评估糖尿病和/或高血压患者的睡眠质量及其决定因素：一项横断面研究

IF 2.9 Q3 NEUROSCIENCES

IBRO Neuroscience Reports Pub Date : 2025-06-21 DOI:10.1016/j.ibneur.2025.06.015

John Dogah , Ansumana Bockarie , Eric Kwame Kunkah , Adwoa Abrafi Boampong , George Nkrumah Osei , Kwasi Baffour Gyimah , Stephen Teye , Esther Marfo , David Mawutor Donkor , David Larbi Simpong

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引用次数: 0

摘要

睡眠困难是很常见的，尤其是在患有糖尿病和高血压等慢性疾病的人群中，这严重影响了健康和生存。本研究评估了糖尿病和/或高血压患者的睡眠质量和与睡眠质量差相关的因素。方法在曼邦政府医院进行横断面研究。社会人口统计和生活方式数据，包括年龄、性别、职业、婚姻状况、饮酒和体育活动水平，通过结构化问卷收集。采用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，数据分析采用卡方检验和IBM SPSS 27版二元逻辑回归。结果该研究包括201名参与者，结果表明41.3% %的人睡眠不佳。睡眠不足在糖尿病和高血压患者中最为普遍，88名参与者中有37人受到影响。对PSQI成分的分析表明，参与者在主观睡眠质量、睡眠潜伏期和睡眠障碍方面的得分一直在1分以上，反映出相当大的睡眠挑战。已婚参与者表现出更高的睡眠不良患病率（55.4% %），而那些参与轻度体育锻炼的人报告的睡眠不良患病率最高（69.9% %）。睡眠质量差与婚姻状况、受教育程度和体力活动强度显著相关。在同时患有糖尿病和高血压的参与者中，41-60岁的人睡眠质量差的几率明显高于20-40岁的人（aOR = 10.584, p = 0.043,95 % CI: 1.081-103.592）。结论糖尿病合并高血压患者普遍存在睡眠质量差的问题。研究结果强调了将睡眠质量评估纳入慢性病管理的重要性，以支持整体健康和福祉。

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Evaluation of sleep quality and its determinants among individuals with diabetes mellitus and/or hypertension: A cross-sectional study

Background

Sleep difficulties are common, especially among people with chronic illnesses like diabetes mellitus and hypertension, which significantly impact health and survival. This study assessed sleep quality and factors associated with poor sleep quality in individuals with diabetes mellitus (DM) and/or hypertension.

Methods

A cross-sectional study was conducted at Mampong Government Hospital. Socio-demographic and lifestyle data, including age, sex, occupation, marital status, alcohol consumption, and physical activity levels, were collected via a structured questionnaire. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and data analysis was performed using Chi-square tests and binary logistic regression with IBM SPSS version 27.

Results

The study included 201 participants, with findings indicating that 41.3 % experienced poor sleep. Poor sleep was most prevalent among individuals with both DM and hypertension, affecting 37 out of 88 participants. Analysis of the PSQI components indicated that participants consistently scored above 1 in subjective sleep quality, sleep latency, and sleep disturbance, reflecting considerable sleep challenge. Married participants showed a higher prevalence of poor sleep (55.4 %), while those involved in mild physical activity reported the highest prevalence of poor sleep (69.9 %). Poor sleep was significantly associated with marital status, education level, and intensity of physical activity. Among participants with both diabetes mellitus and hypertension, those aged 41–60 had significantly higher odds of poor sleep compared to those aged 20–40 (aOR = 10.584, p = 0.043, 95 % CI: 1.081–103.592).

Conclusion

Poor sleep is common among individuals with diabetes mellitus and hypertension. The findings reinforce the importance of integrating sleep quality assessments into the management of chronic conditions to support overall health and well-being.

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