CAJ | 학술논문

目的：探讨睡眠质量对2型糖尿病（T2DM）患者生存质量的影响。方法：采用多阶段整群随机抽样方法，对徐州市944例T2DM患者，使用自行设计的问卷、匹兹堡睡眠质量指数量表（PSQI）、生存质量特异性量表（DSQL）和抑郁自评量表（SDS）进行面对面调查。结果：T2DM 患者中睡眠质量较差的比例达33．6％。每晚睡眠时间＜6 h组患者的生理、心理、社会关系和生存质量总分均高于6～8 h组（P＜0．01）。睡眠质量良好、一般和较差组的生存质量总分分别为（44．77±9．61）、（50．11±11．08）和（56．95±14．57）分，差异有统计学意义（P＜0．01）。校正了年龄、性别、并发症、病程、抑郁等因素后，睡眠质量与生存质量的相关系数为3．92。其中，睡眠质量与生理维度的相关系数最大（r＝0．407，P＜0．01）。结论：良好的睡眠质量可能有助于提高T2DM患者的生存质量，尤其对生理维度具有积极作用。
목적：탐토수면질량대2형당뇨병（T2DM）환자생존질량적영향。방법：채용다계단정군수궤추양방법，대서주시944례T2DM환자，사용자행설계적문권、필자보수면질량지수량표（PSQI）、생존질량특이성량표（DSQL）화억욱자평량표（SDS）진행면대면조사。결과：T2DM 환자중수면질량교차적비례체33．6％。매만수면시간＜6 h조환자적생리、심리、사회관계화생존질량총분균고우6～8 h조（P＜0．01）。수면질량량호、일반화교차조적생존질량총분분별위（44．77±9．61）、（50．11±11．08）화（56．95±14．57）분，차이유통계학의의（P＜0．01）。교정료년령、성별、병발증、병정、억욱등인소후，수면질량여생존질량적상관계수위3．92。기중，수면질량여생리유도적상관계수최대（r＝0．407，P＜0．01）。결론：량호적수면질량가능유조우제고T2DM환자적생존질량，우기대생리유도구유적겁작용。
Objective To explore the relationship between sleep quality and quality of life in patients with type 2 diabetes. Methods Multi-stage randomized cluster sampling was used in the survey and self-designed questionaire , Pittsburgh sleep quality index scale , diabetes specific quality of life scale and self-rating depression scale were adopted. Results The poor sleep quality rate was 33.6%. Compared with the group with 6~8 h sleep duration, the scores of physical function,psychological dimension,social relations and quality of life were higher in patients with < 6 h sleep duration (P < 0.01).The average quality of life score was significantly higher among the sleep disorder participants than the other groups(56.95 ± 14.57 vs 50.11 ± 11.08 vs 44.77 ± 9.61,P<0.01). After adjusting for age, gender, complications, course of disease and depression, etc. The correlation coefficient of sleep quality and quality of life was 3.92. Among them , the sleep quality and physical dimensions of the correlation coefficient is the largest(r=0.407,P<0.01). Conclusions It can be an effective method of improving their status of life quality by ameliorating their sleep quality , especially for the physical dimension.