基于韩国社区健康调查的糖尿病管理依从性与睡眠质量差之间的关系

IF 2.1 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Horim A Hwang, Hyunsuk Jeong, Hyeon Woo Yim
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引用次数: 0

摘要

目的:坚持管理指南,包括常规随访和教育,是有效管理糖尿病等慢性疾病的关键。不受控制的糖尿病与睡眠质量差有关。我们使用来自韩国社区居民的具有全国代表性的数据来调查不遵守糖尿病管理与睡眠质量差之间的潜在关联。方法:在2018年韩国社区健康调查的228,340名参与者中,我们分析了68,246名年龄在65岁及以上的参与者的数据。根据他们的糖尿病状况、对糖尿病相关检查(糖化血红蛋白、眼底检查和尿微量白蛋白尿)的依从性和管理教育,研究参与者被分为3组:无糖尿病、依从性和非依从性。结果变量包括整体睡眠质量差和睡眠障碍,由匹兹堡睡眠质量指数衡量。结果:依从组934人(2.0%),非依从组13420人(20.2%)。表现出不依从性的参与者更有可能报告整体睡眠质量差(调整优势比[aOR], 1.09;95%可信区间[CI], 1.04至1.13),与未患糖尿病的参与者相比,睡眠破碎、夜尿、睡眠疼痛和入睡困难。即使在糖尿病的早期阶段,非依从性参与者也更有可能报告睡眠质量差(aOR, 1.06;95% CI, 1.001 ~ 1.18)。结论:不遵循管理指南的糖尿病患者比非糖尿病患者更容易出现睡眠质量差的情况。强调糖尿病管理和提高管理策略的意识可以改善糖尿病患者的睡眠质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey.

Objectives: Adhering to management guidelines, including routine follow-up and education, is crucial for the effective management of chronic diseases such as diabetes. Uncontrolled diabetes is linked to poor sleep quality. We used nationally representative data from community-dwelling Koreans to investigate potential associations between non-adherence to diabetes management and poor sleep quality.

Methods: Of the 228 340 participants in the 2018 Korea Community Health Survey, we analyzed data from 68 246 participants aged 65 years and older. Based on their diabetes status and adherence to diabetes-related tests (glycated hemoglobin, fundus examination, and urine microalbuminuria) and management education, study participants were divided into 3 groups: no diabetes, adherence, and non-adherence. Outcome variables included poor overall sleep quality and sleep disturbances, as measured by the Pittsburgh Sleep Quality Index.

Results: The study included 934 participants in the adherence group (2.0%) and 13 420 in the non-adherence group (20.2%). Participants displaying non-adherence were significantly more likely to report poor overall sleep quality (adjusted odds ratio [aOR], 1.09; 95% confidence interval [CI], 1.04 to 1.13) and to experience sleep fragmentation, nocturia, pain during sleep, and difficulty falling asleep compared to participants without diabetes. Even in the earlier stage of diabetes, non-adherent participants were more likely to report poor sleep quality (aOR, 1.06; 95% CI, 1.00 to 1.18).

Conclusions: Patients with diabetes who do not follow management guidelines are more likely to experience poor sleep quality than those without diabetes. Emphasizing diabetes management and increasing awareness of management strategies may improve sleep quality among patients with this disease.

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来源期刊
Journal of Preventive Medicine and Public Health
Journal of Preventive Medicine and Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.40
自引率
0.00%
发文量
60
审稿时长
8 weeks
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