Çocuk acil kliniğinde yatan çocuklarda ışıklı müzikli dönencenin uyku kalitesine etkisi
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2021
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Maltepe Üniversitesi, Lisansüstü Eğitim Enstitüsü
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Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Abstract
Hastalık, hastane yatışı ve hastane rutinleri, çocukların uyku kalitesini bozmaktadır. Bu araştırma, çocuk acil kliniğinde yatan çocuklarda ışıklı müzikli dönencenin uyku kalitesine etkisini inceleyen tek merkezli ve prospektif randomize kontrollü, ilk çalışmadır. Araştırmaya, Ekim-Aralık 2019 tarih aralığında çocuk acil kliniğine akut hastalık nedeniyle yatan ve örneklem seçim kriterlerine uyan 124 çocuk katıldı. Araştırma grubundaki çocuklara, gece uykusu öncesinde ışıklı müzikli dönence uygulandı. Kontrol grubundaki çocuklara, dönence uygulanmayıp çocukların rutin uyku düzenleri devam ettirildi. Veriler; Çocuk Bilgi Formu ve Çocuğun Uyku Kalitesini Değerlendirme Formu ile toplandı.Verilerin analizinde frekans, yüzde dağılım, ortanca, ortalama±standart sapma, Kolmogorov Smirnov testi, Ki Kare testi, Wilcoxon İşaretli Sıra testi ve Mann Whitney U testi kullanıldı. İstatistiksel anlamlılık değeri P<.005 kabul edildi. Uygulama gününde, araştırma grubundaki çocukların toplam uyku süresi artmış (11.66±1.11), kontrol grubunda ise düşmüştür (10.16±1.02). Araştırma ve kontrol grubundaki çocukların uygulama günü; uykuya dalmakta-uyumakta güçlük çekme, uyanmakta güçlük çekme, sabah erken uyanma, gece geç uyuma, gün içinde sık sık esneme ve gün boyunca yorgunluk/uyku hali uygulama öncesine göre düşüş gösterdi (P<.05). Araştırma grubundaki çocukların uygulama/uyku sırasında, sistolik ve diyastolik KB düşüş gösterdi (P<.001). Bu veriler doğrultusunda çocuk kliniklerinin iç mimarisinde, hasta çocuk odalarında uyku kalitesinin artmasınısağlayan objelerin kullanılması önerilir.
Illness, hospitalization and hospital routines impair children' s sleep quality. This is the first single-center, prospective randomized controlled study to examine the effect of musical lighted mobile on sleep quality in children hospitalized in a pediatric emergency clinic. Between October-December 2019, 124 children who were hospitalized in the pediatric emergency clinic due to acute illness and who met the inclusion criteria participated in the study. The children in the study group were applied a musical lighted mobile before sleeping at night. The children in the control group were not given musical lighted mobile, and their routine sleep patterns were continued. The data were collected using a Child Information Form and the Child' s Sleep Quality Evaluation Form. Frequency, percentage distribution, median, mean±standard deviation, Kolmogorov Smirnov test, Chi-Square test, Wilcoxon signed-rank test and Mann Whitney U test were used in the analysis of the data. Statistical significance value of P<.005 was accepted. On the application day, the total sleep duration of the children in the study group increased(11.66±1.11) and decreased(10.16±1.02) in the control group. The children in the study and control groups; difficulty falling asleep/sleeping, difficulty waking up, waking up early in the morning, sleeping late at night, yawning frequently during the day, and fatigue/sleepiness throughout the day decreased compared to before the application(P<.05). During the application/sleep of the children in the study group; systolic and diastolic BP decreased(P<.001). In line with these data, it is recommended to use objects that increase sleep quality in the interior architecture of children' s clinics and in sick children' s rooms.
Illness, hospitalization and hospital routines impair children' s sleep quality. This is the first single-center, prospective randomized controlled study to examine the effect of musical lighted mobile on sleep quality in children hospitalized in a pediatric emergency clinic. Between October-December 2019, 124 children who were hospitalized in the pediatric emergency clinic due to acute illness and who met the inclusion criteria participated in the study. The children in the study group were applied a musical lighted mobile before sleeping at night. The children in the control group were not given musical lighted mobile, and their routine sleep patterns were continued. The data were collected using a Child Information Form and the Child' s Sleep Quality Evaluation Form. Frequency, percentage distribution, median, mean±standard deviation, Kolmogorov Smirnov test, Chi-Square test, Wilcoxon signed-rank test and Mann Whitney U test were used in the analysis of the data. Statistical significance value of P<.005 was accepted. On the application day, the total sleep duration of the children in the study group increased(11.66±1.11) and decreased(10.16±1.02) in the control group. The children in the study and control groups; difficulty falling asleep/sleeping, difficulty waking up, waking up early in the morning, sleeping late at night, yawning frequently during the day, and fatigue/sleepiness throughout the day decreased compared to before the application(P<.05). During the application/sleep of the children in the study group; systolic and diastolic BP decreased(P<.001). In line with these data, it is recommended to use objects that increase sleep quality in the interior architecture of children' s clinics and in sick children' s rooms.
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Çocuk acil kliniği, Uyku, Uyku kalitesi, Işıklı müzikli dönence, Pediatrical emergency clinic, Sleep quality, Musical lighted mobile
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Topsakal, S. (2021). Çocuk acil kliniğinde yatan çocuklarda ışıklı müzikli dönencenin uyku kalitesine etkisi / The effect of musical lighted mobile on sleep quality in hospitalized children in a pediatrica emergency clinic (Yayımlanmamış Yüksek Lisans Tezi). Maltepe Üniversitesi, Lisansüstü Eğitim Enstitüsü, İstanbul.
