Hemşirelik Öğrencilerinde Fizıksel Aktivite, Algılanan Stres ve Uyku Kalitesi Arasındaki İlişkinin İncelenmesi: Kesitsel ve Korelasyonel Bir Çalışma

Year 2024, Volume: 6 Issue: 1, 1 - 8, 30.03.2024

Dursun Alper Yılmaz , Güzel Nur Yıldız , Bahar Çiftçi , Özgür Yıldız

https://doi.org/10.56639/jsar.1410108

Abstract

Hemşirelik öğrencileri genellikle uyku kalitesiyle ilgili zorluklar yaşar ve bu da genel refahları ve akademik performansları üzerinde etkili olabilir. Bu çalışmanın amacı, hemşirelik son sınıf öğrencileri arasında fiziksel aktivite, algılanan stres ve uyku kalitesi arasındaki ilişkileri incelemektir. Çalışmada kesitsel ve korelasyonel bir tasarım kullanılmıştır. Çalışma, Eylül- Ekim 2021 tarihleri arasında, bir devlet hastanesinde uygulamalı eğitim gören son sınıf hemşirelik öğrencileri ile yürütülmüştür. Veriler, "Tanıtıcı Bilgi Formu", "Uluslararası Fiziksel Aktivite Anketi (Kısa)/(IPAQ)", "Algılanan Stres Ölçeği/(PSS)" ve "Pittsburgh Uyku Kalitesi İndeksi/(PSQI)" kullanılarak yüz yüze görüşme yoluyla toplanmıştır. 42 öğrenciden 40'ı çalışmaya katılmıştır. Verilerin analizinde frekans, yüzde, minimum ve maksimum puanlar, ortalama puanlar, standart sapma gibi tanımlayıcı istatistikler ve Pearson korelasyon testi kullanılmıştır. IPAQ kullanılarak değerlendirilen fiziksel aktivite puan ortalaması 1051,38±890,17 MET (metabolik eşdeğer), PSS puan ortalaması 27,88±8,72 ve PSQI puan ortalaması 14,10±2,38'dir. Korelasyon analizi, uyku kalitesi ile fiziksel aktivite düzeyleri arasında anlamlı bir pozitif korelasyon olduğunu ortaya koymuştur (p≤0.05). Ayrıca, uyku kalitesi ile algılanan stres düzeyi arasında pozitif ve orta düzeyde bir ilişki gözlenmiştir (p≤0.05). Bulgular, hemşirelik öğrencilerinin orta düzeyde fiziksel aktivite ve algılanan stres düzeyine sahip olduklarını ve uyku kalitelerinin oldukça düşük olduğunu göstermektedir.

Keywords

Algılanan stres, Fiziksel aktivite, Uyku kalitesi

Examination of the Relationship Between Physical Activity, Perceived Stress and Sleep Quality of Nursıng Students: A Cross-Sectional and Correlational Study

Abstract

Nursing students often experience challenges related to sleep quality, which can have implications for their overall well-being and academic performance. The aim of this study is to examine the relationships between physical activity, perceived stress, and sleep quality among senior nursing students. This study employed a cross-sectional and correlational design. The study was conducted between September and Ocober 2021, involving senior nursing students who were undergoing practical training in a state hospital. Data were collected through face-to-face interviews using the "Introductory Information Form," "International Physical Activity Questionnaire (Short)/IPAQ" "Perceived Stress Scale/PSS" and "Pittsburgh Sleep Quality Index/PSQI". Out of 42 students, 40 students participated in the study. Data analysis involved descriptive statistics such as frequency, percentage, minimum and maximum scores, mean scores, standard deviation, and Pearson correlation test. The mean score for physical activity assessed using the IPAQ was 1051.38±890.17 MET (metabolic equivalent), the average score on the PSS was 27.88±8.72, and the average score on the PSQI was 14.10±2.38. The correlation analysis revealed a significant positive correlation between sleep quality and physical activity levels (p≤0.05). Furthermore, a positive and moderate relationship was observed between sleep quality and perceived stress levels (p≤0.05). The findings indicate that nursing students have moderate levels of physical activity and perceived stress, and their sleep quality is considerably low.

