Uyku ve Dinlenme
Özet
Uyku-uyanıklık döngüsünün düzenlenmesinde beynin birçok bölgesi ve buralardan salınan nörotransmitterler önemli bir role sahiptir. Yetişkin bir insanda 24 saatlik uyku periyodu REM ve NREM olmak üzere iki fizyolojik dönemden oluşur. Yaşlılarda ise, yaşlanma ile gelişen fizyolojik-metabolik değişimler sonucu uyku paterninde değişiklikler meydana gelmektedir. Ayrıca yaşlılarda psikolojik, sosyoekonomik, çevresel faktörler ve tıbbı duruma bağlı olarak uyku kalitesinde bozulma görülür. Bu durum bireyin beden ve ruh sağlığının bozularak, yaşam kalitesinin olumsuz etkilenmesine neden olur. Yaşlılarda sık görülen uyku sorunları, insomnia, hipersomnia, parasomnia ve huzursuz bacak sendromudur. Uyku sorunlarının yönetiminde bireyin çevresel, fiziksel ve sosyal ortamı dikkate alınarak farmakolojik ve nonfarmakolojik yaklaşımlar kullanılmaktadır.
Referanslar
Algin D, Akdağ GÖ, Erdinç O. Kaliteli uyku ve uyku bozukluklari/Quality sleep and sleep disorders. Osmangazi Tıp Dergisi. 2016;38(1):29-34.
Foley DJ, Monjan AA, Brown SL, Simonsick EM, Wallace RB, Blazer DG. Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep. 1995;18:425–32.
Hellström A, Hellström P, Willman A, et al. Association between Sleep Disturbances and Leisure Activities in the Elderly: A Comparison between Men and Women. Sleep Disorder. 2014;2014:595208. doi:10.1155/2014/595208
Orhan FÖ, Tuncel D, Taş F, et al. Relationship between sleep quality and depression among elderly nursing home residents in Turkey. Sleep and Breathing. 2012;16(4):1059-67. doi: 10.1007/s11325-011-0601-2
Yao KW, Yu S, Cheng SP, et al. Relationships between personal, depression and social network factors and sleep quality in community-dwelling older adults. Journal of Nursing Research. 2008;16(2):131-9. doi: 10.1097/01.jnr.0000387298.37419.ff.
Akyar İ. Yaşlı Bireylerde Işık Tedavisinin Uyku Kalitesine Etkisi. 2010, İç Hastalıkları Hemşireliği, Doktora Tezi, Hacettepe Üniversitesi, Ankara
Harris CD. Neurophysiology of sleep and wakefulness. Respiratory Care Clinics of North America 2005;11(4):567-86. doi: 10.1016/j.rcc.2005.08.001.
Göktaş K, Özkan İ. Yaşlılarda uyku bozuklukları. Türk Geriatri Dergisi. 2006;9(4):226-33.
Suzuki K, Miyamoto M, Hirata K. Sleep disorders in the elderly: Diagnosis and management. Journal of General and Family Medicine. 2017;18(2):61-71. doi: 10.1002/jgf2.27.
Özgür G, Baysan L. Yaşlilarda Uyku Sorunlari. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2005;21(2):97-105.
Uzunkulaoğlu A. Geriatrik Hastalarda Uyku Bozukluklari İle İlişkili Faktörler Ve Yaşam Kalitesi Üzerine Etkileri. 2013. Fizyoterapi Ve Rehabilitasyon Anabilim Dalı, Uzmanlık Tezi, Başkent Üniversitesi, Ankara
Ido J. Huzurevinde Yaşayan Geriatriklerde Uyku Düzeninin Mobilite Ve Yaşam Kalitesine Etkisi 2016, Fizyoterapi Ve Rehabilitasyon Anabilim Dali, Yüksek Lisans Tezi, İstanbul Medipol Üniversitesi, İstanbul
Şahin L, Aşçioğlu M. Uyku ve uykunun düzenlenmesi. Sağlık Bilimleri Dergisi. 2013;22(1):93-8.
Yazgan P. Yaşlıda Uyku Sorunu. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi. 2009;2:55.
Ohayon MM, Carskadon MA, Guilleminault C, et al. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 2004; 27:1255. doi: 10.1093/sleep/27.7.1255.
Tufan A. Yaşlıda Uyku Bozuklukları. Turkiye Klinikleri Geriatri Özel Dergisi. 2017;3(1):58-61.
