Evaluation of the effect of febrile seizures on sleep quality in patients and caregivers

In this study, the sleep quality of caregivers of children 3 month-6 aged with febrile seizures was examined. In the study, a survey was conducted on patients between the ages of 1 month and 6 years who applied to Balıkesir University Hospital Child Health and Diseases Polyclinics with the complaint of febrile seizures and their mothers. The data collection tool consisted of a personal information form, Pittsburg Sleep Quality Index-PSQI, Beck Depression Inventory-BDI, Child Sleep Habits Questionnaire-CUAA, State and Trait Anxiety Scale-STAI and Quality of Life Scale-SF36. According to the results, birth order was statistically significantly higher in the patient group (p=0.046). Although state anxiety was higher in caregivers of children with febrile seizures, these differences were not statistically significant (p=0.097). Trait anxiety level was statistically significantly higher in caregivers of children with febrile seizures (p=0.002). The differences between the sleep quality (p=0.968), depression (p=0.552), child sleep habits (p=0.269) and quality of life (p=0.781) levels of the patient group and the control group were not statistically significant. In the patient group, there was a statistically significant relationship between state anxiety and quality of life energy (r=-0.407; p=0.006), mental health (r=-0.319; p=0.037) and total scores (r=-0.585; p=0.014). There were statistically significant relationships between trait anxiety and general health (r=-0.412; p=0.006), energy (r=-0.503; p=0.001), mental health (r=-0.497; p=0.001) and total scores (r=-0.566; p=0.018) of life quality. There was a statistically significant relationship between scores of PSQI scores with physical role limitations (r=0.356; p=0.036), pain (r=0.600; p=0.001), emotional role limitations (r=0.386; p=0.0017), energy (r=-0.493; pp=0.002), mental health (r=-0.395; p=0.014) and social function (r=-0.409; p=0.011). The differences between CUAA scores and all dimension scores and total scores of quality of life were not statistically significant (p=0.944). In the patient group, depression level and SF36 quality of life were related to physical function (r=-0.490; p=0.024), physical role limitations (r=0.381; p=0.012), pain (r=0.357; p=0.013), energy (r=-0.654; p=0.001), mental health (r=-0.569; p=0.001), social function (r=-0.368; p=0.011) and total (r=-0.499; p=0.030) scores. The relationships between febrile convulsion and PSQI (p=0.968), childhood sleep habits (p=0.272), state anxiety (p=0.230), depression (p=0.555) and quality of life (p=0.859) were not statistically significant. However, there was a statistically significant and positive relationship between febrile convulsion and trait anxiety (r=0.304; p=0.005). There was a statistically significant relationship between PSQI and state anxiety (r=0.362; p=0.030) and depression (r=0.580; p=0.001) in the patient group. According to the Generalized Linear Model (Logit) results, the effect of depression level on PSQI in the patient group was statistically significant (B=0.645; p=0.001). We see that children's febrile seizures have an impact on caregivers' sleep patterns and quality.As a result, although febrile seizures constantly increase anxiety in caregivers, they do not directly affect sleep quality in the short term. However, in the long term, it can be stated that it has an effect on sleep quality through constant anxiety