Sleep quality and related factors of patients with type 2 diabetes in the area of responsibility of Ban Bueng Hospital Chonburi Province

Authors

  • Nutsinee Nalinthutsanai Banbueng Hospital

Keywords:

type 2 diabetes, Sleep quality, related factors

Abstract

Objective :  This study is to assess the prevalence of poor sleep quality and explore related factors in patients diagnosed with type 2 diabetes within the area of responsibility of Ban Bueng Hospital, Chonburi Province.

Methods : The research employed a cross-sectional study design, focusing on patients with type 2 diabetes in the Ban Bueng Hospital's juriS.D.iction in Chonburi Province. The sample size, determined using the proportion estimation formula, was 148 subjects. Data collection involved a comprehensive questionnaire covering general information, diabetes-related details, sleep quality assessed through the PSQI, depression set through the 9Q, and quality of life assessment. The collected data were subjected to descriptive and inferential statistical analyses, including simple and multiple logistic regression, with a 95% confidence interval.

Results : In a study involving 148 diabetic patients, 68 individuals were identified with poor sleep quality, accounting for 45.9% of the participants. Factors influencing poor sleep quality in patients with type 2 diabetes were examined, revealing two statistically significantb associations at the 0.05 level. These factors include divorced/separated/

widowed status (Adj. OR = 13.24; 95%CI = 1.77 – 98.68), latest HbA1c (Adj. OR = 1.34; 95%C I= 1.02 - 1.82), and moderate depression (Adj. OR = 13.36; 95%C I= 1.34 – 132.25)

Conclusion : The study concludes that 45.9% of diabetic patients exhibited poor sleep quality. The factors significantly associated with poor sleep quality in patients with type 2 diabetes include divorced/separated/widowed status, HbA1c levels, and the presence of moderate depression.

References

World Health Organization. Diabetes [Internet]. [cited 2023 Jun 23]. Available from: https://www.who.int/health-topics/diabetes

World Health Organization. Diabetes [Internet]. [cited 2023 Jun 23]. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes

Surani S, Brito V, Surani A, Ghamande S. Effect of diabetes mellitus on sleep quality. World J Diabetes. 2015 Jun 25;6(6):868–73.

Lecube A, Sánchez E, Gómez-Peralta F, Abreu C, Valls J, Mestre O, et al. Global Assessment of the Impact of Type 2 Diabetes on Sleep through Specific Questionnaires. A Case-Control Study. PLoS ONE. 2016 Jun 17;11(6):e0157579.

Sokwalla SMR, Joshi MD, Amayo EO, Acharya K, Mecha JO, Mutai KK. Quality of sleep and risk for obstructive sleep apnoea in ambulant individuals with type 2 diabetes mellitus at a tertiary referral hospital in Kenya: a cross-sectional, comparative study. BMC Endocr Disord. 2017 Feb 6;17(1):7.

Jemere T, Mossie A, Berhanu H, Yeshaw Y. Poor sleep quality and its predictors among type 2 diabetes mellitus patients attending Jimma University Medical Center, Jimma, Ethiopia. BMC Res Notes. 2019 Aug 6;12(1):488.

AlDabal L, BaHammam AS. Metabolic, Endocrine, and Immune Consequences of Sleep Deprivation. Open Respir Med J. 2011 Jun 23;5:31–43.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193–213.

Farooque R, Herekar F, Iftikhar S, Patel MJ, Farooque R, Herekar F, et al. The Frequency of Poor Sleep Quality in Patients With Diabetes Mellitus and Its Association With Glycemic Control. Cureus [Internet]. 2020 Nov 21 [cited 2023 Jun 23];12(11). Available from: https://www.cureus.com/articles/44879-the-frequency-of-poor-sleep-quality-in-patients-with-diabetes-mellitus-and-its-association-with-glycemic-control

Buysse, D.J., et al. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research. Psychiatry Research. 1989; 28, 193-213.

ตะวันชัย จิรประมุขพิทักษ์ และวรัญ ตันชัยสวัสดิ์. ปัญหาคุณภาพการนอนหลับของพยาบาลประจำการ โรงพยาบาลสงขลานครินทร์. วารสารสมาคมจิตแพทย์แห่งประเทศไทย. 2540;42(3):123-32.

Birhanu TT, Hassen Salih M, Abate HK. Sleep Quality and Associated Factors Among Diabetes Mellitus Patients in a Follow-Up Clinic at the University of Gondar Comprehensive Specialized Hospital in Gondar, Northwest Ethiopia: A Cross-Sectional Study. Diabetes Metab Syndr Obes. 2020 Dec 31;13:4859–68.

Zewdu D, Gedamu H, Beyene Y, Tadesse M, Tamirat M, Muluken S. Sleep quality and associated factors among type 2 Dm patients and non-Dm individuals in Bahir Dar governmental hospitals: comparative cross-sectional study. Sleep Sci Pract. 2022 Oct 14;6(1):10.

Abdu Y, Naja S, Mohamed Ibrahim MI, Abdou M, Ahmed R, Elhag S, et al. Sleep Quality Among People with Type 2 Diabetes Mellitus During COVID-19 Pandemic: Evidence from Qatar’s National Diabetes Center. Diabetes Metab Syndr Obes. 2023 Sep 14;16:2803–12.

Kim Y, Ramos AR, Carver CS, Ting A, Hahn K, Mossavar-Rahmani Y, et al. Marital Status and Gender Associated with Sleep Health among Hispanics/Latinos in the US: Results from HCHS/SOL and Sueño Ancillary Studies. Behav Sleep Med. 2022;20(5):531–42.

Keskin A, Ünalacak M, Bilge U, Yildiz P, Güler S, Selçuk EB, et al. Effects of Sleep Disorders on Hemoglobin A1c Levels in Type 2 Diabetic Patients. Chin Med J (Engl). 2015 Dec 20;128(24):3292–7.

Bhagat S, Khadkikar R, Rai S. Association of sleep quality and glycemic control in type 2 diabetes mellitus. MGM J Med Sci. 2023 Sep;10(3):459.

Liao C, Feng Z, Zhou D, Dai Q, Xie B, Ji B, et al. Dysfunction of fronto-limbic brain circuitry in depression. Neuroscience. 2012 Jan 10;201:231–8.

Golden SH. A review of the evidence for a neuroendocrine link between stress, depression and diabetes mellitus. Curr Diabetes Rev. 2007 Nov;3(4):252–9.

Huang X, Li H, Meyers K, Xia W, Meng Z, Li C, et al. Burden of sleep disturbances and associated risk factors: A cross-sectional survey among HIV-infected persons on antiretroviral therapy across China. Sci Rep. 2017 Jun 16;7(1):3657.

Downloads

Published

2024-06-27

How to Cite

Nalinthutsanai , N. (2024). Sleep quality and related factors of patients with type 2 diabetes in the area of responsibility of Ban Bueng Hospital Chonburi Province. Mahasarakham Hospital Journal, 21(พิเศษ), 75–84. retrieved from https://he02.tci-thaijo.org/index.php/MKHJ/article/view/267592