目的:了解社区糖尿病患者的睡眠状况及相关影响因素。方法采用整群抽样法抽取宁波市北仑区20个社区449例糖尿病患者,进行问卷调查、体格检查和实验室检测。利用匹兹堡睡眠质量指数( pSQI)进行睡眠质量评价。结果39.42%的社区糖尿病患者睡眠质量较差。社区糖尿病患者pSQI (5.50±3.82)分高于常模pSQI(3.88±2.52)分,睡眠质量下降明显( p<0.01)。多因素Logistic回归分析显示,BMI指数、心血管疾病和家庭年人均收入是影响睡眠质量的主要因素, OR值及其95%CI分别为0.93(0.87~0.99)、1.58(1.01~2.47)和0.35(0.15~0.80);多元线性回归分析显示,家庭年人均收入和离退休人员与睡眠质量相关( p<0.05)。结论糖尿病患者睡眠质量较差,患有心血管疾病、家庭收入低、偏瘦和在职是糖尿病患者睡眠障碍的影响因素。
Objective To investigate the current status of sleep and its influencing factors among diabetic patients in communities. Methods Using the method of cluster sampling,a total of 449 diabetic patients were selected from 20 communities in Beilun District,Ningbo City. A well -structured questionnaire and physical examination were applied to obtain information,and pittsburgh Sleep Quality Index( pSQI)was also used to compare the sleeping quality of diabetic patients with norm population. Results Out of 449 patients,177(39. 42%)had poor sleeping quality. Compared with norm (3. 88 ± 2. 52),sleeping quality of diabetic patients(5. 50 ± 3. 82)was poorer(p<0. 01). Multivariable logistic regression showed that BMI,family income and cardiovascular diseases( CVD)were the influencing factors of sleeping quality,the value of OR and 95% confidence interval(95%CI)were 0. 93(0. 87-0. 99),0. 35(0. 15-0. 80)and 1. 58(1. 01-2. 47) respectively. Besides,multivariable linear regression showed that family income and retirement were associated with sleeping quality(p<0. 05). Conclusion Sleep disorder remains a common problem among diabetic patients Low BMI,low family income,non-retiree and CVD contribute to poor status of sleep.