College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA.
Institute for Health Research and Policy, School of Public Health, The University of Illinois at Chicago, Chicago, IL, USA.
J Clin Nurs. 2018 Jan;27(1-2):e50-e60. doi: 10.1111/jocn.14010. Epub 2017 Sep 25.
To clarify the meaning of sleep disturbance in people with diabetes and examine its antecedents, attributes and consequences through concept analysis.
Sleep is crucial for health, and people with diabetes are frequently beset with disturbances in their sleep. The concept of sleep disturbance in people with diabetes has not been clearly defined. The inconsistent use of sleep disturbance has created confusion and impeded our understanding of the sleep in people with diabetes. This analysis will provide a conceptual foundation of sleep disturbance in diabetes, thereby facilitating more effective means for assessment and treatment.
Concept analysis.
A systematic search without time restriction on the publication year was carried out using PubMed, CINAHL, PsycINFO, Web of Science and ProQuest Dissertations and Theses. Rodgers's method of evolutionary concept analysis guided the analysis. Inductive thematic analysis was conducted to identify the attributes, antecedents and consequences.
Based on the 26 eligible studies, two major attributes are that sleep disturbance is a symptom and is characterised by impaired sleep quality and/or abnormal sleep duration. Two antecedents are diabetes-related physiological change and psychological well-being. Sleep disturbance can result in impaired daytime functioning, glucose regulation and quality of life.
Defining the concept of sleep disturbance in people with diabetes facilitates consistent use and effective communication in both practice and research. Sleep disturbance in people with diabetes is a complex symptom that includes impaired sleep quality and/or abnormal sleep duration. This paper contributes to the current knowledge of sleep in people with diabetes. Future research on antecedents and consequences of sleep disturbance is necessary for further clarifications.
Findings from this paper underscore the need for nursing education, clinical assessment and effective management of sleep disturbance in people with diabetes.
通过概念分析，阐明糖尿病患者睡眠障碍的含义，并研究其前因、属性和后果。
睡眠对健康至关重要，而糖尿病患者常受到睡眠障碍的困扰。糖尿病患者睡眠障碍的概念尚未明确界定。对睡眠障碍的使用不一致，造成了混淆，阻碍了我们对糖尿病患者睡眠的理解。本分析将为糖尿病患者的睡眠障碍提供一个概念基础，从而为评估和治疗提供更有效的方法。
概念分析。
对 PubMed、CINAHL、PsycINFO、Web of Science 和 ProQuest Dissertations and Theses 进行了无时间限制的系统检索。分析采用 Rodgers 的进化概念分析方法，通过归纳主题分析确定属性、前因和后果。
基于 26 项合格研究，确定了两个主要属性，即睡眠障碍是一种症状，其特征是睡眠质量受损和/或睡眠时间异常。两个前因是与糖尿病相关的生理变化和心理健康。睡眠障碍可导致日间功能受损、血糖调节和生活质量下降。
定义糖尿病患者睡眠障碍的概念有助于在实践和研究中实现一致使用和有效沟通。糖尿病患者的睡眠障碍是一种复杂的症状，包括睡眠质量受损和/或睡眠时间异常。本文有助于增加对糖尿病患者睡眠的现有知识。需要进一步研究睡眠障碍的前因和后果，以进一步阐明这一概念。
本文的研究结果强调了在糖尿病患者中进行护理教育、临床评估和有效管理睡眠障碍的必要性。