Baglioni C, Battagliese G, Feige B, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders. 2011;135(1-3):10-9. doi: 10.1016/j.jad.2011.01.011.
Cable N, Chandola T, Aida J, et al. Can sleep disturbance influence changes in mental health status? Longitudinal research evidence from ageing studies in England and Japan. Sleep Medicine. 2017;30:216-21. doi : 10.1016/j.sleep.2016.11.017
Dos Santos AA, Mansano-Schlosser TC, Ceolim MF, et al. fragilidade e cognição: estudo multicêntrico com idosos brasileiros [Sleep, fragility and cognition: a multicenter study with Brazilian elderly]. Revista Brasileira de Enfermagem. 2013;66(3):351-7. Portuguese. doi: 10.1590/s0034-71672013000300008. PMID: 23887783.
Kasapoğlu AM, Aykurt Kİ, Dülger S, et al. Sleep quality in osteoporotic elderly: relationship to pain sensitıvity and depression. International Journal of Depression and Anxiety. 2018;1(009). doi: 10.23937/IJDA-2017/1710009
Yang PY, Ho KH, Chen HC, et al. Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. Journal Physiotherapy. 2012;58(3):157-63. doi: 10.1016/S1836-9553(12)70106-6. PMID: 22884182.
Morgan K. Daytime activity and risk factors for late‐life insomnia. Journal of Sleep Research. 2003;12(3):231-8. doı: 10.1046/j.1365-2869.2003.00355.x
Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews. 2002;6(2):97-111. doi: 10.1053/smrv.2002.0186.
Safa A, Adib HM, Moradi T. Quality of sleep and its related factors in elderly and retired teachers of Kashan (2015). Avicenna Journal Of Nursing And Midwifery Care 2016;4(51):29-38
Patel NP, Grandner MA, Xie D, et al. " Sleep disparity" in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Public Health. 2010;10(1):1-1. doi: 10.1186/1471-2458-10-475.
Tel H. Sleep quality and quality of life among the elderly people. Neurology, Psychiatry And Brain Research 2013;19(1): 48-52.
Zhu X, Hu Z, Nie Y, et al. The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: A cross-sectional study. PLoSOne. 2020;15(5):1–16. doi: 10.1371/journal.pone.0232834.
Ceyhan Ö, Göriş S, Zincir H. Yaşli Bireylerde Uykuyu Etkileyen Önemli Bir Problem: İnkontinans. Sağlık Bilimleri Dergisi. 2018;27(1):29-35.
Monteleone P, Mascagni G, Giannini A, et al. Symptoms of menopause—global prevalence, physiology and implications. Nature Reviews Endocrinology. 2018;14(4):199-215. doi: 10.1038/nrendo.2017.180.
Cintron D, Lipford M, Larrea-Mantilla L, et al. Efficacy of menopausal hormone therapy on sleep quality: systematic review and meta-analysis. Endocrine. 2017;55(3):702-11. doi:10.1007/s12020-016-1072-9.
Bani, Soheila et al. “Sleep Hygiene and its Related Factors Among the Elderly in Tabriz, Iran.” International Journal of Women's Health 2. 2014: 160-167.
Luo J, Zhu G, Zhao Q, et al. Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. PloS One. 2013;8(11):e81261. doi: 10.1371/journal.pone.0081261.
Benloucif S, Orbeta L, Ortiz R, et al. Morning or evening activity improves neuropsychological performance and subjective sleep quality in older adults. Sleep. 2004;27(8):1542–1551. doi: 10.1093/sleep/27.8.1542.
Ito Y, Tamakoshi A, Yamaki K, et al. Sleep disturbance and its correlates among elderly. Japanese Archives of Gerontology and Geriatrics 2000;30:85–100. 31.
Çalıştır B, Dereli F, Ayan H, Cantürk A. Life quality of the elder people living in the city centre of Muğla. Turkish Journal of Geriatrics 2006;9:30–3.
Foley D, Ancoli-Israel S, Britz P, Walsh J. Sleep disturbances and chronic disease in older adults: results of the 2003 national sleep foundation sleep in America survey. Journal of Psychosomatic Research 2004;56:497–502.
Ulusel B, Soyer A, Uçku R. Dependency levels of daily life activities among the elderly people who lived together with the society and the effecting risk factors. Turkish Journal of Geriatrics 2004;7:199–205.
