石河子社区T2DM患者睡眠质量现状及影响因素分析  

Analysis of Sleep Quality Status and Influencing Factors in Patients with T2DM in Community of Shihezi City

作　　者：潘文娟 王晓丽[1] 苏向辉[1] 拉扎提·马哈什 孙侃[1] PAN Wen-juan;WANG Xiao-li;SU Xiang-hui;LAZHATI·Mahashi;SUN Kan(Endocrinology Department,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi, 832008)

机构地区：[1]石河子大学医学院第一附属医院内分泌代谢科

出　　处：《农垦医学》2019年第1期49-52,共4页Journal of Nongken Medicine

基　　金：兵团科技攻关与成果转化项目(2015AD006)

摘　　要：目的:本研究旨在研究石河子社区T2DM患者睡眠质量现况,并分析睡眠质量的影响因素,为石河子社区糖尿病患者的综合管理提供依据。方法:采用整群抽样方法,抽取石河子市13个社区符合标准的T2DM患者共431人作为研究对象,通过匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)量表、一般情况调查表、生化指标、服药情况等方面进行调查,使用SPSS17.0进行统计描述,运用t检验,秩和检验,卡方检验及logistic回归进行分析研究石河子社区T2DM患者睡眠质量现况及其影响因素。结果:石河子社区T2DM患者PSQI总分为(6.88±3.6)分,睡眠障碍发生率为36.7%,高于全国常模。七个因子中除日间功能障碍外,其余各因子组间差异均有统计学意义,均P<0.001,单因素分析显示年龄,性别,身高,空腹血糖,糖化血红蛋白(HbA1c)与其睡眠质量相关(P<0.05),多因素Logistic回归分析显示:糖化血红蛋白(HbA1c)及性别是石河子社区T2DM患者睡眠质量的影响因素。结论:石河子社区T2DM患者睡眠质量较一般人群差,影响石河子社区T2DM患者睡眠质量的主要因素有糖化血红蛋白水平和性别,糖化血红蛋白水平越高,其睡眠质量越差;女性T2DM患者睡眠质量较差,因此在石河子社区T2DM患者综合管理中,尤其应关注老年女性T2DM患者的睡眠质量的评估,加强血糖及糖化血红蛋白水平的控制管理,提高T2DM患者的睡眠质量,进而提高石河子社区糖尿病综合管理质量。Objective: To study the status of sleep quality in T2DM patients in Shihezi community and analyze the influencing factors of sleep quality,so as to provide evidence for the comprehensive management of diabetes patients in Shihezi community. Methods: Using the whole group sampling method,431 T2DM patients from 13 communities in Shihezi city were selected as the subjects of the study.Through the PSQI scale,general situation questionnaire,biochemical indicators,and drug administration,the survey was conducted.SPSS17.0 was used for statistical description.The sleep quality of T2DM patients in Shihezi community and its influencing factors were studied by T test,rank and sum test,card square test and logstic regression. Results:The total score of PSQI in T2DM patients in Shihezi community was(6.88±3.6) points,and the incidence of sleep disorders was 36.7%,which was higher than the national norm.Among the seven factors,except for daytime dysfunction,the differences between the other factors were highly statistically significant,all(P<0.001).The single factor analysis showed age, gender, height, and fasting blood sugar.HbA1c is related to its sleep quality(P<0.05),and the multi-factor Logitic regression analysis shows that HbA1c and gender are factors that affect sleep quality in T2DM patients in the Shihezi community.Conclusion: The sleep quality of T2DM patients in Shihezi community is worse than that of the general population.The main factors that affect the sleep quality of T2DM patients in Shihezi community are the level and sex of glycated hemoglobin.The higher the level of glycated hemoglobin, the worse the sleep quality.Among them,the sleep quality of female T2DM patients is poor.In the integrated management of T2DM patients in the Shihezi community,special attention should be paid to the assessment of the sleep quality of elderly women T2DM patients,strengthening the control management of blood sugar and glycosylated hemoglobin levels,and improving T2DM patients sleep quality,then improve the quality of compreh

关 键 词：T2DM 睡眠质量 影响因素 匹兹堡睡眠质量指数(PSQI)量表 

分 类 号：R587.1[医药卫生—内分泌]