Khosravan Shahla, Alami Ali, Golchin Rahni Somayyeh
Department of Community and Mental Health, School of Nursing and Midwifery; Social Determinants of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran;
Department of Health, School of Public Health; Social Determinants of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran;
Int J Community Based Nurs Midwifery. 2015 Apr;3(2):96-104.
Sleep is an important aspect of healthy lifestyle. One of the prevalent Diabetes mellitus-related non-vascular complications is sleep problems. The aim of this study was to investigate the effects of a non-pharmacological care plan designed based on the Continuous Care Model (CCM) on sleep quality in patients with type II diabetes with two month follow up.
This randomized controlled clinical trial was conducted from May to November 2012 among 68 the patients with type II DM referring to the Diabetes Clinic of Gonabad University of Medical Sciences. The study instrument consisted of a self-report demographic questionnaire and the Pittsburgh Sleep Quality Index. The gathered data were analyzed via SPSS (V. 20) using t-test and Chi-square statistics.
After the intervention, the study groups did not differ significantly in terms of sleep quality (0.628). However, the study findings revealed that the interventional group's sleep quality improved significantly after the intervention (P<0.001).
Non-pharmacologic intervention according to CCM improved the sleep quality in the experimental group. Sleep care is a matter of great importance in diabetes mellitus, which deserves particular attention. The present study adds to the growing literature of the use of non-pharmaceutics intervention to improve sleep disorders of diabetic patients.
IRCT201202269140N1.
睡眠是健康生活方式的一个重要方面。糖尿病相关的非血管并发症中普遍存在的一种是睡眠问题。本研究的目的是探讨基于持续护理模式（CCM）设计的非药物护理计划对2型糖尿病患者睡眠质量的影响，并进行为期两个月的随访。
本随机对照临床试验于2012年5月至11月在68名前往戈纳巴德医科大学糖尿病诊所就诊的2型糖尿病患者中进行。研究工具包括一份自我报告的人口统计学问卷和匹兹堡睡眠质量指数。收集的数据通过SPSS（第20版）使用t检验和卡方统计进行分析。
干预后，研究组在睡眠质量方面无显著差异（0.628）。然而，研究结果显示，干预组在干预后的睡眠质量有显著改善（P<0.001）。
根据CCM进行的非药物干预改善了实验组的睡眠质量。睡眠护理在糖尿病中非常重要，值得特别关注。本研究增加了关于使用非药物干预改善糖尿病患者睡眠障碍的文献。
IRCT201202269140N1。
