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埃塞俄比亚中部2型糖尿病患者的日间过度嗜睡及其预测因素

Excessive daytime sleepiness and its predictors among type 2 diabetes mellitus patients at central ethiopia.

作者信息

Wondie Alemayehu, Taderegew Mitiku Mammo, Girma Betemariam, Getawey Atsede, Tessema Zufan, Emrie Ambaw Abebaw, Terefe Tamene Fetene

机构信息

Department of Biomedical Sciences, College of Medicine and Health Sciences, Wolkite University, P.O. Box 07, Wolkite, Ethiopia.

Department of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.

出版信息

Sci Rep. 2024 Dec 30;14(1):31693. doi: 10.1038/s41598-024-81073-y.

Abstract

Excessive daytime sleepiness is a common finding among type 2 diabetes mellitus patients. However there is scarce data that shows the magnitude of excessive daytime sleepiness, & its association with type 2 diabetes mellitus. Hence, the study aimed to assess the prevalence of excessive daytime sleepiness and its associated factors among type 2 diabetes mellitus patients at Wolkite University Specialized Hospital. A Hospital-based cross-sectional study was employed from January 15 to March 15, 2022, among 229 Type 2 diabetes mellitus patients. Data was collected by semi-structured questionnaires, then entered into the Epi data version 4.6 and exported to SPSS version 25.0 for analysis. Binary and multiple logistic regression analysis was used to assess factors associated with excessive daytime sleepiness and statistical significance was set at P-value < 0.05. The prevalence of Excessive daytime sleepiness among type 2 diabetes mellitus was 27.1%. Age (AOR: 1.08; 95%CI: 1.03, 1.12), frequent snoring (AOR: 2.9; 95%CI: 1.24, 6.80), comorbid hypertension (AOR: 2.64; 95%CI: 1.17, 5.96), obesity (AOR: 2.7; 95%CI: 1.03, 7.13), and poor glycemic control (AOR: 6.68; 95%CI: 1.83, 24.41) were independently associated with Excessive daytime sleepiness among type 2 diabetes mellitus patients. Excessive daytime sleepiness was reported in more than a quarter of type 2 diabetes mellitus patients. Age, frequent snoring, hypertension, obesity, and poor glycemic control were significantly associated with Excessive daytime sleepiness among type 2 diabetes mellitus patients. Therefore health care providers should assess not only for how well their patients' diabetes is controlled but also for excessive daytime sleepiness.

摘要

白天过度嗜睡在2型糖尿病患者中很常见。然而,鲜有数据表明白天过度嗜睡的程度及其与2型糖尿病的关联。因此,该研究旨在评估沃勒凯特大学专科医院2型糖尿病患者白天过度嗜睡的患病率及其相关因素。2022年1月15日至3月15日,对229名2型糖尿病患者进行了一项基于医院的横断面研究。通过半结构化问卷收集数据,然后录入Epi数据4.6版,并导出到SPSS 25.0版进行分析。采用二元和多元逻辑回归分析来评估与白天过度嗜睡相关的因素,统计学显著性设定为P值<0.05。2型糖尿病患者白天过度嗜睡的患病率为27.1%。年龄(调整后比值比:1.08;95%置信区间:1.03, 1.12)、频繁打鼾(调整后比值比:2.9;95%置信区间:1.24, 6.80)、合并高血压(调整后比值比:2.64;95%置信区间:1.17, 5.96)、肥胖(调整后比值比:2.7;95%置信区间:1.03, 7.13)和血糖控制不佳(调整后比值比:6.68;95%置信区间:1.83, 24.41)与2型糖尿病患者白天过度嗜睡独立相关。超过四分之一的2型糖尿病患者报告有白天过度嗜睡。年龄、频繁打鼾、高血压、肥胖和血糖控制不佳与2型糖尿病患者白天过度嗜睡显著相关。因此,医疗保健提供者不仅应评估患者糖尿病的控制情况,还应评估白天过度嗜睡情况。

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