使用匹兹堡睡眠质量指数比较糖尿病和非糖尿病人群的睡眠质量

Bilal Saeed, F. A. Siddiqi, Mehmood Hussain, Wasif Anwar, Sidra Riaz, Muhammad Saad Aziz
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摘要

背景介绍睡眠是影响生活质量和人体荷尔蒙平衡的重要因素。睡眠与糖尿病之间的关系是双向的。研究方法本研究采用病例对照设计,于 2022 年 6 月至 2022 年 11 月在白沙瓦联合军事医院内科进行。结果: 。研究对象的平均年龄为 51.1±12.94 岁,其中女性占 46%,男性占 54%。大多数人受过高等教育,体重指数在正常(18.5-24.9 kg/m2)范围内。糖尿病组和对照组的人口统计学数据没有差异。糖尿病组的平均 HbA1c 为 8.546% ± 1.57%,对照组为 5.712% ± 0.49%。根据 PSQI 问卷,研究人群中有 47 人(47%)睡眠良好,其中糖尿病组 50 人中有 17 人(34%)睡眠良好,对照组 50 人中有 30 人(60%)睡眠良好。两组之间的差异具有统计学意义,P 值为 0.007。糖尿病组和对照组的 PSQI 分数(分别为 9.40 ± 5.82 vs 5.98 ± 4.85)也有明显的统计学差异(p = 0.001)。与对照组相比,糖尿病患者睡眠质量差的几率是对照组的 2.9 倍(95% 置信区间 1.29-6.57,p = 0.01)。在糖尿病组中,大多数为受过高等教育的男性,口服降糖药和胰岛素的依从性中等,有 3 种或 3 种以上的合并症,其中高血压是最常见的单一合并症。结论通过严格控制糖尿病患者的血糖,我们可以提高他们的睡眠质量。 作为糖尿病自我管理教育计划的一部分,糖尿病教育工作者可以向患者建议改善睡眠卫生的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison Of Quality Of Sleep Between Diabetic And Non-Diabetic Population Using Pittsburgh Sleep Quality Index
Background: Sleep is an essential event that effects quality of life and hormonal balance in human body. The association between sleep and diabetes is bi-directional. Methods: This study was conducted with a case control design in the Department of Medicine of Combined Military Hospital Peshawar between June 2022 to November 2022. Results: . Mean age of study population was 51.1±12.94 years with 46% females and 54% males. Majority population was educated up to matriculation with BMI in normal (18.5-24.9 kg/m2) range. There was no statistical difference in demographic data amongst diabetic and control group . Avg HbA1c was 8.546% ± 1.57% in the diabetic group and 5.712% ± 0.49% in control group. As per PSQI questionnaire 47 (47%) participants were good sleeper across the study population, which included 17 out 50 (34%) individuals in the diabetic and 30 out of 50 (60%) in control group. This equated to statistically significant difference amongst two group with a p value 0.007. A statistically significant difference (p = 0.001) was also seen in PSQI score between diabetic and control groups (9.40 ± 5.82 vs 5.98 ± 4.85 respectively). Diabetics had 2.9 times odds (95% confidence interval 1.29-6.57, p = 0.01) of having bad quality sleep as compared to controls. In the diabetic group majority were males educated up to matriculate having medium adherence treated with both oral hypoglycemic drugs and insulin having 3 or more comorbid condition with hypertension being most prevalent single comorbid disease. Conclusion: By strict glycemic control in diabetics we can imove their quality of sleep Interventions to improve sleep hygiene can be suggested to patients by diabetes educators as part of diabetes self-management education programs.
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