Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Uyku Kalitesi Kötü Olan Sağlıklı Erişkinlerde Okupasyonel Yeterlilik ve Önem: Kesitsel Araştırma
Self-Perceived Occupational Competence and Value Among Healthy Adults with Poor Sleep Quality: Cross-Sectional Study
Berkan TORPİLa, Emel PEKÇETİNb, Serkan PEKÇETİNa
aSağlık Bilimleri Üniversitesi Gülhane Sağlık Bilimleri Fakültesi, Ergoterapi Bölümü, Ankara, Türkiye
bT.C. Aile ve Sosyal Hizmetler Bakanlığı Engelli ve Yaşlı Hizmetler Genel Müdürlüğü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(3):796-802
doi: 10.5336/healthsci.2022-88177
Article Language: TR
Full Text
ÖZET
Amaç: Uyku, günlük yaşam aktivitelerinin sağlıklı bir şekilde gerçekleştirilmesi için önemli bir fizyolojik ihtiyaçtır. Bu nedenle iyi bir uyku kalitesi önem arz etmektedir. İyi bir uyku kalitesi, gündüz gerçekleştirilen okupasyonlara katılım için önemlidir. Ancak bu durum için sağlıklı popülasyonda ergoterapinin rolü araştırılmamıştır. Bu çalışmada, iyi ve zayıf uyku kalitesine sahip sağlıklı bireylerin okupasyonel yeterliliklerinin ve öneminin karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ile toplam 345 katılımcı değerlendirildi. PUKİ sonuçlarına göre katılımcılar, iyi uyuyanlar (n=146) ve zayıf uyuyanlar (n=199) olmak üzere 2 gruba ayrıldı. Aktivite Öz-Değerlendirme Ölçeği (AÖDÖ) ile katılımcıların okupasyonel yeterliliği ve önemi belirlendi. Bulgular: İyi uyku kalitesine sahip bireyler ile kötü uyku kalitesine sahip bireyler karşılaştırıldığında, kötü uyku kalitesine sahip bireylerde okupasyonel yeterlilik ve önem anlamlı olarak daha düşük bulunmuştur (p<0,05). Kötü uyku kalitesine sahip bireyler tarafından AÖDÖ'ye göre en çok etkilenen parametreler incelendiğinde; 'Yaptığım işlere yoğunlaşmak', 'Fiziksel olarak yapmam gerekenleri yapabilmek', 'Memnun edici bir rutine sahip olmak' ve 'Hoşlandığım aktiviteleri yapmak' maddeleri olduğu belirlendi. Sonuç: Kötü uyku kalitesine sahip sağlıklı bireylerin, iyi uyku kalitesine sahip sağlık bireylere göre okupasyonel yeterliliğin ve önemin daha kötü düzeyde olduğu belirlendi. Kötü uyku kalitesine sahip sağlıklı bireylerin okupasyonel yeterliliğinin ve öneminin değerlendirilmesi, okupasyonel sorun alanlarının belirlenmesi ve uygun müdahale programlarının oluşturulması için önemlidir.

Anahtar Kelimeler: Erişkin; iş terapisi; uyku; günlük yaşam aktiviteleri
ABSTRACT
Objective: Sleep is an important physiological need for the healthy performance of activities of daily living. Therefore, a good sleep quality is important. Good sleep quality is important for participation in daytime observations. However, the role of occupational therapy for this condition in the healthy population has not been investigated. This study aimed to compare the occupational competence and value of healthy individuals with good and poor sleep quality. Material and Methods: A total of 345 participants were evaluated with a Pittsburgh Sleep Quality Index (PSQI). Participants divided into 2 groups good sleeper (n=146) and poor sleeper (n=199) according to PSQI results. Occupational competence and value of participants evaluated with the Occupational Self-Assessment (OSA). Results: Occupational competence and value significantly lower in poor sleepers when compared with good sleepers (p<0.05). When the most affected parameters according to OSA were examined by individuals with poor sleep quality; it was determined that the items were 'Concentrating on my tasks', 'Physically doing what I need to do', 'Having a satisfying routine' and 'Doing activities I like.' Conclusion: It was determined that healthy individuals with poor sleep quality had a worse level of occupational competence and value than healthy individuals with good sleep quality. Evaluation of the occupational competence and value of healthy individuals with poor sleep quality is important for determining occupational performance problem areas and establishing appropriate intervention programs.

