TIP FAKÜLTESİ 6. SINIF ÖĞRENCİLERİN ACİL TIP STAJI ÖNCESİ VE SONRASI UYKU ANALİZİ

Authors : İbrahim Halil Yasak, Ramazan Giden, Cansu Doğan, Hüseyin Gürbüz, Mustafa Yılmaz

Pages : 318-323

Doi:10.24938/kutfd.1702971

View : 112 | Download : 143

Publication Date : 2025-12-25

Article Type : Research Paper

Abstract :Objective: This study aims to examine the changes in sleep patterns experienced by intern doctors in their final year of medical training during their emergency department internship and to evaluate these changes using the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Material and Methods: This prospective study included 78 intern doctors who participated in the emergency medicine internship at our Faculty during the 2024-2025 academic year. Participants completed the PSQI and ESS questionnaires at two time points: at the beginning and end of the internship. Participants with psychiatric diagnoses, medication use, or use of sleep aids that could affect sleep patterns were excluded from the study. Data were analyzed using SPSS 26 software, with the Wilcoxon signed-rank test used for non-parametric distributions, and the Mann-Whitney U and Kruskal-Wallis tests used for intergroup comparisons. A p-value of <0.05 was considered statistically significant. Results: Male participants comprised 53.8% of the study population. Significant increases were observed in both PSQI and ESS scores following the emergency medicine rotation (p<0.001 for PSQI; p=0.003 for ESS). When analyzed by gender, female interns showed more pronounced deterioration in sleep quality compared to males after the rotation (PSQI p=0.023; ESS p=0.024). Regarding lifestyle factors, individuals living with family demonstrated higher sleep disturbances compared to those living alone (PSQI p=0.017; ESS p=0.018). In the general analysis, there was no statistically significant effect of cigarette and alcohol use on sleep parameters. An increase in PSQI and ESS scores was found to be significantly associated with caffeine consumption. There was a significant deterioration in the daytime dysfunction subcomponent of PSQI between pre- and post-internship values (p=0.002). Conclusion: The emergency department rotation was associated with negative effects on intern doctors\\\' sleep quality and daytime alertness levels. These observed effects are significant for both individual health and clinical decision-making processes. It is recommended that educational institutions develop sleep health support programs, taking into account sleep hygiene deterioration during rotation periods.
Keywords : Acil tıp, tıp fakültesi öğrencileri, Pittsburgh uyku kalitesi indeksi, Epworth uykululuk ölçeği

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