睡眠时间对2型糖尿病患者心理状态与生存质量的影响分析

Effect of sleeping time on psychological state and quality of life in patients with type 2 diabetes

目的分析2型糖尿病患者睡眠时间现状,探讨睡眠时间对其心理状态与生存质量的影响。方法采用便利抽样法于2014年4月至2015年4月在江苏省中西医结合医院抽取365例2型糖尿病患者,以睡眠时间6 h为切点将患者分为两组,使用一般情况调查表、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)、中文版糖尿病痛苦量表(DDS)、一般自我效能量表(GSES)开展横断面调查。采用两独立样本t检验、2检验、Mann-Whitney U检验、多元线性回归进行统计分析。结果 365例2型糖尿病患者平均睡眠时间为7.03 h,其中睡眠时间<6 h的109例,与睡眠时间≥6 h组患者相比,其生存质量、一般自我效能均较低,而糖尿病痛苦较高,差异有统计学意义(P<0.05)。多元回归分析显示,睡眠时间是生存质量(β=0.117,P=0.047)、糖尿病痛苦(β=-0.118,P=0.046)、一般自我效能(β=0.136,P=0.024)的影响因素。结论睡眠时间对2型糖尿病患者的心理、生活方面有较大影响,医护人员应重视患者的睡眠情况,积极改善其心理状态和生存质量。

Objective To observe the sleeping time and analyze its impact on the psychological state and quality of life of patients with type 2 diabetes. Methods Convenience sampling was used to recruit 365 patients with type 2 diabetes in Jiangsu Province Hospital on Integration of Chinese and Western Medicine Affiliated to Nanjing University of Chinese Medicine between April 2014 and April 2015. All the patients were divided into two groups according to the six-hour cut-off point of sleeping time. They were investigated by means of World Health Organization Quality of Life-BREF（ WHOQOLBREF）,Diabetes Distress Scale（ DDS） and General Self-Efficacy Scale（ GSES）. Data were analyzed by t-test,chisquare test,Mann-Whitney U test and multivariate regression analysis. Results The average sleeping time was 7. 03 h,and the sleeping time of 109 patients was less than 6 h. Patients with less sleeping time had lower quality of life and selfefficacy scores as well as higher diabetes distress scores than those with sleeping time more than 6 h. The differences were statistically significant（ P 〈0. 05）. Regression analysis showed that sleeping time was the factor of quality of life（ β =0. 117,P = 0. 047）,self-efficacy（ β = 0. 136,P = 0. 024） and diabetes distress（ β =- 0. 118,P = 0. 046）. Conclusion Sleeping time affects the psychological state and quality of life of patients with type 2 diabetes. The medical should pay more attention to the quality of sleep of such patients.