Preeklampsi tanısı almış gebelerde klasik Türk müziği'nin stres ve uyku kalitesine etkisi : Randomiza kontrollü çalışma
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Tarih
2025
Yazarlar
Dergi Başlığı
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Cilt Başlığı
Yayıncı
Tarsus Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Preeklampsi tanısı almış gebelerde Klasik Türk müziğinin stres ve uyku kalitesine etkisini belirlemek amacıyla yapılmış randomize kontrollü bir çalışmadır. Çalışma; Mayıs 2024 -Kasım 2024 tarihleri arasında Tarsus Devlet Hastanesine başvuran preeklampsi tanısı almış 124 (62 deney, 62 kontrol grubu) preeklampsili gebe ile yapılmıştır. Veriler Kişisel Bilgi Formu, Algılanan Stres Ölçeği, Pittsburg Uyku Kalite İndeksi olmak üzere üç ayrı form kullanılarak toplanmıştır. Deney grubundaki gebelere önerilen 3 gün art arda günde bir defa en az 15 dakika gebelerin seçtiği önerilen Klasik Türk müziğinin (rehavi ya da nihavent türlerinden) biri uygulanmış, kontrol grubu ise rutin takip edilmiştir. Elde edilen verilerin analizinde, tanımlayıcı istatistik yöntemler, Student's t test, Mann-Whitney U testi, Paired samples t test, Wilcoxon testi gibi analize uygun testler kullanılmıştır. Çalışmamıza katılan deney ve kontrol grubundaki gebelerin sosyo-demografik ve obstetrik özellikler açısından benzer olduğu belirlenmiştir (p>0,05). Deney ve kontrol grubundaki katılımcıların ön testte algılanan deney grubu ön test algılanan stres puanının kontrol grubundan yüksek olduğu görülmüştür (p<0,05). Son test algılanan stres puanlarının gruplara göre anlamlı farklılık gösterdiği (p<0,05), kontrol grubu algılanan stres puanının deney grubundan yüksek olduğu belirlenmiştir. Yine, deney ve kontrol grubundaki katılımcıların ön test Pittsburg Uyku Kalite İndeksi toplam puan ve alt boyut puanlarına göre istatistiksel olarak anlamlı bir farklılık göstermediği (p>0,05), son test Pittsburg Uyku Kalite İndeksi toplam puanı ve alt boyut puanları (öznel (subjektif) uyku kalitesi, uyku süresi, uyku latansı, uyku bozukluğu, gündüz işlev bozukluğu dahil) anlamlı olarak düştüğü ve uyku kalitelerinin anlamlı olarak yükseldiği belirlenmiştir (p<0,05). Yalnızca ilaç kullanımı ve alışılmış uyku etkinliği alt boyutu üzerinde müziğin anlamlı etkisi bulunmamıştır. Deney grubu son test Pittsburg Uyku Kalite İndeksi ile son test algılanan stres arasında istatistiksel olarak anlamlı ve pozitif yönlü (r=0,371, p<0,01) bir ilişki olduğu gebelerin stresi arttıkça uyku kalitesinin azaldığı saptanmıştır. Kontrol grubunda ise herhangi bir ilişki saptanmamıştır (p>0,05). Araştırma sonucunda; preeklampsi tanısı alan gebelere dinletilen Klasik Türk müziği gebelerin stresini azaltmakta, uyku kalitesini arttırmaktadır.
We conducted this randomized controlled study to investigate the impact of classical Turkish music on stress and sleep quality in pregnant women diagnosed with preeclampsia. The study was conducted with 124 preeclamptic pregnant women (62 experimental, 62 control group) registered at Tarsus State Hospital between May 2024 and November 2024. Data was collected in three separate forms: Personal Information Form, Perceived Stress Scale, and Pittsburgh Sleep Quality Index. One of the recommended classical Turkish music types (Rehavi or Nihavent) was applied to the pregnant women in the experimental group for at least 15 minutes once a day for three consecutive days while the control group was followed routinely. In the analysis of the obtained data, descriptive statistical calculations, the Student's t-test, the Mann-Whitney U test, the paired sample t-test, and the Wilcoxon test were used. It was determined that the socio-demographic and obstetric characteristics of the pregnant women in the experimental and control groups participating in our study were similar (p > 0.05). The pre-test perceived stress score of the experimental group in the experimental and control groups was that the control class was high (p < 0.05). The post-test perceived stress scores showed a significant difference according to the groups (p < 0.05). The control group's perceived stress score was determined to be high in the experimental class. Nevertheless, since the pre-test Pittsburgh Sleep Quality Index total score and sub-dimension scores did not differ in the experimental and control groups, they did not show a significant difference (p > 0.05). The post-test Pittsburgh Sleep Quality Index total score and sub-dimension scores (subjective sleep quality, sleep duration, sleep latency, sleep disturbance, daytime dysfunction) were significantly impaired, and it was determined that their sleep quality increased significantly (p < 0.05). There was no significant effect, only on the use of medication and the sleep performance sub-dimension offered for use. There was a permanent, significant, and positive (r=0.371, p<0.01) relationship between the experimental group's post-test Pittsburgh Sleep Quality Index and the post-test perceived stress. The stress of pregnant women ended when they stayed asleep. No relationship was found in the control group (p > 0.05). The research result: Classical Turkish music played to pregnant women with preeclampsia minimizes their stress and increases their sleep.
We conducted this randomized controlled study to investigate the impact of classical Turkish music on stress and sleep quality in pregnant women diagnosed with preeclampsia. The study was conducted with 124 preeclamptic pregnant women (62 experimental, 62 control group) registered at Tarsus State Hospital between May 2024 and November 2024. Data was collected in three separate forms: Personal Information Form, Perceived Stress Scale, and Pittsburgh Sleep Quality Index. One of the recommended classical Turkish music types (Rehavi or Nihavent) was applied to the pregnant women in the experimental group for at least 15 minutes once a day for three consecutive days while the control group was followed routinely. In the analysis of the obtained data, descriptive statistical calculations, the Student's t-test, the Mann-Whitney U test, the paired sample t-test, and the Wilcoxon test were used. It was determined that the socio-demographic and obstetric characteristics of the pregnant women in the experimental and control groups participating in our study were similar (p > 0.05). The pre-test perceived stress score of the experimental group in the experimental and control groups was that the control class was high (p < 0.05). The post-test perceived stress scores showed a significant difference according to the groups (p < 0.05). The control group's perceived stress score was determined to be high in the experimental class. Nevertheless, since the pre-test Pittsburgh Sleep Quality Index total score and sub-dimension scores did not differ in the experimental and control groups, they did not show a significant difference (p > 0.05). The post-test Pittsburgh Sleep Quality Index total score and sub-dimension scores (subjective sleep quality, sleep duration, sleep latency, sleep disturbance, daytime dysfunction) were significantly impaired, and it was determined that their sleep quality increased significantly (p < 0.05). There was no significant effect, only on the use of medication and the sleep performance sub-dimension offered for use. There was a permanent, significant, and positive (r=0.371, p<0.01) relationship between the experimental group's post-test Pittsburgh Sleep Quality Index and the post-test perceived stress. The stress of pregnant women ended when they stayed asleep. No relationship was found in the control group (p > 0.05). The research result: Classical Turkish music played to pregnant women with preeclampsia minimizes their stress and increases their sleep.
Açıklama
Anahtar Kelimeler
Ebelik, Midwifery
