COVID-19 Pandemisi Sürecinde Türkiye'de 6-16 Yaş Arası Çocuklarda Uyku Düzeni ve Bozuklukları
PDF

Özgün Makale

COVID-19 Pandemisi Sürecinde Türkiye'de 6-16 Yaş Arası Çocuklarda Uyku Düzeni ve Bozuklukları

J Turk Sleep Med 2025;12(2):116-123 DOI: 10.4274/jtsm.galenos.2025.88588
, ,
PDF
İzin

Öz

Amaç

Bu çalışmada, yeni koronavirüs hastalığı-2019 (COVID-19) pandemisi sürecinde çocuklarda uyku düzenini ve bozukluklarını etkileyen faktörlerin değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem

Tanımlayıcı ve kesitsel tipte olan bu çalışma, 6-16 yaş aralığında çocuğu olan 408 anne ile gerçekleştirilmiştir. Veriler “Çocuklar İçin Uyku Bozukluğu Ölçeği (ÇUBÖ)” kullanılarak toplanmıştır.

Bulgular

Çalışmada ÇUBÖ ortalama puanı 46,25±16,34 olarak bulunmuş ve çocukların %11,8’inin uyku bozukluğu belirtileri gösterdiği saptanmıştır. Hafta içi ve hafta sonu yatma ve kalkma saatlerinde önemli gecikmeler ile artmış uykuya dalma süresi gözlenmiştir. Altı-on iki yaş grubundaki çocukların daha az, 13-16 yaş grubundakilerin ise daha fazla uyuduğu tespit edilmiştir (p<0,001). Pandemi sürecinde düzensiz uyku, aşırı uyuma, uyuyamama ve kabus görme sıklığında artış olduğu belirlenmiştir (p<0,001). Ayrıca geç saatlerde yemek yeme, gündüz uykuları ve gece uyanmaları da anlamlı düzeyde artmıştır (p<0,001). Uyku öncesi elektronik cihaz kullanımı ve televizyon izleme davranışlarında da önemli bir artış olduğu gözlenmiştir.

Sonuç

Pandemi sürecinde çocukların yaklaşık her on çocuktan birinin uyku bozukluğu belirtileri gösterdiği saptanmıştır. Ayrıca çocukların uyuma ve uyanma saatlerinin olumsuz etkilendiği ve daha sık uyku bozukluğu yaşadıkları sonucuna ulaşılmıştır. Bulgulara dayanarak, çocukların günlük rutinlerini etkileyen COVID-19 pandemisi gibi durumlarda pediatri hemşirelerinin çocuklardaki uyku bozukluklarını belirlemesi ve bu sorunlara yönelik müdahalelerde bulunması büyük önem taşımaktadır.

Anahtar Kelimeler: Pandemik, uyku, çocuk, uyku alışkanlıkları

Kaynakça

1

World Health Organization. WHO Director-General’s Opening Remarks at the Media Briefing on COVID-19-11 March 2020. World Health Organization. Accessed 10.05.2021. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19-11-march-2020.

2

Panda PK, Gupta J, Chowdhury SR, et al. Psychological and behavioral impact of lockdown and quarantine measures for COVID-19 pandemic on children, adolescents and caregivers: a systematic review and meta-analysis. J Trop Pediatr. 2021;67.

3

Lopez-Bueno R, Lopez-Sanchez GF, Casajus JA, et al. Health-related behaviors among school-aged children and adolescents during the Spanish COVID-19 confinement. Front Pediatr. 2020;8:573

4

Lim MTC, Ramamurthy MB, Aishworiya R, et al. School Closure During the Coronavirus Disease 2019 (COVID-19) Pandemic-impact on children’s sleep. Sleep Med. Feb 2021;78:108-114

5

Matricciani L, Paquet C, Galland B, Short M, Olds T. Children’s sleep and health: a meta-review. Sleep Med Rev. 2019;46:136-150

6

Paruthi S, Brooks LJ, D’Ambrosio C, et al. Consensus statement of the American Academy of Sleep Medicine on the recommended amount of sleep for healthy children: methodology and discussion. J Clin Sleep Med. 2016;12:1549-1561

7

Hybschmann J, Topperzer MK, Gjaerde LK, et al. Sleep in hospitalized children and adolescents: a scoping review. Sleep Med Rev. 2021;59:101496

8

Li L, Zhang S, Huang Y, Chen K. Sleep duration and obesity in children: a systematic review and meta-analysis of prospective cohort studies. J Paediatr Child Health. Apr 2017;53:378-385