Brenes GA, Miller ME, Stanley MA, et al. Insomnia in older adults with generalized anxiety disorder. The American Journal of Geriatric Psychiatry. 2009;17(6):465-72. doi: 10.1097/jgp.0b013e3181987747.
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Palteki AS, Aykaç EF, Yükselen NH, et al. Yaşli Bakimevinde Konaklayan Yaşlilarda Uyku Kalitesi Ve Depresyon. ESTÜDAM Halk Sağlığı Dergisi. 2021;6(2):105-13. https://doi.org/10.35232/estudamhsd.875463
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Referanslar
Algin D, Akdağ GÖ, Erdinç O. Kaliteli uyku ve uyku bozukluklari/Quality sleep and sleep disorders. Osmangazi Tıp Dergisi. 2016;38(1):29-34.
Foley DJ, Monjan AA, Brown SL, Simonsick EM, Wallace RB, Blazer DG. Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep. 1995;18:425–32.
Hellström A, Hellström P, Willman A, et al. Association between Sleep Disturbances and Leisure Activities in the Elderly: A Comparison between Men and Women. Sleep Disorder. 2014;2014:595208. doi:10.1155/2014/595208
Orhan FÖ, Tuncel D, Taş F, et al. Relationship between sleep quality and depression among elderly nursing home residents in Turkey. Sleep and Breathing. 2012;16(4):1059-67. doi: 10.1007/s11325-011-0601-2
Yao KW, Yu S, Cheng SP, et al. Relationships between personal, depression and social network factors and sleep quality in community-dwelling older adults. Journal of Nursing Research. 2008;16(2):131-9. doi: 10.1097/01.jnr.0000387298.37419.ff.
Akyar İ. Yaşlı Bireylerde Işık Tedavisinin Uyku Kalitesine Etkisi. 2010, İç Hastalıkları Hemşireliği, Doktora Tezi, Hacettepe Üniversitesi, Ankara
Harris CD. Neurophysiology of sleep and wakefulness. Respiratory Care Clinics of North America 2005;11(4):567-86. doi: 10.1016/j.rcc.2005.08.001.
Göktaş K, Özkan İ. Yaşlılarda uyku bozuklukları. Türk Geriatri Dergisi. 2006;9(4):226-33.
Suzuki K, Miyamoto M, Hirata K. Sleep disorders in the elderly: Diagnosis and management. Journal of General and Family Medicine. 2017;18(2):61-71. doi: 10.1002/jgf2.27.
Özgür G, Baysan L. Yaşlilarda Uyku Sorunlari. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2005;21(2):97-105.
Uzunkulaoğlu A. Geriatrik Hastalarda Uyku Bozukluklari İle İlişkili Faktörler Ve Yaşam Kalitesi Üzerine Etkileri. 2013. Fizyoterapi Ve Rehabilitasyon Anabilim Dalı, Uzmanlık Tezi, Başkent Üniversitesi, Ankara
Ido J. Huzurevinde Yaşayan Geriatriklerde Uyku Düzeninin Mobilite Ve Yaşam Kalitesine Etkisi 2016, Fizyoterapi Ve Rehabilitasyon Anabilim Dali, Yüksek Lisans Tezi, İstanbul Medipol Üniversitesi, İstanbul
Şahin L, Aşçioğlu M. Uyku ve uykunun düzenlenmesi. Sağlık Bilimleri Dergisi. 2013;22(1):93-8.
Yazgan P. Yaşlıda Uyku Sorunu. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi. 2009;2:55.
Ohayon MM, Carskadon MA, Guilleminault C, et al. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 2004; 27:1255. doi: 10.1093/sleep/27.7.1255.
Tufan A. Yaşlıda Uyku Bozuklukları. Turkiye Klinikleri Geriatri Özel Dergisi. 2017;3(1):58-61.
Baglioni C, Battagliese G, Feige B, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders. 2011;135(1-3):10-9. doi: 10.1016/j.jad.2011.01.011.
Cable N, Chandola T, Aida J, et al. Can sleep disturbance influence changes in mental health status? Longitudinal research evidence from ageing studies in England and Japan. Sleep Medicine. 2017;30:216-21. doi : 10.1016/j.sleep.2016.11.017
Dos Santos AA, Mansano-Schlosser TC, Ceolim MF, et al. fragilidade e cognição: estudo multicêntrico com idosos brasileiros [Sleep, fragility and cognition: a multicenter study with Brazilian elderly]. Revista Brasileira de Enfermagem. 2013;66(3):351-7. Portuguese. doi: 10.1590/s0034-71672013000300008. PMID: 23887783.
