Öz

Amaç: Bu çalışmanın amacı, pencerenin yoğun bakım hastalarının deliryumu, sedasyonu ve uyku kalitesi üzerindeki etkisini değerlendirmektir.

Gereç ve Yöntem: Bu prospektif çalışma, Nisan-Eylül 2023 tarihleri arasında anestezi yoğun bakım ünitelerine yatırılan 140 hasta ile yürütülmüştür. Veri toplama araçları arasında hasta bilgi formu, Ağrı İçin Görsel Analog Skala, Deliryum Tarama Skalası, RAMSAY Sedasyon Skalası ve Richards-Campbell Uyku Anketi yer almıştır. Çoklu doğrusal regresyon analizi kullanılmıştır.

Bulgular: Hastaların 72. saatte yapılan değerlendirmesinde, gece ortaya çıkan deliryumun en önemli yordayıcıları ajitasyon (β=0,40), tedaviye uyumsuzluk (β=0,26) ve antipsikotik kullanımı (β= 0,14) olarak belirlenmiştir (p<,05). Gündüz görülen deliryumun yordayıcıları ise ajitasyon (β=0,41) ve tedaviye uyumsuzluktur (β=0,26, p<,05). Yedinci gün yapılan değerlendirmede, gece deliryumunun yordayıcıları tedaviye uyumsuzluk (β=0,28), yaş (β= –0,26), cinsiyet (β=–0,22) ve sedatif kullanımı (β=0,18) olarak saptanmıştır (p<,05). Gündüz görülen deliryumunun yordayıcıları ise yaş (β=–0,25) ve cinsiyettir (β=–0,19, p<,05).

Sonuç: Odada pencere olması deliryum ve sedasyonun önemli bir yordayıcısı değildir, ancak uyku kalitesi için önemlidir. Uyku kalitesi ve sedasyon birbirlerinin önemli yordayıcılarıdır. Yoğun bakım sağlık profesyonelleri, hastalarda deliryum, uyku sorunları ve sedasyon kullanımının sıklığını azaltmak için psikososyal müdahaleler planlamalı ve uygulamalıdır.

Anahtar Kelimeler: deliryum, uyku, anestezi, yoğun bakım, prospektif çalışmalar

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Bulut A, Bahadır Yılmaz E. Pencerenin yoğun bakım hastalarının deliryumu, sedasyonu ve uyku kalitesi üzerindeki etkisi: prospektif bir çalışma. Turk J Intensive Care. 2025;23(4):268-282. https://doi.org/10.63729/TJIC.2025.672