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埃塞俄比亚吉马市吉马大学医学中心2型糖尿病患者的睡眠质量差及其预测因素。

Poor sleep quality and its predictors among type 2 diabetes mellitus patients attending Jimma University Medical Center, Jimma, Ethiopia.

作者信息

Jemere Tadeg, Mossie Andualem, Berhanu Hiwot, Yeshaw Yigizie

机构信息

Department of Biomedical Sciences, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Biomedical Sciences, College of Health Sciences, Jimma University, Jimma, Ethiopia.

出版信息

BMC Res Notes. 2019 Aug 6;12(1):488. doi: 10.1186/s13104-019-4531-6.

Abstract

OBJECTIVES

The aim of this study is to determine the prevalence of poor sleep quality and its associated factors among people with type 2 diabetes mellitus at Jimma University Medical Center, Jimma, Ethiopia 2018. Comparative cross-sectional study was employed on 198 participants (99 cases and 99 controls). Data were collected using Pittsburgh Sleep Quality Index (PSQI) and analyzed using SPSS version 20. Variables with p value ≤ 0.05 in multivariable logistic regression were treated as significant predictors of poor sleep quality.

RESULTS

The prevalence of poor sleep quality was 55.6% among people with type 2 diabetes mellitus and 32.3% among controls. Longer duration of diabetes since diagnosis (> 10 years) [AOR = 4.88 CI (1.27, 18.66) p = 0.021], co-morbid hypertension [AOR = 3.2, CI (1.16, 8.84) p = 0.025], poor glycemic control [AOR = 3.16 CI (1.2, 8.27), p = 0.02] and current khat chewing [AOR = 3.06, CI (1.04, 8.98), p = 0.042] were factors significantly associated with poor sleep quality. The prevalence of poor sleep quality was significantly higher among people with diabetes than those who didn't have diabetes (controls). Poor sleep quality may bring about mental impairment and reduce working capacity of individuals with diabetes mellitus. Therefore, diabetes mellitus patients need to have heath education about risk factors for poor sleep quality.

摘要

目的

本研究旨在确定2018年埃塞俄比亚吉马市吉马大学医学中心2型糖尿病患者睡眠质量差的患病率及其相关因素。对198名参与者(99例病例和99例对照)进行了比较横断面研究。使用匹兹堡睡眠质量指数(PSQI)收集数据,并使用SPSS 20版进行分析。多变量逻辑回归中p值≤0.05的变量被视为睡眠质量差的显著预测因素。

结果

2型糖尿病患者中睡眠质量差的患病率为55.6%,对照组为32.3%。自诊断以来糖尿病病程较长(>10年)[比值比(AOR)=4.88,置信区间(CI)(1.27,18.66),p=0.021]、合并高血压[AOR=3.2,CI(1.16,8.84),p=0.025]、血糖控制不佳[AOR=3.16,CI(1.2,8.27),p=0.02]和当前咀嚼恰特草[AOR=3.06,CI(1.04,8.98),p=0.042]是与睡眠质量差显著相关的因素。糖尿病患者中睡眠质量差的患病率显著高于非糖尿病患者(对照组)。睡眠质量差可能导致糖尿病患者出现精神障碍并降低其工作能力。因此,糖尿病患者需要接受关于睡眠质量差的危险因素的健康教育。

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