Asri Yuni, Chiu Hsiao-Yean, Hasan Faizul
Department of Nursing, Faculty of Technology Science and Health, Institute of Technology Science and Health RS Dr Soepraoen Kesdam V/Brawijaya, Malang, 65147, Indonesia.
School of Nursing, Taipei Medical University, Taipei, Taiwan.
Sleep Breath. 2025 Jun 23;29(4):222. doi: 10.1007/s11325-025-03390-4.
Insufficient sleep quality is common among elderly adults with diabetes and can exacerbate existing health issues. Psychological factors, particularly self-assessed health status, play a key role in influencing sleep quality. This study aimed to examine the relationship between self-rated health status and sleep quality in older adults with diabetes.
Data were analyzed from the Indonesian Family Life Survey (IFLS-5), conducted between late 2014 and early 2015. Multivariate logistic regression analysis was conducted to identify key factors associated with sleep quality in elderly diabetics, with odds ratios (ORs) and 95% confidence intervals (CIs) reported.
The study found that 15.2% of elderly participants reported poor sleep quality. A significant association was observed between poor self-rated health and diminished sleep quality (ORs = 0.15; 95% CI = 0.49-0.47, P < 0.05), indicating that older adults with diabetes who perceive their health as poor are more likely to experience sleep disturbances. The findings emphasize the importance of improving health perceptions in this population through strategies like psychological support, health education, and stress management.
Sleep quality is a critical component of overall health. Addressing psychological and social factors that impact sleep may help mitigate the negative effects of poor sleep on the health of elderly adults with diabetes. Targeted interventions could improve health outcomes and enhance quality of life for this vulnerable group.
睡眠质量不足在老年糖尿病患者中很常见，并且会加剧现有的健康问题。心理因素，尤其是自我评估的健康状况，在影响睡眠质量方面起着关键作用。本研究旨在探讨老年糖尿病患者自我评定的健康状况与睡眠质量之间的关系。
对2014年末至2015年初进行的印度尼西亚家庭生活调查（IFLS-5）的数据进行分析。进行多变量逻辑回归分析以确定老年糖尿病患者睡眠质量的相关关键因素，并报告比值比（OR）和95%置信区间（CI）。
研究发现，15.2%的老年参与者报告睡眠质量差。自我评定健康状况差与睡眠质量下降之间存在显著关联（OR = 0.15；95%CI = 0.49 - 0.47，P < 0.05），这表明认为自己健康状况差的老年糖尿病患者更有可能经历睡眠障碍。研究结果强调了通过心理支持、健康教育和压力管理等策略改善该人群健康认知的重要性。
睡眠质量是整体健康的关键组成部分。解决影响睡眠的心理和社会因素可能有助于减轻睡眠不佳对老年糖尿病患者健康的负面影响。有针对性的干预措施可以改善健康结局并提高这一弱势群体的生活质量。
