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The Relations of Diabetes Control, Disease Adaptation , Sleep Hygiene and Sleep Quality in Type 2 Diabetic Patients.
一、 睡眠品質平均得分7.80±2.97分，其中睡眠品質不佳（PSQI > 5）
Purpose: To assess the association of sleep quality with the demographics, glycemic control, disease adaptation, and sleep hygiene in persons with type 2 diabetes. Method: A total of 304 type 2 diabetics from a medical center in north Taiwan participated in this cross- sectional study. A structural questionnaire was designed to collect the information . Results: 1. The mean PSQI score was 7.80±2.97, and 77.0% were poor sleepers (PSQI>5). The leading causes to disturb night sleep were “nocturia”, “difficulty in falling asleep after waking up”, and “cough or snoring”. The global sleep efficiency was 83.3%±13.4 and 38.8% with sleep efficiency less than 85%. The rate of difficulty in falling asleep after waking up in mid-night or early morning was 1.87±1.14 times per week. Mean sleep incubation time was 18.81±16.78 minutes and 9.9% of them with incubation time more than 30 minutes. The average sleeping hours in night time were 6.21±1.20 hours and 30.6% slept less than 6 hours at night. Only 13.8% of the participants took hypnotics. But very poor sleep quality was felt subjectively by 4.3% of them and poor sleep quality by 13.8%. 2. There was no correlation between hyperglycemia, hypertension, hyperlipidemia control and sleep quality. Female had poorer sleep quality than male. Retirees had poorer sleep quality than workers. Sleep quality was poorer in economic support from both self and others than from oneself only. Patients who slept alone had poorer quality than those slept with wife. In patients with hypoglycemic episodes more than two times a month had poorer sleep quality than those with no or just one episode of hypoglycemia. Sleep quality was poorer in those with poor disease adaptation or poor sleep hygiene. 3. All of the variants of disease adaptation were closely correlated with sleep quality, especially “worried, scared”, followed by “nervous, anxiety” and “sad, depression”. In variants of sleep hygiene, the most correlated one was “worried about poor sleep before sleep”, followed by “unpleasant bedding” and“unpleasant bedroom temperature”. 4. Sex, age, occupation, hypoglycemia, scores of disease adaptation and scores of sleep hygiene can predict significantly night time sleep quality. The total variance was 26.7% and the most significant one was “scores of disease adaptation”. Conclusion: Female, retired, emotion of“worried, scared”,“nervous, anxiety”,“sad, depression” and frequent hypoglycemic diabetic patients are high risk groups of sleep disorder. In the future, we can help these patients by promoting relevant educational activities or transferring them to sleep center.
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