Keywords: Adult; occupational therapy; sleep; activities of daily living
REFERENCES:
  1. National Sleep Foundation (NSP) [Internet]. © 2022 OneCare Media. The Sleep Disorders; 2021. Erişim tarihi: 21.11.2021. [Link] 
  2. Wiseman-Hakes C, Colantonio A, Gargaro J. Sleep and wake disorders following traumatic brain injury: a systematic review of the literature. Crit Rev Phys Rehabil. 2009;21(3-4):317-74. [Crossref] 
  3. Krystal AD, Edinger JD. Measuring sleep quality. Sleep Med. 2008;9 Suppl 1:S10-7. [Crossref]  [PubMed] 
  4. Ahmed AE, Al-Jahdali F, AlALwan A, Abuabat F, Bin Salih SA, Al-Harbi A, et al. Prevalence of sleep duration among Saudi adults. Saudi Med J. 2017;38(3):276-83. [Crossref]  [PubMed]  [PMC] 
  5. Cellini N, Canale N, Mioni G, Costa S. Changes in sleep pattern, sense of time and digital media use during COVID-19 lockdown in Italy. J Sleep Res. 2020;29(4):e13074. [Crossref]  [PubMed]  [PMC] 
  6. Amini DA, Kannenberg K, Bodison S, Chang P, Colaianni D, Goodrich B, et al. Occupational therapy practice framework: Domain & process 3rd edition. Am J Occup Ther. 2014;68:1-48. [Crossref] 
  7. Meyer A. The philosophy of occupation therapy. Reprinted from the archives of occupational therapy, Volume 1, pp. 1-10, 1922. Am J Occup Ther. 1977;31(10):639-42. [PubMed] 
  8. Magnusson L, Håkansson C, Brandt S, Öberg M, Orban K. Occupational balance and sleep among women. Scand J Occup Ther. 2021;28(8):643-651. [Crossref]  [PubMed] 
  9. Green AJ. Sleep, occupation and the passage of time. Br J Occup Ther. 2008;71(8):339-47. [Crossref] 
  10. O'Donoghue N, McKay EA. Exploring the impact of sleep apnoea on daily life and occupational engagement. Br J Occup Ther. 2012;75(11):509-16. [Crossref] 
  11. Pekçetin S, Öztürk G, Çetin B, Öztürk L. The effect of one-night sleep deprivation on cognitive functions in healthy young adults. Sleep Sci. 2021;14(3):224-8. [PubMed]  [PMC] 
  12. Bumin G, Tatlı İY, Cemali M, Sevgi K, Akyürek G. Vardiyalı ve gündüz çalışan sağlık çalışanlarında uyku kalitesi, reaksiyon zamanı, stres ve iyilik halinin karşılaştırılması [The comparison of the quality of sleep, stress, well-being and reaction time among health care professionals with shift and day workers]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2019;6(3):170-6. [Crossref] 
  13. Gülser N, Öztürk L, Top MŞ, Asil T, Balci K, Çelik Y. Vardiyalı çalışanlarda huzursuz bacaklar sendromu ve subjektif uyku kalitesi [The relationship between restless legs syndrome and ınsomnia for the staff in shift]. Noropsikiatri Arsivi. 2012;49(4):281-5.