9

Paruthi S, Brooks LJ, D’Ambrosio C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the american academy of sleep medicine. J Clin Sleep Med. 2016;12:785-786

10

Stern M, Wagner MH, Thompson LA. Current and COVID-19 Challenges with childhood and adolescent sleep. JAMA Pediatr. 2020;174:1124

11

Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. Obesity (Silver Spring). 2020;28:1382-1385

12

Schmidt SCE, Anedda B, Burchartz A, et al. Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment. Scientific Reports. 2020;10:21780

13

Nagata JM, Abdel Magid HS, Pettee Gabriel K. Screen time for children and adolescents during the coronavirus disease 2019 pandemic. Obesity (Silver Spring). Sep 2020;28:1582-1583

14

Topan A, Gozen D. Effect of model-based training by nurses on the promotion of sleep patterns among students in the middle school. Journal of Turkish Sleep Medicine. Jun 2020;7:96-104

15

Turkish Statistical Institute. The results of address based population registration system, 2020. Accessed 11.03.2021. Available from: https://data.tuik.gov.tr/Bulten/Index?p=The-Results-of-Address-Based-Population-Registration-System-2020-37210

16

Bruni O, Ottaviano S, Guidetti V, et al. The sleep disturbance scale for children (SDSC). Construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res. Dec 1996;5:251-261

17

Agadayi E, Çelik N, Baser DA. Çocuklar için uyku bozukluğu ölçeğinin türkçe geçerlik ve güvenirlik çalışması. Journal of Turkish Sleep Medicine. 2020;7:65-73

18

Bruni O, Malorgio E, Doria M, et al. Changes in sleep patterns and disturbances in children and adolescents in Italy during the COVID-19 outbreak. Sleep Med. 2021

19

Fidanci I, Aksoy H, Yengil Taci D, Fidanci I, Ayhan Baser D, Cankurtaran M. Evaluation of the effect of the COVID-19 pandemic on sleep disorders and nutrition in children. Int J Clin Pract. 2021:e14170

20

El Refay AS, Hashem SA, Mostafa HH, Kamel IH, Sherif LS. Sleep quality and anxiety symptoms in egyptian children and adolescents during COVID-19 pandemic lockdown. Bull Natl Res Cent. 2021;45:134

21

Cellini N, Di Giorgio E, Mioni G, Di Riso D. Sleep and psychological difficulties in italian school-age children during COVID-19 lockdown. J Pediatr Psychol. 2021;46:153-167

22

Sharma M, Aggarwal S, Madaan P, Saini L, Bhutani M. Impact of COVID-19 pandemic on sleep in children and adolescents: a systematic review and meta-analysis. Sleep Med. 2021;84:259-267

23

Mitra R, Moore SA, Gillespie M, et al. Healthy movement behaviours in children and youth during the COVID-19 pandemic: exploring the role of the neighbourhood environment. Health Place. Sep 2020;65:102418

24

Kaditis AG, Ohler A, Gileles-Hillel A, et al. Effects of the COVID-19 lockdown on sleep duration in children and adolescents: a survey across different continents. pediatr pulmonol. 2021;56:2265-2273

25

Dondi A, Fetta A, Lenzi J, et al. Sleep disorders reveal distress among children and adolescents during the COVID-19 first wave: results of a large web-based Italian survey. Ital J Pediatr. 2021;47:130

26

Zhou SJ, Wang LL, Yang R, et al. Sleep problems among Chinese adolescents and young adults during the Coronavirus-2019 pandemic. Sleep Med. 2020;74:39-47

27

Francisco R, Pedro M, Delvecchio E, et al. Psychological symptoms and behavioral changes in children and adolescents during the early phase of COVID-19 quarantine in three european countries. Front Psychiatry. 2020;11:570164

28

Adibelli D, Sumen A. The effect of the coronavirus (COVID-19) pandemic on health-related quality of life in children. Child Youth Serv Rev. Dec 2020;119:105595

29

Oflu A, Bükülmez A, Elmas E, Tahta EG, Çeleğen M. Comparison of screen time and digital gaming habits of turkish children before and during the Coronavirus Disease 2019 pandemic. Turk Arch Pediatr. 2021;56:22-26

30

Ten Velde G, Lubrecht J, Arayess L, et al. Physical activity behaviour and screen time in dutch children during the COVID-19 pandemic: pre-during- and post-school closures. pediatric obesity. 2021;16:e12779