Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Front Public Health. 2024 Nov 1;12:1283629. doi: 10.3389/fpubh.2024.1283629. eCollection 2024.
This study investigated the prevalence of sleep disturbances among people living with type 2 diabetes in Saudi Arabia.
A four-stage sampling method was used to recruit 479 participants from various parts of the country. A self-administered questionnaire was used to collect demographic, sleep disruption, and related clinical characteristics. Data analysis included reporting sleep disturbance prevalence as frequency and percentage, chi-square tests to examine categorical variable associations, and multiple logistic regression analysis to identify independent factors associated with sleep disturbances.
The data showed that most participants were male (59.3%), married (78.5%), and Diploma/ Bachelor's degree holders (41.5%). The study found that most respondents had subjective sleep quality issues, with 55.3% of Sleep Latency participants having trouble falling asleep, 62.4% having trouble sleeping, 65.1% experiencing serious sleep efficiency impairment, 85.2% reporting sleep difficulties, 88.5% using sleep medication without difficulty, 5.4% having moderate difficulty, and 6.1% having considerable difficulties. The Global Pittsburgh Sleep Quality Index (PSQI) showed that all participants had sleep problems. Marital status, nationality, HBA1C, education, region, comorbidity, and monthly income were significantly associated with sleep disturbance characteristics.
The study concluded that diabetes itself can increase the risk of sleep problems, as it is associated with various sleep-related issues such as insomnia, sleep apnea, and restless legs syndrome. Encouraging social support within the realm of healthcare services holds significance in reducing the occurrence of inadequate sleep. For individuals diagnosed with type 2 diabetes mellitus, managing their blood sugar levels effectively is crucial for enhancing the quality of their sleep. Furthermore, engaging in regular physical activity is essential for preventing subpar sleep quality.
本研究调查了沙特阿拉伯 2 型糖尿病患者睡眠障碍的患病率。
采用四阶段抽样法从全国各地招募了 479 名参与者。使用自填式问卷收集人口统计学、睡眠中断和相关临床特征数据。数据分析包括报告睡眠障碍的频率和百分比，使用卡方检验检查分类变量的关联，以及使用多因素逻辑回归分析确定与睡眠障碍相关的独立因素。
数据显示，大多数参与者为男性（59.3%）、已婚（78.5%）和持有文凭/学士学位（41.5%）。研究发现，大多数受访者存在主观睡眠质量问题，其中 55.3%的入睡潜伏期参与者入睡困难，62.4%的睡眠困难，65.1%的严重睡眠效率受损，85.2%的睡眠困难，88.5%的睡眠药物使用无困难，5.4%的睡眠困难中度，6.1%的睡眠困难严重。全球匹兹堡睡眠质量指数（PSQI）显示所有参与者均存在睡眠问题。婚姻状况、国籍、糖化血红蛋白、教育程度、地区、合并症和月收入与睡眠障碍特征显著相关。
研究表明，糖尿病本身会增加睡眠问题的风险，因为它与各种与睡眠相关的问题有关，如失眠、睡眠呼吸暂停和不安腿综合征。在医疗保健服务领域内鼓励社会支持对于减少睡眠不足的发生具有重要意义。对于被诊断患有 2 型糖尿病的个体，有效控制血糖水平对于提高睡眠质量至关重要。此外，定期进行身体活动对于预防睡眠质量不佳至关重要。
