Behavial Compliance and Quality of Sleep for Glycemic Control in Patients With Type 2 Diabetes

• Main Authors: KUO-HSIAO, 郭曉玲
• Other Authors: Wen-Chun Liao
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/62932870013741492299

碩士 === 中山醫學大學 === 護理學系碩士班 === 100 === Type 2 diabetes induced health problems threaten our health. The purpose of this study was to explore behavioral compliance (medication, diet, and exercise), and subjective and objective sleep quality on glycemic control in patients with type 2 diabetes. A purpose sampling and cross-sectional design was used in this study. Subjects were recruited from the Endocrinology and Metabolism outpatient clinics of a medical center. A total of 65 participant completed this study. The Pittsburg Sleep Quality Index (PSQI) and 72-hour of wrist actigraphy were used to assess subjective sleep quality and objective sleep patterns, respectively. The Diabetic Compliance Questionnaire was used to assess patient compliance in medication, diet, and exercise. Glycemic control was assessed by the fasting sugar (AC sugar) and hemoglobin A1c (HbA1c). SPSS 17.0 software package was used to for statistical analysis. Results show that 83.1% of diabetic patients had poor glycermic control (HbA1c> 6.5%) with an average of 8.1 ± 1.8% in HbA1c and 165.5 ± 47.7mg/dl in AC sugar. About half (44.6%) of participants had poor sleep quality (PSQI> 5) with a mean PSQI score of 6.8 ± 4.5. Nocturia is the main reason to disturb sleep. Objective sleep measured from wrist actigraphy show that participants had 6.7 hours of total sleep time, 75.7% of sleep efficiency, 33.2 minutes of sleep latency (SL), and 65.5 minutes of wakening after sleep onset (WASO), which indicate poor sleep quality. In diabetes compliance, the highest score was medication (3.8) followed by diet control (3.3) and exercise (2.5), indicate the worst compliance in exercise. Correlation result shows that the better medication compliance, the better HbA1c control (χ2 = 5.03 , p =.021). Linear regression analysis shows medication control (F = 7.21, p <.010) and subjective sleep quality (PSQI) (F = 6.82, p <.010) affected glycemic control after controlling for age and duration of diabetes. HbA1c reduced 1.3% for every 1 point increase in medication compliance. HbA1c increased 0.1% for every 1 point increase in the PSQI score. Subjective sleep quality influence glycemic control in patients with diabetes. The findings of this study indicate subjective sleep quality assessment is important in helping better glycemic control in patients with diabetes.