老年2型糖尿病患者自我管理行为与睡眠质量现状及相关性研究
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摘要
目的调查老年2型糖尿病患者自我管理行为与睡眠质量现状及相关性。方法选取2017年6月～10月成都市某三级甲等医院200例门诊老年2型糖尿病患者为调查对象,采用基本资料问卷、2型糖尿病自我管理行为量表、匹兹堡睡眠质量指数量表(PSQI)分别进行调查,并对结果进行分析。结果老年2型糖尿病患者自我管理标准得分为(60.18±14.56)分,睡眠质量指数量表总分>7分者124例(62%)。相关性分析显示,睡眠质量与自我管理水平呈正相关(P<0.05)。结论老年2型糖尿病患者睡眠质量指数得分越高,睡眠质量越差,自我管理行为越差。医务人员应针对老年2型糖尿病患者自我管理薄弱环节进行个体化健康教育时应注重其睡眠状态的评估,改善其睡眠质量,进而提高其自我管理行为。
Objective To investigate the status and relevance between self-management behavior and sleep quality in elderly patients with type 2 diabetes mellitus.Methods 200 elderly patients with type 2 diabetes in the outpatient department of a third-level grade hospital in chengdu city were selected as survey objects. Basic data questionnaire, self-management behavior scale of type 2 diabetes and Pittsburgh sleep quality index(PSQI) were used to investigate and analyze the results. Results The self-management score of the elderly patients with type 2 diabetes mellitus was(60.18±14.56), 124 cases(62%) of whom had scored>7 points on the sleep quality index(62%), and the correlation analysis showed that the sleep quality was positively correlated with the self-management level(r_P=-0.211, P<0.01). Conclusion The sleep quality index score was higher, the sleep quality was worse, and the self-management behavior was worse. Medical staff should pay attention to the assessment of their sleep status, improve their sleep quality, and then improve their self-management behavior when individualized health education for elderly patients with type 2 diabetes.
Objective To investigate the status and relevance between self-management behavior and sleep quality in elderly patients with type 2 diabetes mellitus.Methods 200 elderly patients with type 2 diabetes in the outpatient department of a third-level grade hospital in chengdu city were selected as survey objects. Basic data questionnaire, self-management behavior scale of type 2 diabetes and Pittsburgh sleep quality index(PSQI) were used to investigate and analyze the results. Results The self-management score of the elderly patients with type 2 diabetes mellitus was(60.18±14.56), 124 cases(62%) of whom had scored>7 points on the sleep quality index(62%), and the correlation analysis showed that the sleep quality was positively correlated with the self-management level(r_P=-0.211, P<0.01). Conclusion The sleep quality index score was higher, the sleep quality was worse, and the self-management behavior was worse. Medical staff should pay attention to the assessment of their sleep status, improve their sleep quality, and then improve their self-management behavior when individualized health education for elderly patients with type 2 diabetes.
引文
[1] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(10):893-942.
[2] Smith K J, Béland M, Clyde M, et al. Association of diabetes with anxiety: a systematic review and meta-analysis[J]. Journal of psychosomatic research, 2013,74(2): 89-99.
[3] 张小倩,姜天,高玲玲,等. 《中国2 型糖尿病自我管理处方专家共识(2017 年版)》解读[J].中国全科医学,2018,21(18):2152-2155.
[4] 赵海英,马虹颖,刘静.老年糖尿病患者睡眠障碍的原因及护理进展[J].中华现代护理杂志,2012,18:2844-2846.
[5] 武海滨,杨丽,俞敏, 等. 睡眠时间与2型糖尿病关系的研究进展[J].中华流行病学杂,2017,38(3):411-416.
[6] 王芳,王卫东.糖尿病睡眠障碍的研究进展[J].中国糖尿病杂志,2010,18(3):227-228.
[7] World Health Organization: Definition, diagnosis and classification of diabetes mellitus and its complications: Report of a WHO Consultation. Part 1. Diagnosis and classification of diabetes mellitus[S]. Geneva:World Health Organization, 1999.
[8] Wang JS, Wang RH, Lin CC. Self-care behaviors and related factors in outpatients newly diagnosed with non-insulin-dependent diabetes mellitus[J]. The Journal of Nursing (Taiwan), 1998, 45(2): 60-74.
[9] 张小丽, 汪凤兰, 邢凤梅, 等. 影响农村糖尿病患者饮食自我管理的多因素分析[J]. 中国实用护理杂志, 2014, 30(2):8-10.
[10] Buyee DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index :A new Instrument for Psychiatric Practice and Research[J].Psychiatry Res, 1989, 28(2):193-213.
[11] 戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2011:133-136,153-155.
[12] 王欣国,吕伟波,丁晔,等.老年2型糖尿病病人自我管理行为及糖尿病知识水平的相关性研究[J].护理研究,2013,2973-2974.
[13] 王芳,袁丽,熊真真,等.住院2型糖尿病患者自我管理行为现状及影响因素分析[J].护理学杂志,2015,30(17):29-31.
[14] 金启辉,陈怀红,禹华良,等.睡眠质量与老年2 型糖尿病患者血糖及并发症的相关性[J].中华内科杂志,2012,51(5):357-361.
[15] Luyster FS,Dunbar-Jacob J.Sleep quality and quality of life in adults with type 2 diabetes[J].Diabetes Educ,201 1,37(3):347-355.
