Öz
Amaç
Bu çalışmanın amacı, vardiyalı çalışanlarda uykusuzluk semptomları, 7 saatten az gece uykusu ve bozulmuş açlık glukozu (BAG) prevalansı arasındaki ilişkiyi incelemektir.
Gereç ve Yöntem
Bu çalışmaya bir eğitim hastanesinden toplam 410 sağlık çalışanı dahil edilmiştir. Uykusuzluk semptomlarının varlığı, uykuya geçmede zorluk (UGZ), uykuyu sürdürme güçlüğü (USG) ve sabah erken uyanma (SEU), Uykusuzluk Şiddet İndeksi anketi kullanılarak değerlendirilmiştir. Katılımcıların ortalama uyku süresi üç gruba ayrılmıştır: <7 saat (kısa uyku), 7-8 saat (normal) ve ≥9 saat (uzun). BAG tanısı Amerikan Diyabet Derneği’nin önerileri doğrultusunda konulmuştur. Uyku süresi, uykusuzluk semptomları ve BAG arasındaki ilişki çok değişkenli lojistik regresyon analizi kullanılarak değerlendirilmiştir.
Bulgular
UGZ [olasılık oranı (OR)=4,28, %95 güven aralığı (CI): 3,28-5.19], USG (OR=2,14, %95 CI: 1,78-3,86), SEU (OR=4,54, %95 CI: 1,09-5,63) ve gece uykusu <7 saat (OR=1,84, %95 CI: 1,08-1,89) olan sağlık çalışanlarında BAG sıklığı diğerlerine kıyasla anlamlı derecede yüksekti. Ayrıca, lojistik regresyon analizine göre, gece uykusu <7 saat ile birlikte UGZ, USG ve SEU varlığı BAG olasılığını sırasıyla 5,16 (düzeltilmiş OR=5,16), 2,15 (düzeltilmiş OR=2,15) ve 5,26 (düzeltilmiş OR=5,26) kat artırmıştı.
Sonuç
Bu çalışma, vardiyalı çalışanlarda uykusuzluk semptomlarıyla birlikte kısa gece uykusunun (7 saatten az) BAG gelişme riskini artırdığını ortaya koymuştur. Bu nedenle, BAG oluşumunu önlemek için uyku hijyenine odaklanmak, uykusuzluk için düzenli taramalar yapmak ve sağlıklı gıdalara ve fiziksel aktiviteye erişimi teşvik etmek önemlidir.
Anahtar Kelimeler: Sağlık çalışanı, bozulmuş açlık glukozu, uykusuzluk, uyku süresi
Kaynakça
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