ABSTRACT
Objective:
This study aims to determine the relationship between certain risk factors and the daytime sleepiness of high school students.
Materials and Methods:
This is a descriptive-relational study, which was conducted on 2490 high school students between March 1 and April 30, 2019. The data was collected using a prepared questionnaire and the Epworth Sleepiness scale was used to evaluate the status of students’ daytime sleepiness. A statistical analysis was then carried out using the number, percentage, mean, standard deviation chi-square analysis and logistic regression analysis (enter method).
Results:
According to the Epworth Sleepiness scale score, daytime sleepiness of the high school students involved in this study was borderline, with the risk factors determining this daytime sleepiness being low socioeconomic statute of families, aged between 17 and 19, perception of school success as middle-poor, as well as spending three or more hours watching television.
Conclusion:
In order to prevent daytime sleepiness in high school students, students should spend less time watching television, there should be interdisciplinary cooperation initiatives implemented in relation to the socioeconomic factors and informative studies involving students, with families and teachers having lessons with the school nurses to help identify daytime sleepiness and learn about the measures that can be implemented to prevent this daytime sleepiness in the future.
Keywords: Adolescents, Daytime sleepiness, Students, Risk factors
References
1
Akdemir N. Dinlenme ve uyku düzensizliklerinde hemşirelik bakımı. İçinde: Akdemir N, Birol L, editörler. İç Hastalıkları ve Hemşirelik Bakımı. 2. baskı. Ankara, Sistem ofset, 2004.
2
Resmi Gazete. Hemşirelik Yönetmeliğinde Değişiklik Yapılmasına Dair Yönetmelik (19.04.2011, Sayı: 27910) [Internet]. 2011 [Erişim Tarihi 10 Temmuz 2019]. Erişim adresi: http://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.htm
3
Meldrum RC, Restivo E. The behavioral and health consequences of sleep deprivation among U.S high school students: relative deprivation matters. Prev Med 2014;63:24-8.
4
Tembo AC, Parker V. Factors that impact on sleep in intensive care patients. J Intensive Crit Care Nurs 2009;25:314-22.
5
Koçoğlu D, Kesgin MT, Kulakçı H. İlköğretim 2. Kademe Öğrencilerinin Uyku Alışkanlıkları ve Uyku Sorunlarının Bazı Okul Fonksiyonlarına Etkisi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2010;17:24-32.
6
Institute of Medicine (US) Committee on Sleep Medicine and Research. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Colten HR, Altevogt BM, editors. Washington (DC): National Academies Press (US); 2006.
7
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. J Sleep 1991;14:540-5.
8
Kronholm E, Laatikainen T, Peltonen M, Sippola R, Partonen T. Self-reported sleep duration, all-cause mortality, cardiovascular mortality and morbidity in Finland. Sleep Med 2011;12:215-21.
9
Kloss JD, Perlis ML, Zamzow JA, Culnan EJ, Gracia CR. Sleep, sleep disturbance, and fertility in women. J Sleep Med Rev 2015;22:78-87.
10
O’Brien EM, Mindell JA. Sleep and risk-taking behavior in adolescents. Behav Sleep Med 2005;3:113-33.
11
Pallos H, Gergely V, Yamada N, Miyazaki S, Okawa M. The quality of sleep and factors associated with poor sleep in Japanese graduate students. Sleep Biological Rhythms 2007;5:234-8.
12
Gaultney JF. The prevalence of sleep disorders in college students: impact on academic performance. J Am Coll Health 2010;59:91-7.
13
Kaneita Y, Munezawa T, Suzuki H, Ohtsu T, Osaki Y, Kanda H, Minowa M, Suzuki K, Tamaki T, Mori J, Yamamoto R, Ohida T. Excessive daytime sleepiness and sleep behavior among Japanese adolescents: A nationwide representative survey. Sleep Biological Rhythms 2010;8:282-94.
14
Koçoğlu D, Arslan S. Day time sleepiness and related factors among high school students. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2011:50-60.
15
Senol V, Soyuer F, Pesken-Akça R, Argün M. The sleep quality in adolescents and the factors that affect it. Kocatepe Med J 2012;13:93-102.
16
Mirghani HO, Mohammed OS, Almurtadha YM, Ahmed MS. Good sleep quality is associated with better academic performance among Sudanese medical students. BMC Research Notes 2015;8:706.
17
Koçoğlu D, Akın B. Küçük ölçekli işletmelerde çalışma koşulları ve işçilerin gündüz uykululuk durumu ile ilişkisi. Hemşirelikte Araştırma Geliştirme Dergisi 2009;11:5-19.
18
Brouillette RT, Horwood L, Constantin E, Brown K, Ross NA. Childhood sleep apnea and neighborhood disadvantage. J Pediatr 2011;158:789-95.
19
Rubens SL, Patrick KE, Williamson AA, Moore M, Mindell JA. Individual and socio-demographic factors related to presenting problem and diagnostic impressions at a pediatric sleep clinic. Sleep Med 2016;25:67-72.
