CEZAEVİNDE KALAN TUTUKLU VE HÜKÜMLÜLERDE UYKU KALİTESİNİ ETKİLEYEN FAKTÖRLER

Year 2024, Volume: 18 Issue: 2, 196 - 203, 28.05.2024

Nurettin Bulut , Özge Tuncer

https://doi.org/10.21763/tjfmpc.1432496

Abstract

Amaç: Bu çalışmada, bir ceza infaz kurumunda kalan tutuklu ve hükümlülerin, depresyon ve uyku kalitesi durumları ve uyku kalitesini etkileyen parametrelerin belirlenmesi amaçlanmıştır.
Yöntem: Kesitsel tipte olan bu araştırma, aile hekimliği birimi sorumluluk alanında olan Bergama M Tipi Kapalı Ceza İnfaz Kurumu’nda Ocak 2022- Mart 2022 tarihleri arasında gerçekleştirilmiştir. Katılımcılara sosyodemografik özelikleri ile ilgili anket, Beck Depresyon Ölçeği (BDÖ) ve Pittsburgh Uyku Kalite İndeksi (PUKİ) uygulanmıştır.
Bulgular: Bu çalışmada, 75’i (%21,2) tutuklu, 278’i (%78,8) hükümlü olan toplam 353 erkek katılımcının sonuçları değerlendirilmiştir. Kişilerin yaş ortalaması 38,16 ± 11,36 yıldır. Kişilerin %36,5’i evli ve %9,1’i üniversite mezunudur. Kişilerin %52,4’ü ceza infaz kurumuna girmeden önce alkol kullandığını, %70’i sigara içtiğini, %20,4’ü madde kullandığını belirtmiştir. Katılımcıların %36’sında en az bir kronik hastalık vardır. Kişilerin %22,7’si daha önce psikolojik destek aldığını ifade etmiştir. En sık tutukluluk / hükümlülük nedenleri %24,6 cinayet, %21,5 hırsızlık/gasp ve %17,8 uyuşturucu ticaretidir. Kişilerin BDÖ puan ortalaması 16,03±13,73, toplam PUKİ puan ortalaması 7,44±4,43’dür. Katılımcıların %39,4’ünün depresyon semptomu yaşadığı, %58,1’inin ise uyku kalitesinin kötü olduğu belirlenmiştir. Katılımcıların tutuklu olması (OR: 2,165 [1,177 - 3,981], p = 0,013), madde kullanım öyküsü olması (OR: 2,155 [1,117 - 4,160], p = 0,022), psikolojik destek alması (OR: 2,710 [1,414 - 5,197], p = 0,003) ve depresyon semptomu varlığının (OR: 3,602 [2,150 - 6,033], p<0,001) diğer değişkenlerden bağımsız olarak uyku kalitesinin kötü olması açısından risk faktörleri olduğu belirlenmiştir
Sonuç: Ceza infaz kurumunda kalan her 5 suçludan yaklaşık 2’sinde depresyon semptomu olduğu, yaklaşık 3’ünde ise uyku kalitesinin kötü olduğu belirlenmiştir. Katılımcıların tutuklu olması, psikolojik destek alması, madde kullanım öyküsü ve depresyonun olması uyku kalitesini olumsuz etkilediği görülmüştür.

Keywords

Hapishaneler, depresyon, uyku uyanıklık bozukluğu

FACTORS AFFECTING SLEEP QUALITY IN PRISONED MEN

Abstract

Aim: In this study, it was aimed to determine the depression and sleep quality status of prisoners and convicts in a prison and the parameters affecting sleep quality.
Methods: This cross-sectional study was carried out in Bergama M Type Closed Prison, which is under the responsibility of our Family Medicine Unit, between January 2022 and March 2022. Sociodemographic characteristics of the participants, Beck Depression Scale (BDI) and Pittsburgh Sleep Quality Index (PSQI) scores were recorded.
Results: In this study, the results of a total of 353 male participants, 75 (21.2%) of whom were imprisoned and 278 (78.8%) were convicted, were evaluated. The mean age of the subjects was 38.16 ± 11.36 years. Thirty-six point five percent of the individuals were married and 9.1% were university graduates. Fifty-two point four percent of the individuals stated that they used alcohol before being imprisoned, 70% smoked, and 20.4% used substance. Thirty-six percent of the participants had at least one chronic disease. Twenty-two point seven percent of the individuals stated that they had received psychological support before. The most common reasons for detention/conviction were 24.6% murder, 21.5% theft/extortion and 17.8% drug dealing. The mean BDI score of the individuals was 16.0±13.73, and the mean total PSQI score was 7.4±4.43. It was determined that 39.4% of the participants experienced depression symptoms and 58.1% had poor sleep quality. Being detained (OR: 2.165 [1.177 - 3.981], p = 0.013), having a history of substance use (OR: 2.155 [1.117 - 4.160], p = 0.022), receiving psychological support (OR: 2.710 [1.414 - 5.197]), p = 0.003) and the presence of depression symptoms (OR: 3,602 [2,150 - 6,033], p<0.001) were found to be risk factors for poor sleep quality, independent of other variables.
Conclusion: It was determined that about 2 out of every 5 criminals in prison had symptoms of depression, and about 3 of them had poor sleep quality. It was observed that being detained, substance abuse history, receiving psychological support and depression negatively affected sleep quality.

Keywords

Prisons, depression, sleep wake disorders

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