[16] 张盼,唐诗,娄培安,等. 社区2型糖尿病患者睡眠质量与抑郁症状的相关分析[J].中华精神科杂志,2016,49(2):107-112.
[17] Chasens ER,Korytkowski M,Sereika SM,et al. Effect of poor sleep quality and excessive daytime sleepiness on factors associated with diabetes self-management[J].The Diabetes Educator,2012:39(1):74-82.
[18] 郑森爽,成娟,王媛,等. 基于结构方程模型的社区糖尿病患者糖尿病认知与自我管理分析[J].中国全科医学,2017,20(29):3669-3674.
[19] 程欣,何启胜,汪丹丹,等.2型糖尿病患者睡眠质量与血糖达标的相关性研究[J].中国糖尿病杂志,2015,23(12):1081-1083。
[20] Minkel JD,Banks S, Htaik O, et al. Sleep deprivation and stressor:evidence for elevated negative affect in response to stressors when sleep deprived[J]. Emotion,2012,12(5):1015-1020.
[21] 王丹丹,李凌江.抑郁症患者认知功能障碍的研究进展[J].中华精神科杂,2015,48(2):115-118.
[22] 谭雅容,王阳,王纯,等.抑郁症首次发病患者认知行为治疗前后的脑激活强度[J].中华精神科杂志,2014,47(3):132-136.
[23] 王江宁,杨磊.2型糖尿病患者睡眠障碍影响因素及护理[J].现代临床护理2015,14(3):69-73.
[2] Smith K J, Béland M, Clyde M, et al. Association of diabetes with anxiety: a systematic review and meta-analysis[J]. Journal of psychosomatic research, 2013,74(2): 89-99.
[3] 张小倩,姜天,高玲玲,等. 《中国2 型糖尿病自我管理处方专家共识(2017 年版)》解读[J].中国全科医学,2018,21(18):2152-2155.
[4] 赵海英,马虹颖,刘静.老年糖尿病患者睡眠障碍的原因及护理进展[J].中华现代护理杂志,2012,18:2844-2846.
[5] 武海滨,杨丽,俞敏, 等. 睡眠时间与2型糖尿病关系的研究进展[J].中华流行病学杂,2017,38(3):411-416.
[6] 王芳,王卫东.糖尿病睡眠障碍的研究进展[J].中国糖尿病杂志,2010,18(3):227-228.
[7] World Health Organization: Definition, diagnosis and classification of diabetes mellitus and its complications: Report of a WHO Consultation. Part 1. Diagnosis and classification of diabetes mellitus[S]. Geneva:World Health Organization, 1999.
[8] Wang JS, Wang RH, Lin CC. Self-care behaviors and related factors in outpatients newly diagnosed with non-insulin-dependent diabetes mellitus[J]. The Journal of Nursing (Taiwan), 1998, 45(2): 60-74.
[9] 张小丽, 汪凤兰, 邢凤梅, 等. 影响农村糖尿病患者饮食自我管理的多因素分析[J]. 中国实用护理杂志, 2014, 30(2):8-10.
[10] Buyee DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index :A new Instrument for Psychiatric Practice and Research[J].Psychiatry Res, 1989, 28(2):193-213.
[11] 戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2011:133-136,153-155.
[12] 王欣国,吕伟波,丁晔,等.老年2型糖尿病病人自我管理行为及糖尿病知识水平的相关性研究[J].护理研究,2013,2973-2974.
[13] 王芳,袁丽,熊真真,等.住院2型糖尿病患者自我管理行为现状及影响因素分析[J].护理学杂志,2015,30(17):29-31.
[14] 金启辉,陈怀红,禹华良,等.睡眠质量与老年2 型糖尿病患者血糖及并发症的相关性[J].中华内科杂志,2012,51(5):357-361.
[15] Luyster FS,Dunbar-Jacob J.Sleep quality and quality of life in adults with type 2 diabetes[J].Diabetes Educ,201 1,37(3):347-355.
[16] 张盼,唐诗,娄培安,等. 社区2型糖尿病患者睡眠质量与抑郁症状的相关分析[J].中华精神科杂志,2016,49(2):107-112.
[17] Chasens ER,Korytkowski M,Sereika SM,et al. Effect of poor sleep quality and excessive daytime sleepiness on factors associated with diabetes self-management[J].The Diabetes Educator,2012:39(1):74-82.
[18] 郑森爽,成娟,王媛,等. 基于结构方程模型的社区糖尿病患者糖尿病认知与自我管理分析[J].中国全科医学,2017,20(29):3669-3674.
[19] 程欣,何启胜,汪丹丹,等.2型糖尿病患者睡眠质量与血糖达标的相关性研究[J].中国糖尿病杂志,2015,23(12):1081-1083。
[20] Minkel JD,Banks S, Htaik O, et al. Sleep deprivation and stressor:evidence for elevated negative affect in response to stressors when sleep deprived[J]. Emotion,2012,12(5):1015-1020.
[21] 王丹丹,李凌江.抑郁症患者认知功能障碍的研究进展[J].中华精神科杂,2015,48(2):115-118.
[22] 谭雅容,王阳,王纯,等.抑郁症首次发病患者认知行为治疗前后的脑激活强度[J].中华精神科杂志,2014,47(3):132-136.
[23] 王江宁,杨磊.2型糖尿病患者睡眠障碍影响因素及护理[J].现代临床护理2015,14(3):69-73.