Chang Chun-Jen, Pei Dee, Wu Chien-Chih, Palmer Mary H, Su Ching-Chieh, Kuo Shu-Fen, Liao Yuan-Mei
Attending Physician and Head, Department of Endocrinology, Taipei Municipal Wanfang Hospital, Taipei City, Taiwan.
Professor and Chairman, College of Medicine, Fu Jen Catholic University, and Attending Physician, Department of Endocrinology, Cardinal Tien Hospital, New Taipei City, Taiwan.
J Nurs Scholarsh. 2017 Jul;49(4):400-410. doi: 10.1111/jnu.12302. Epub 2017 May 23.
To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes.
This study was a cross-sectional, correlational study with data collected from 275 women with type 2 diabetes.
Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi-squared tests were used to identify candidate variables for the first logistic regression model. A one-way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control.
Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality.
Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality.
Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes.
探讨夜尿症的相关因素，比较有和没有夜尿症的女性的睡眠质量和血糖控制情况，并研究糖尿病女性中夜尿症与睡眠质量及血糖控制之间的关系。
本研究为横断面相关性研究，收集了275名2型糖尿病女性的数据。
使用结构化问卷收集数据。采用多因素逻辑回归分析来确定相关因素。卡方检验用于确定第一个逻辑回归模型的候选变量。单因素方差分析用于比较有和没有夜尿症的女性的睡眠质量和血糖控制情况。Pearson相关性分析用于研究夜尿症与睡眠质量及血糖控制之间的关系。
在275名参与者中，124名（45.1%）经历过夜尿症（每晚至少排尿两次）。调整年龄后，腰围、生育次数、糖尿病诊断后的时间、睡眠质量和白天尿频增加与夜尿症相关。与没有夜尿症的女性相比，有夜尿症的女性报告睡眠质量较差。夜间排尿次数与睡眠质量之间存在显著相关性。
夜尿症和睡眠不佳在糖尿病女性中很常见。夜尿症的多因素性质支持针对潜在病因进行管理和治疗，以优化女性的症状管理。针对可改变的相关因素的干预措施可能包括保持正常体重和定期进行体育锻炼以维持正常腰围，减少咖啡因摄入，对睡眠环境进行可行的调整并保持睡眠卫生以改善睡眠质量。
医疗保健专业人员应筛查夜尿症和睡眠不佳的情况，并为糖尿病女性提供适当的非药物生活方式管理、行为干预或药物治疗。