Kasapoğlu AM, Aykurt Kİ, Dülger S, et al. Sleep quality in osteoporotic elderly: relationship to pain sensitıvity and depression. International Journal of Depression and Anxiety. 2018;1(009). doi: 10.23937/IJDA-2017/1710009
Yang PY, Ho KH, Chen HC, et al. Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. Journal Physiotherapy. 2012;58(3):157-63. doi: 10.1016/S1836-9553(12)70106-6. PMID: 22884182.
Morgan K. Daytime activity and risk factors for late‐life insomnia. Journal of Sleep Research. 2003;12(3):231-8. doı: 10.1046/j.1365-2869.2003.00355.x
Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Medicine Reviews. 2002;6(2):97-111. doi: 10.1053/smrv.2002.0186.
Safa A, Adib HM, Moradi T. Quality of sleep and its related factors in elderly and retired teachers of Kashan (2015). Avicenna Journal Of Nursing And Midwifery Care 2016;4(51):29-38
Patel NP, Grandner MA, Xie D, et al. " Sleep disparity" in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Public Health. 2010;10(1):1-1. doi: 10.1186/1471-2458-10-475.
Tel H. Sleep quality and quality of life among the elderly people. Neurology, Psychiatry And Brain Research 2013;19(1): 48-52.
Zhu X, Hu Z, Nie Y, et al. The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: A cross-sectional study. PLoSOne. 2020;15(5):1–16. doi: 10.1371/journal.pone.0232834.
Ceyhan Ö, Göriş S, Zincir H. Yaşli Bireylerde Uykuyu Etkileyen Önemli Bir Problem: İnkontinans. Sağlık Bilimleri Dergisi. 2018;27(1):29-35.
Monteleone P, Mascagni G, Giannini A, et al. Symptoms of menopause—global prevalence, physiology and implications. Nature Reviews Endocrinology. 2018;14(4):199-215. doi: 10.1038/nrendo.2017.180.
Cintron D, Lipford M, Larrea-Mantilla L, et al. Efficacy of menopausal hormone therapy on sleep quality: systematic review and meta-analysis. Endocrine. 2017;55(3):702-11. doi:10.1007/s12020-016-1072-9.
Bani, Soheila et al. “Sleep Hygiene and its Related Factors Among the Elderly in Tabriz, Iran.” International Journal of Women's Health 2. 2014: 160-167.
Luo J, Zhu G, Zhao Q, et al. Prevalence and risk factors of poor sleep quality among Chinese elderly in an urban community: results from the Shanghai aging study. PloS One. 2013;8(11):e81261. doi: 10.1371/journal.pone.0081261.
Benloucif S, Orbeta L, Ortiz R, et al. Morning or evening activity improves neuropsychological performance and subjective sleep quality in older adults. Sleep. 2004;27(8):1542–1551. doi: 10.1093/sleep/27.8.1542.
Ito Y, Tamakoshi A, Yamaki K, et al. Sleep disturbance and its correlates among elderly. Japanese Archives of Gerontology and Geriatrics 2000;30:85–100. 31.
Çalıştır B, Dereli F, Ayan H, Cantürk A. Life quality of the elder people living in the city centre of Muğla. Turkish Journal of Geriatrics 2006;9:30–3.
Foley D, Ancoli-Israel S, Britz P, Walsh J. Sleep disturbances and chronic disease in older adults: results of the 2003 national sleep foundation sleep in America survey. Journal of Psychosomatic Research 2004;56:497–502.
Ulusel B, Soyer A, Uçku R. Dependency levels of daily life activities among the elderly people who lived together with the society and the effecting risk factors. Turkish Journal of Geriatrics 2004;7:199–205.
Brenes GA, Miller ME, Stanley MA, et al. Insomnia in older adults with generalized anxiety disorder. The American Journal of Geriatric Psychiatry. 2009;17(6):465-72. doi: 10.1097/jgp.0b013e3181987747.
Hayashino Y, Yamazaki S, Takegami M, et al. Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index: results from a population-based survey. Sleep Medicine 2010;11(4):366-71. doi: 10.1016/j.sleep.2009.05.021.
Silva E, Paniz V, Laste G, et al. The prevalence of morbidity and symptoms among the elderly: a comparative study between rural and urban areas. Ciência & Saúde Coletiva. 2013;18(4):1029-40. doi: 10.1590/s1413-81232013000400016.
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