高血压合并糖尿病患者睡眠质量调查

Sleep quality among patients with hypertension and diabetes

目的了解高血压合并糖尿病患者的睡眠质量,为改善慢性病患者健康状况提供依据。方法于2022年5—8月采用多阶段随机抽样方法,抽取浙江省绍兴市4个县、市(区)纳入社区管理的高血压合并糖尿病患者进行问卷调查,收集人口学信息、疾病史、吸烟、饮酒、体力活动和睡眠质量等情况;通过体格检查和实验室检测收集血压、空腹血糖和糖化血红蛋白等资料。描述性分析高血压合并糖尿病患者睡眠质量不良表现(打鼾/窒息/憋气、入睡困难、夜间觉醒、服用安眠药和早醒并难以重新入睡),评价睡眠质量。结果调查高血压合并糖尿病患者1539例,其中男性715例,占46.46%;女性824例,占53.54%。年龄为(68.68±7.62)岁。睡眠质量不良表现有夜间觉醒459例,占29.82%;早醒并难以重新入睡439例,占28.53%;打鼾/窒息/憋气319例,占20.73%;入睡困难243例,占15.79%;服用安眠药66例,占4.29%;总体睡眠质量不良发生率为66.54%。就业情况、是否吸烟、有无中高强度活动和血压是否控制与高血压合并糖尿病患者睡眠质量有关(均P<0.05)。结论本次调查有66.54%的高血压合并糖尿病患者存在睡眠质量不良,主要表现为夜间觉醒、早醒并难以重新入睡和打鼾/窒息/憋气。

Objective To investigate sleep quality among patients with hypertension and diabetes,so as to provide the basis for improving the health of patients with chronic diseases.Methods From May to August 2022,patients with hy-pertension and diabetes under the community management in 4 counties and cities(districts)of Shaoxing City,Zhejiang Province were recruited using a multi-stage stratified cluster random sampling method.Demographic information,disease history,smoking,alcohol consumption,physical activity and sleep quality were collected by questionnaire surveys,and blood pressure,fasting blood glucose and glycosylated hemoglobin were collected through physical examination and labo-ratory testing.The incidence of poor sleep quality symptoms(snoring/asphyxia/suffocation,difficulty falling asleep,night awakening,taking sleeping pills and early morning awakening)in patients with diabetes and hypertension was descrip-tively analyzed,and sleep quality was evaluated.Results A total of 1539 patients with hypertension and diabetes were surveyed,including 715 males(46.46%)and 824 females(53.54%).The patients had a mean age of(68.68±7.62)years.The proportions of night awakening,early morning awakening,snoring/asphyxia/suffocation,difficulty falling asleep and taking sleeping pills were 29.82%,28.53%,20.73%,15.79%and 4.29%,respectively.The proportion of poor sleep quality was 66.54%.Employment status,smoking status,moderate/high intensity physical activity and blood pressure con-trol were related to poor sleep quality(all P<0.05).Conclusion Poor sleep quality is common in patients with hyper-tension and diabetes,with the main symptoms being night awakening,early morning awakening,difficulty falling asleep and snoring/asphyxia/suffocation.