri olan uyku, vücudun dinlenmesini sağlayan, yaşam kalitesini artıran ve sağlıklı yaşam için gerekli olan vazgeçilmez bir gereksinimdir. Bireylerde uyku düzeninin bozulduğu ve normal süreçten farklılık gösterdiği durumlarda uyku sorunları yaşanmaktadır. Hastalıkların tedavisinde uygulanan cerrahi girişimler de bireylerin uyku düzenlerini bozmakta ve uyku kalitelerini etkilemektedir. Hemşireler kaliteli uyku sürecinin sağlanmasında ve uyku kalitesinin yönetiminde önemli rol oynamaktadır. Cerrahi uygulanan hastaların hemşirelik bakımında, farmakolojik yöntemlerin yanında farmakolojik olmayan yöntemlerin uygulanması da çok önemlidir. Bu yönde yapılan çalışmalarda, cerrahi girişimlerden sonra uygulanan farmakolojik olmayan yöntemlerden biri olan aromaterapi uygulamalarının uyku kalitesini olumlu yönde artırdığı ifade edilmektedir. Bu derlemenin amacı, cerrahi girişim uygulanan hastalarda aromaterapi uygulamalarının uyku kalitesine olan etkilerinin incelenmesidir.
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