20
Deniz KZ, Ersin T, Uysal A, Akar TK. Sosyo-ekonomik düzey değişkenlerinin kümeleme analizi ile belirlenmesi. İlköğretim Online 2015;14:108-17.
21
Kut A, Salgür F. Sağlık alanında sosyoekonomik düzey belirleme: Tıbbi araştırmalarda doğru uyguluyor muyuz? Türk Aile Hek Derg 2015;19:4-13.
22
Lemeshow S, Hosmer D, Klar J, Lwanga SJHTA. Under the Title Adequacy of Sample Size in Health Studies by World Health Organization. [Internet]. 1990 [Erişim Tarihi 10 Temmuz 2019]. Erişimadresi: https://apps.who.int/iris/bitstream/handle/10665/41607/0471925179_eng.pdf?sequence=1&isAllowed=y
23
Esin MN. Örnekleme. İçinde: Erdoğan S, Nahcivan N, Esin MN (eds). Hemşirelikte araştırma süreç, uygulama ve kritik. İstanbul, Nobel Tıp Kitapevi, 2014.
24
Ağargün MY, Çilli AS, Kara H, Bilici M, Telcioğlu M, Semiz ÜB, Başoğlu C. Reliability and validity studies of the Epworth Sleepiness Scale. Türk Psikiyatri Dergisi 1999;10:261-7.
25
de Souza Vilela T, Bittencourt LR, Tufik S, Moreira GA. Factors influencing excessive daytime sleepiness in adolescents. J Pediatr (Rio J) 2016;92:149-55.
26
Tremaine RB, Dorrian J, Blunden S. Subjective and objective sleep in children and adolescents: Measurement, age, and gender differences. Sleep Biological Rhythms 2010;8:229-38.
27
Foundation NS. Teens and Sleep 2016 [TeensandSleep]. Available from: https://sleepfoundation.org/sleep-topics/teens-and-sleep.
28
Spilsbury JC, Storfer-Isser A, Drotar D, Rosen CL, Kirchner LH, Benham H, Redline S. Sleep behavior in an urban US sample of school-aged children. Arch Pediatr Adolesc Med 2004;158:988-94.
29
Kocoglu D, Tokur-Kesgin M. Sleep habits of children aged 9-11 and the relationship between sleep habits and negative behaviors in the classroom. Sleep Biological Rhythms 2014;12:37-45.
30
Chung KF, Cheung MM. Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents. Sleep 2008;31:185-94.
31
Meltzer LJ, Montgomery-Downs HE. Sleep in the family. Pediatr Clin North Am 2011;58:765-74.
32
Telzer EH, Fuligni AJ, Lieberman MD, Galván A. The effects of poor quality sleep on brain function and risk taking in adolescence. Neuroimage 2013;71:275-83.
33
Rasch B, Born J. About sleep’s role in memory. Physiol Rev 2013;93:681-766.
34
Ellis SK, Walczyk J, Buboltz W, Felix V. The relationship between self-reported sleep quality and reading comprehension skills. Sleep Sci 2014;7:189-96.
35
Merikanto I, Lahti T, Puusniekka R, Partonen T. Late bedtimes weaken school performance and predispose adolescents to health hazards. Sleep medicine 2013;14:1105-11.
36
Long Xu X, Zhu RZ, Sharma M, Zhao Y. The influence of social media on sleep quality: a study of undergraduate students in Chongqing. China J Nurs Care 2015;4.
37
Shin C, Kim J, Lee S, Ahn Y, Joo S. Sleep habits, excessive daytime sleepiness and school performance in high school students. J Psychiatry Clinical Neurosci 2003;57:451-3.
38
Festl R, Scharkow M, Quandt T. Problematic computer game use among adolescents, younger and older adults. Addiction 2013;108:592-9.
39
Berson IR, Berson MJ. Digital literacy for effective citizenship.(Advancing Technology). Social Education 2003;67:164-8.
40
Çelik ÇB, Odacı H. The relationship between problematic internet use and interpersonal cognitive distortions and life satisfaction in university students. Children and Youth Services Review 2013;35:505-8.
41
Choi K, Son H, Park M, Han J, Kim K, Lee B, Gwak H. Internet overuse and excessive daytime sleepiness in adolescents. Psychiatry Clin Neurosci 2009;63:455-62.
42
Lam LT. Internet gaming addiction, problematic use of the internet, and sleep problems: a systematic review. Curr Psychiatry Rep 2014;16:444.
43
Arber S, Bote M, Meadows R. Gender and socio-economic patterning of self-reported sleep problems in Britain. Soc Sci Med 2009;68:281-9.
44
Troxel WM, Shih RA, Ewing B, Tucker JS, Nugroho A, D’Amico EJ. Examination of neighborhood disadvantage and sleep in a multi-ethnic cohort of adolescents. Health Place 2017;45:39-45.
45
Felden ÉP, Leite CR, Rebelatto CF, Andrade RD, Beltrame TS. Sleep in adolescents of different socioeconomic status: a systematic review. Rev Paul Pediatr 2015;33:467-73.
