Latent class analysis for quality of life status, sleep quality and anxiety in patients with type 2 diabetes.

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Roya Farokhi, Farzaneh Rezaei, Sima Afrashteh, Davoud Adham, Somaieh Matin, Nategh Abbasgholizadeh, Abbas Abbasi-Ghahramanloo
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Abstract

Introduction: Type 2 diabetes (T2D) is a chronic metabolic disorder that is associated with reduced sleep quality and anxiety, and can cause a decrease in quality of life in these patients. Despite previous studies investigating these factors, few studies have examined their co-occurrence in these patients. To address this research gap, the present study aimed to determine the subgroups of patients with type 2 diabetes based on quality of life, sleep quality, and anxiety in the subgroups of using latent class analysis (LCA).

Methods: This cross-sectional study was conducted using multistage random sampling. A total of 308 patients with type 2 diabetes were randomly selected from health centers in Ardabil. All participants completed four sets of checklists and questionnaires, (Demographic characteristics, 12-item Short Form survey, the Pittsburgh Sleep Quality Index and Generalized Anxiety Disorder 7-item). Data analysis was performed using Analysis of Variance (ANOVA), chi square and latent class analysis.

Results: Three latent classes were identified: The first class (good status) included 56.4% of the participants. Also, the second (moderate status) and third (poor status) classes described 16.5% and 27.1% of the participants, respectively. In latent class 1, the probability of having good quality of life and good sleep quality was higher. In latent class 2, the probability of having moderate quality of life and poor sleep quality was higher. However, these patients revealed no anxiety. Those with third latent class membership were more likely to have moderate quality of life, poor sleep quality, and severe anxiety.

Conclusion: This study showed that sleep quality and anxiety is positively related to quality of life in patients with type 2 diabetes. In addition, this study indicated the co-occurrence of sleep quality and anxiety in these patients. Based on these findings, effective and targeted interventions can be designed to improve the health status and quality of life of these patients, taking into account sleep quality and anxiety.

2型糖尿病患者生活质量状况、睡眠质量和焦虑的潜在类分析。
2型糖尿病(T2D)是一种慢性代谢紊乱,与睡眠质量下降和焦虑有关,并可导致这些患者的生活质量下降。尽管以前的研究调查了这些因素,但很少有研究调查了这些患者的共同发病情况。为了解决这一研究空白,本研究旨在利用潜在分类分析(LCA)确定2型糖尿病患者的生活质量、睡眠质量和焦虑亚组。方法:采用多阶段随机抽样的横断面研究方法。从阿达比尔的健康中心随机抽取了308名2型糖尿病患者。所有参与者都完成了四套核对表和问卷调查(人口特征,12项简短形式调查,匹兹堡睡眠质量指数和广泛性焦虑障碍7项)。数据分析采用方差分析(ANOVA)、卡方分析和潜在类分析。结果:确定了三个潜在类别:第一类(良好状态)包括56.4%的参与者。此外,第二类(中等状态)和第三类(较差状态)分别描述了16.5%和27.1%的参与者。在潜在1类中,拥有良好生活质量和良好睡眠质量的概率更高。在潜在类别2中,生活质量中等和睡眠质量差的概率更高。然而,这些患者没有表现出焦虑。那些第三类潜在成员更有可能生活质量中等,睡眠质量差,严重焦虑。结论:本研究表明,睡眠质量和焦虑与2型糖尿病患者的生活质量呈正相关。此外,本研究表明这些患者的睡眠质量与焦虑共存。基于这些发现,可以设计有效和有针对性的干预措施,以改善这些患者的健康状况和生活质量,同时考虑到睡眠质量和焦虑。
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来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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