Keywords

Perceived stress, Physical activity, Sleep quality

References

• Ağargün, M., Kara, H., & Anlar, O. (1996). The Validity And Reliability Of The Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry, 7(2), 107-115.
• Alhawatmeh, H. N., Rababa, M., Alfaqih, M., Albataineh, R., Hweidi, I., & Abu Awwad, A. (2022). The Benefits of Mindfulness Meditation on Trait Mindfulness, Perceived Stress, Cortisol, and C-Reactive Protein in Nursing Students: A Randomized Controlled Trial. Advances in Medical Education and Practice, 13, 47-58. doi:10.2147/amep.S348062
• Aloufi, M. A., Jarden, R. J., Gerdtz, M., & Kapp, S. (2021). Reducing Stress, Anxiety and Depression in Undergraduate Nursing Students: Systematic Review. Nurse Education Today, 102, 104877.
• Amaral, K. V., Galdino, M. J. Q., & Martins, J. T. (2021). Burnout, Daytime Sleepiness and Sleep Quality Among Technical-Level Nursing Students. Revista Latino-Americana de Enfermagem, 29.
• Anuar, T. N. A. T., Samsudin, N., Rasudin, N. S., & Zain, N. M. (2021). Knowledge and Compliance Regarding Standard Precautions among Nursing Students at Universiti Sains Malaysia. International Journal of Care Scholars, 4(1), 10-17.
• Baj-Korpak, J., Korpak, F., Shpakou, A., & Pauliuts, V. (2020). Study of Nursing Students Physical Activity Levels. Medical Science Pulse, 14(4), 11-17.
• Bayrakdar, A., Larion, A., Bayraktar, I., & Avci, P. (2022). The effects of esports on sleep: a systematic literature review. Ovidius University Annals, Physical Education and Sport/Science, Movement and Health Series, 22(2), 95-104.
• Blake, H., Stanulewicz, N., & Mcgill, F. (2017). Predictors of Physical Activity and Barriers To Exercise in Nursing and Medical Students. Journal of Advanced Nursing, 73(4), 917-929.
• Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A New Instrument For Psychiatric Practice and Research. Psychiatry Research, 28(2), 193-213.
• Cates, M. E., Clark, A., Woolley, T. W., & Saunders, A. (2015). Sleep Quality Among Pharmacy Students. American Journal of Pharmaceutical Education, 79(1).
• Chastin, S. F., Palarea-Albaladejo, J., Dontje, M. L., & Skelton, D. A. (2015). Combined Effects of Time Spent in Physical Activity, Sedentary Behaviors and Sleep on Obesity and Cardio-Metabolic Health Markers: A Novel Compositional Data Analysis Approach. PloS one, 10(10), e0139984.
• Chen, T.-Y., Chou, Y.-C., Tzeng, N.-S., Chang, H.-A., Kuo, S.-C., Pan, P.-Y., . . . Mao, W.-C. (2015). Effects of A Selective Educational System on Fatigue, Sleep Problems, Daytime Sleepiness, and Depression Among Senior High School Adolescents in Taiwan. Neuropsychiatric Disease and Treatment, 11, 741-750.
• Chiang, S. L., Chiang, L. C., Tzeng, W. C., Lee, M. S., Fang, C. C., Lin, C. H., & Lin, C. H. (2022). Impact of Rotating Shifts on Lifestyle Patterns and Perceived Stress Among Nurses: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19(9), 5235.
• Chidiebere Okechukwu, E., Tibaldi, L., & La Torre, G. (2020). The Impact Of COVID-19 Pandemic on Mental Health of Nurses. Clin Ter, 171(5), e399-e400.
• Chong, K. E., & Shorey, S. (2022). Barriers in Adopting Health-Promoting Behaviours Among Nurses: A Qualitative Systematic Review and Meta-Synthesis. International Journal of Nursing Practice,, 28(1), e13030. doi:10.1111/ijn.13030
• Clarke, A., & Hober, C. (2020). Effects of Physical Activity in Bachelorette Nursing Students With Stress. SACAD: John Heinrichs Scholarly and Creative Activity Days, 15.
• Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, 24(4), 385–396.
• Conoglu, G., Orgun, F., & Ozkutuk, N. (2022). Hemşirelik Eğitiminde Eğitim Programı Değerlendirme Çalışmaları: Sistematik Derleme. Izmir Democracy University Health Sciences Journal, 5(2), 285-303.
• Cornine, A. (2020). Reducing Nursing Student Anxiety in The Clinical Setting: An İntegrative Review. Nurs Educ Perspect, 41(4), 229-234.
• Cox, S. D., Benoit, J. S., Brohard, C. L., & McIntyre, T. M. (2022). Evaluation of Sleep Quality Among Nursing Faculty: Application of The Pittsburgh Sleep Quality Index-A Descriptive Correlational Study. Nurs Open, 9(1), 339-348.
• Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., . . . Sallis, J. F. (2003). International Physical Activity Questionnaire: 12-Country Reliability and Validity. Medicine & Science in Sports & Exercise, 35(8), 1381-1395.
• Ekenler, G., & Altınel, B. (2021). Investigation of the Relationship Between Sleep Quality and Academic Achievement in Nursing Students. Online Turkish Journal of Health Sciences, 6(4), 581-588.
• Ersin, F., & Kartal, M. (2020). The Determination of The Perceived Stress Levels and Health-Protective Behaviors of Nursing Students During The COVID-19 Pandemic. Perspectives in Psychiatric Care, 57(2), 929–935.
• Eskin, M., Harlak, H., Demirkıran, F., & Dereboy, Ç. (2013). The Adaptation of The Perceived Stress Scale İnto Turkish: A Reliability and Validity Analysis. New/Yeni Symposium Journal, 51(3), 132-140.
• Faraj, T. A. (2022). Stress levels regarding COVID-19 Pandemic Among Nursing Students at University of Sulaimani, Kurdistan Region, IRAQ. Wiadomości Lekarskie, 75(4), 809-813.
• Ghosh, T., Sarkar, D., Sarkar, K., Dalai, C. K., & Ghosal, A. (2021). A Study on Smartphone Addiction and Its Effects on Sleep Quality Among Nursing Students in A Municipality Town Of West Bengal. Journal of Family Medicine and Primary Care, 10(1), 378.
• Jijun, W., Xian, S., Fei, C., Yuanjie, D., Dechun, C., & Xingcao, J. (2020). Investigation on Sleep Quality of First Line Nurses in Fighting Against Novel Coronavirus Pneumonia and Its Influencing Factors. Nurs Res China, 34(7), 558-562.
• Kadıoğlu Ulaş, B., Uncu, F., Nazik, F., & Sönmez, M. (2015). Fat phobia and Physical Activity Levels of Students from Two Universities. Adıyaman University Journal of Health Sciences, 1(2), 77-86.
• Kalaitzaki, A., Tsouvelas, G., & Koukouli, S. (2021). Social Capital, Social Support and Perceived Stress in College Students: The Role of Resilience ad Life Satisfaction. Stress and Health, 37(3), 454-465.
• Knowlden, A. P., Burns, M., Harcrow, A., & Shewmake, M. E. (2016). Cross-Sectional Analysis of Food Choice Frequency, Sleep Confounding Beverages, and Psychological Distress Predictors of Sleep Quality. International Journal of Adolescent Medicine and Health, 30(1), https://doi.org/10.1515/ijamh-2015-0120
• Ma, H., Zou, J. M., Zhong, Y., Li, J., & He, J. Q. (2022). Perceived Stress, Coping Style and Burnout of Chinese Nursing Students in Late-Stage Clinical Practice: A Cross-Sectional Study. Nurse Education in Practice, 62, 103385.
• Morris, J., Firkins, A., Millings, A., Mohr, C., Redford, P., & Rowe, A. (2016). Internet-Delivered Cognitive Behavior Therapy For Anxiety and İnsomnia in A Higher Education Context. Anxiety, Stress, & Coping, 29(4), 415-431.