  14. Tümer A, İlhan B, Kartal A. Gençlerde insomni görülme sıklığı [Prevelance of insomnia in young people]. Intl J Soc Res. 2017;7(13):423-39. [Crossref] 
  15. Fung C, Wiseman-Hakes C, Stergiou-Kita M, Nguyen M, Colantonio A. Time to wake up: bridging the gap between theory and practice for sleep in occupational therapy. Br J Occup Ther. 2013;76(8):384-6. [Crossref] 
  16. Wood A, Brooks R, Beynon-Pindar C. The experience of sleep for women with borderline personality disorder: an occupational perspective. Br J Occup Ther. 2015;78(12):750-6. [Crossref] 
  17. Nakopoulou E, Wale M, Wood E. Sleep problems in people with learning disabilities. In: Green A, Brown C, eds. An Occupational Therapist's Guide to Sleep and Sleep Problems. 1st ed. London and Philadelphia: Jessica Kingsley Publishers; 2015.
  18. Goorman AM. Sleep Occupation Quality and Occupation-based Hand Function in Carpal Tunnel Syndrome. Occupational Therapy Doctorate Capstone Projects; 2015. [Link] 
  19. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. [Crossref]  [PubMed] 
  20. Ağargün MY, Kara H, Anlar Ö. The validity and reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry. 1996;7(2):107-15.
  21. Baron K, Kielhofner G, Iyenger A, Goldhammer V, Wolenski J. A user's manual for the Occupational Self Assessment (OSA). Version 2.2. Chicago: University of Illinois; 2006.
  22. Pekçetin S, Salar S, İnal Ö, Kayıhan H. Validity of the Turkish occupational self assessment for elderly individuals. OTJR (Thorofare N J). 2018;38(2):105-12. Erratum in: OTJR (Thorofare N J). 2018;38(3):218. [Crossref]  [PubMed] 
  23. Jaradat R, Lahlouh A, Mustafa M. Sleep quality and health related problems of shift work among resident physicians: a cross-sectional study. Sleep Med. 2020;66:201-6. [Crossref]  [PubMed] 
  24. Ibrahim NK, Badawi FA, Mansouri YM, Ainousa AM, Jambi SK, Fatani AN, et al. Sleep quality among medical students at King Abdulaziz University: a cross-sectional study. J Community Med Health Educ. 2017;7(561):2161-711. [Crossref] 
  25. Orchard F, Gregory AM, Gradisar M, Reynolds S. Self-reported sleep patterns and quality amongst adolescents: cross-sectional and prospective associations with anxiety and depression. J Child Psychol Psychiatry. 2020;61(10):1126-37. [Crossref]  [PubMed] 
  26. Lee JE, Ju YJ, Park EC, Lee SY. Effect of poor sleep quality on subjective cognitive decline (SCD) or SCD-related functional difficulties: results from 220,000 nationwide general populations without dementia. J Affect Disord. 2020;260:32-7. [Crossref]  [PubMed] 
  27. Kakinami L, O'Loughlin EK, Brunet J, Dugas EN, Constantin E, Sabiston CM, et al. Associations between physical activity and sedentary behavior with sleep quality and quantity in young adults. Sleep Health. 2017;3(1):56-61. [Crossref]  [PubMed] 
  28. Sloan RA, Kim Y, Sawada SS, Asakawa A, Blair SN, Finkelstein EA. Is less sedentary behavior, more physical activity, or higher fitness associated with sleep quality? A cross-sectional study in Singapore. Int J Environ Res Public Health. 2020;17(4):1337. [Crossref]  [PubMed]  [PMC] 
  29. Holfeld B, Ruthig JC. A longitudinal examination of sleep quality and physical activity in older adults. J Appl Gerontol. 2014;33(7):791-807. [Crossref]  [PubMed] 
  30. Wagman P, Håkansson C, Björklund A. Occupational balance as used in occupational therapy: a concept analysis. Scand J Occup Ther. 2012;19(4):322-7. [Crossref]  [PubMed] 
  31. Lallukka T, Sivertsen B, Kronholm E, Bin YS, Øverland S, Glozier N. Association of sleep duration and sleep quality with the physical, social, and emotional functioning among Australian adults. Sleep Health. 2018;4(2):194-200. [Crossref]  [PubMed] 
  32. Abdullah EJ, Badr HE, Manee F. MS People's performance and satisfaction with daily occupations: implications for occupational therapy. OTJR (Thorofare N J). 2018;38(1):28-37. [Crossref]  [PubMed] 

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