Hipertansiyon Hastalarında Bilinçli Farkındalık Düzeyinin İlaç Uyumuna Etkisi

ÖZ Amaç: Çalışmada hipertansiyon hastalarının bilinçli farkındalık düzeylerinin antihipertansif ilaç uyumuna olan etkisi araştırılmıştır. Gereç ve Yöntem: Çalışmaya katılmaya onam veren kişilerden okur yazar olan, en az bir yıldır antihipertansif kullanıyor olan 18-65 yaş aralığındaki hipertansif hastalar çalışmaya dahil edilmiştir. Ölçek doldurmayı engelleyecek düzeyde mental yetersizliği ve/veya mental hastalığı bulunanlar çalışma dışında bırakılmıştır. Kesitsel ve tanımlayıcı bir araştırmadır. Katılımcılara sosyo-demografik veri formu, Bilinçli Farkındalık ölçeği (BFÖ) ve Modifiye Morisky Tedavi Uyum ölçeği uygulanmıştır. Bulgular: Yaş ortalaması düşük olan hastaların ilaç uyumu düşük olarak saptandı. Cinsiyet, eğitim düzeyi, çalışma durumu ve medeni durum açısından bakıldığında gruplar arasında ilaç uyumu açısından anlamlı fark yoktu. Ailesinde hipertansiyon öyküsü olanlarda ilaç uyumunun düşük olma oranı orta-yüksek olma oranına kıyasla anlamlı şekilde yüksekti. İlaç uyumu skorlarında hipertansiyon hastalığının süresi açısından istatistiksel açıdan anlamlı bir fark yoktu. BFÖ skor ortalamaları ilaç uyumu orta-yüksek olanlarda anlamlı şekilde daha yüksekti. Sonuç: Çalışma sonuçlarımız hipertansif hasta grubunda ilaç uyumunun düşük olduğu, farkındalık ve uyum arasında anlamlı bir ilişki olduğu yönünde kanıt sunmaktadır. Diğer kronik hastalıklarda olduğu gibi hipertansiyon hastalarında da ilaç uyumunun artırılması, bu amaçla ilaç uyumunu etkileyen farkındalık düzeyinin artırılması hayati önem arz etmektedir. Çalışma verilerimiz bu alanda yapılacak klinik müdahaleler için farkındalık oluşturacaktır

A Reason for Admission to the Sleep Outpatient Clinic during COVID-19 Pandemic: Insomnia

Aim: Sleep can be affected for various reasons such as social isolation, online education, shiftwork, etc. during the coronavirus disease 2019 (COVID-19) pandemic. People who havecomorbid psychiatric or sleep disorders before the pandemic are thought to be more affected.The aim of this study was to investigate the effect of the COVID-19 pandemic on sleep qualityand insomnia.Material and Methods: Our study was a retrospective study, and patients who admitted to thesleep outpatient clinic with insomnia complaints during the COVID-19 pandemic wereincluded. The complaints, sociodemographic characteristics, and diagnosis of the patients wereobtained from medical records.Results: Fifty-three patients diagnosed with insomnia according to the InternationalClassification of Sleep Disorders third edition (ICSD-3) were included in the study. The meansleep time before the pandemic was 6.8±1.2 hours, while it was 5.9±1.7 hours after thepandemic. After the pandemic, 13 (24.5%) patients had shortened sleep duration. There wasno difference in clinical features between those whose sleep duration decreased and did notchange during the pandemic. Twenty (37.7%) patients' complaints of insomnia started duringthe pandemic. Most of the patients whose complaints started during the pandemic were male(n=12, 60.0%). Their main complaint was difficulty in falling asleep (n=18, 90.0%). Theanxiety symptoms were remarkable.Conclusion: Sleep disorders during the pandemic are an important problem for everyone.However, some individuals have a higher risk of sleep problems. Therefore, the results of ourstudy may contribute to the interventions aimed at improving sleep quality during pandemic

A Reason for Admission to the Sleep Outpatient Clinic during COVID-19 Pandemic: Insomnia

Aim: Sleep can be affected for various reasons such as social isolation, online education, shiftwork, etc. during the coronavirus disease 2019 (COVID-19) pandemic. People who havecomorbid psychiatric or sleep disorders before the pandemic are thought to be more affected.The aim of this study was to investigate the effect of the COVID-19 pandemic on sleep qualityand insomnia.Material and Methods: Our study was a retrospective study, and patients who admitted to thesleep outpatient clinic with insomnia complaints during the COVID-19 pandemic wereincluded. The complaints, sociodemographic characteristics, and diagnosis of the patients wereobtained from medical records.Results: Fifty-three patients diagnosed with insomnia according to the InternationalClassification of Sleep Disorders third edition (ICSD-3) were included in the study. The meansleep time before the pandemic was 6.8±1.2 hours, while it was 5.9±1.7 hours after thepandemic. After the pandemic, 13 (24.5%) patients had shortened sleep duration. There wasno difference in clinical features between those whose sleep duration decreased and did notchange during the pandemic. Twenty (37.7%) patients' complaints of insomnia started duringthe pandemic. Most of the patients whose complaints started during the pandemic were male(n=12, 60.0%). Their main complaint was difficulty in falling asleep (n=18, 90.0%). Theanxiety symptoms were remarkable.Conclusion: Sleep disorders during the pandemic are an important problem for everyone.However, some individuals have a higher risk of sleep problems. Therefore, the results of ourstudy may contribute to the interventions aimed at improving sleep quality during pandemic

Evaluation of Alexithymia, Anger and Temperament Features in Insomnia Patients with Sexual Dysfunction

Aim: One of the most common sleep disorders is insomnia, and it is also an independent risk factor related to sexual dysfunction (SD). The aim of the present study was to investigate the anger parameters, temperament parameters, and alexithymia in insomnia patients with SD. Material and Methods: The study group consisted of 92 patients diagnosed with insomnia according to the third edition of the International Classification of Sleep Disorders. The sociodemographic data form, Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto-questionnaire (TEMPS-A), Insomnia Severity Index (ISI), Toronto Structured Interview for Alexithymia (TSIA), Arizona Sexual Experiences Scale (ASEX), Pittsburgh Sleep Quality Index (PSQI), State-Trait Anger Expression Inventory (STAXI) were applied to the patients. Results: While 62 patients had SD, 30 patients had no SD. ISI, PSQI, anger in score were significantly higher in patients with SD (p=0.048, p=0.007, p=0.032, respectively). While depressive and anxious temperament was significantly higher in patients with SD (p=0.026, p=0.008, respectively), hyperthymic temperament was significantly higher in patients without SD (p=0.013). ISI score, depressive, and anxious temperament were significantly correlated with the ASEX score (r=0.214, p=0.041; r=0.261, p=0.012; r=0.286, p=0.007, respectively). Linear regression revealed that depressive, cyclothymic, and irritable temperaments were predictors of ISI (p=0.001). According to logistic regression, hyperthymic temperament was an independent predictor of SD (p=0.001). Conclusion: Psychological factors should also be considered in studies conducted on the relationship between insomnia and SD. Further research is needed on temperament characteristics, alexithymia and anger issues. Thus, patients can be approached more comprehensively