• Mothes, H., Klaperski, S., Seelig, H., Schmidt, S., & Fuchs, R. (2014). Regular Aerobic Exercise Increases Dispositional Mindfulness in Men: A Randomized Controlled Trial. Mental Health and Physical Activity, 7(2), 111-119.
• Nelson, K. L., Davis, J. E., & Corbett, C. F. (2022). Sleep Quality: An Evolutionary Concept Analysis. Nurs Forum, 57(1), 144-151.
• Onieva-Zafra, M. D., Fernández-Muñoz, J. J., Fernández-Martínez, E., García-Sánchez, F. J., Abreu-Sánchez, A., & Parra-Fernández, M. L. (2020). Anxiety, Perceived Stress and Coping Strategies in Nursing Students: A Cross-Sectional, Correlational, Descriptive Study. BMC Medical Education, 20(1), 1-9.
• Pancani, L., Marinucci, M., Aureli, N., & Riva, P. (2021). Forced Social Isolation and Mental Health: A Study on 1,006 Italians Under COVID-19 Lockdown. Frontiers in Psychology, 12, 1540.
• Perera, T., Dissanayake, D., & Harshangani, S. (2021). Impact of Physical Activity on Mental Well-Being of Nursing Students at International Institute of Health Sciences. Proceedings of the Research Conference in Health Sciences 2021 - FAHS, USJ.
• Priano, S. M., Hong, O. S., & Chen, J. L. (2018). Lifestyles and Health-Related Outcomes of U.S. Hospital Nurses: A Systematic Review. Nurs Outlook, 66(1), 66-76. doi:10.1016/j.outlook.2017.08.013
• Saat, N., Hanawi, S., Chan, K., Hanafiah, H., Teh, S., Aznan, S., . . . Zulkefli, Z. (2020). Sleep Quality Among University Students: Associations Between Demographic Factors and Physical Activity Level. International Journal of Pharmaceutical Research & Allied Sciences, 9(3). 57-65.
• Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International Physical Activity Questionnaire: Reliability and Validity of The Turkish Version. Perceptual and Motor Skills, 111(1), 278-284.
• Sejbuk, M., Mirończuk-Chodakowska, I., & Witkowska, A. M. (2022). Sleep Quality: A Narrative Review on Nutrition, Stimulants, and Physical Activity As İmportant Factors. Nutrients, 14(9). doi:10.3390/nu14091912
• Sheroun, D., Wankhar, D. D., Devrani, A., Lissamma, P., & Chatterjee, K. (2020). A Study To Assess The Perceived Stress and Coping Strategies Among B. Sc. Nursing Students of Selected Colleges in Pune During COVID-19 Pandemic Lockdown. International Journal of Science and Healthcare Research, 5(2), 280-288.
• Stanton, R., Best, T., Williams, S., Vandelanotte, C., Irwin, C., Heidke, P., . . . Khalesi, S. (2021). Associations Between Health Behaviors and Mental Health in Australian Nursing Students. Nurse Education in Practice, 53, 103084.
• Weon, H. W., Son, H. K., & Ko, S. (2021). Effects of Circadian Rhythm, Daytime Sleepiness, Sleep Quality, Stress Resistance on Eating Attitudes in Nursing Students. Journal of the Korean Society of School Health, 34(2), 107-114.
• Yildirim-Hamurcu, S., & Terzioglu, F. (2022). Nursing Students' Perceived Stress: Interaction With Emotional İntelligence and Self-Leadership. Perspect Psychiatr Care, 58(4), 1381-1387. doi:10.1111/ppc.12940
• Yilmaz, D. A. (2021). Sedanter Davranış ve Bilişsel Fonksiyon. Maltepe Tıp Dergisi, 13(2), 74-81. doi:10.35514/mtd.2021.52
• Yilmaz, D. A. (2022). Teknoloji: Fiziksel Aktivitenin Teşvikinde Yeni Bir Adım. Kafkas Üniversitesi Spor Bilimleri Dergisi, 2(2), 11-28.
• Zhang, Y., Chernaik, M., & Hallet, K. (2017). Relationship Issues Among College Nursing Students: Associations With Stress, Coping, Sleep, and Mental Disorders. Teaching and Learning in Nursing, 12(4), 246-252.