中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
5期
296-299
,共4页
刘宇翔%杨嘉君%韩峻峰%林泽宏%徐淼%何斌斌%魏丽%贾伟平
劉宇翔%楊嘉君%韓峻峰%林澤宏%徐淼%何斌斌%魏麗%賈偉平
류우상%양가군%한준봉%림택굉%서묘%하빈빈%위려%가위평
糖尿病,2型%问卷调查%睡眠%抑郁状态
糖尿病,2型%問捲調查%睡眠%抑鬱狀態
당뇨병,2형%문권조사%수면%억욱상태
Diabetes mellitus,type 2%Questionnaires%Sleep%Depressive symptoms
目的 探讨影响2型糖尿病患者睡眠质量的相关因素.方法 随机选取上海第六人民医院内分泌科就诊的2型糖尿病患者283例,使用匹兹堡睡眠质量指数量表与汉密尔顿抑郁量表对患者的睡眠质量及抑郁状态进行评估.数据资料使用卡方检验、独立样本t检验、U检验、Spearman相关、逐步线性回归分析等进行分析.结果 2型糖尿病患者中,按睡眠质量分为两组,睡眠障碍患者(睡眠质量指数＞7)占32.16％(91例).两组患者之间的胰岛素使用比例、抑郁状态比例的差异有统计学意义(x2=14.337、70.910,P=0.001),舒张压的差异有统计学意义(Z=-2.172,P=0.030),汉密尔顿抑郁量表焦虑躯体化、认识障碍、日夜变化、阻滞、睡眠障碍、绝望感等抑郁因子得分存在统计学差异(Z=-5.961、-4.854、-7.159、-7.159、-10.183、-4.882,均P＜0.05).睡眠质量指数分别与抑郁评分、是否注射胰岛素这两个变量的相关性存在统计学意义(r =0.682,P＜0.05;r =0.209,P ＜0.05),抑郁评分、是否注射胰岛素是影响睡眠质量指数的独立相关因素(β=0.430,P ＜0.05；β=1.142,P=0.022).在注射胰岛素的患者中,注射胰岛素的次数与低血糖事件频率的相关性有统计学意义(r =0.235,P=0.041),低血糖事件频率与抑郁评分的相关性有统计学意义(r=0.275,P=0.016).结论 抑郁状态、注射胰岛素会影响2型糖尿病患者的睡眠质量.
目的 探討影響2型糖尿病患者睡眠質量的相關因素.方法 隨機選取上海第六人民醫院內分泌科就診的2型糖尿病患者283例,使用匹玆堡睡眠質量指數量錶與漢密爾頓抑鬱量錶對患者的睡眠質量及抑鬱狀態進行評估.數據資料使用卡方檢驗、獨立樣本t檢驗、U檢驗、Spearman相關、逐步線性迴歸分析等進行分析.結果 2型糖尿病患者中,按睡眠質量分為兩組,睡眠障礙患者(睡眠質量指數＞7)佔32.16％(91例).兩組患者之間的胰島素使用比例、抑鬱狀態比例的差異有統計學意義(x2=14.337、70.910,P=0.001),舒張壓的差異有統計學意義(Z=-2.172,P=0.030),漢密爾頓抑鬱量錶焦慮軀體化、認識障礙、日夜變化、阻滯、睡眠障礙、絕望感等抑鬱因子得分存在統計學差異(Z=-5.961、-4.854、-7.159、-7.159、-10.183、-4.882,均P＜0.05).睡眠質量指數分彆與抑鬱評分、是否註射胰島素這兩箇變量的相關性存在統計學意義(r =0.682,P＜0.05;r =0.209,P ＜0.05),抑鬱評分、是否註射胰島素是影響睡眠質量指數的獨立相關因素(β=0.430,P ＜0.05；β=1.142,P=0.022).在註射胰島素的患者中,註射胰島素的次數與低血糖事件頻率的相關性有統計學意義(r =0.235,P=0.041),低血糖事件頻率與抑鬱評分的相關性有統計學意義(r=0.275,P=0.016).結論 抑鬱狀態、註射胰島素會影響2型糖尿病患者的睡眠質量.
목적 탐토영향2형당뇨병환자수면질량적상관인소.방법 수궤선취상해제륙인민의원내분비과취진적2형당뇨병환자283례,사용필자보수면질량지수량표여한밀이돈억욱량표대환자적수면질량급억욱상태진행평고.수거자료사용잡방검험、독립양본t검험、U검험、Spearman상관、축보선성회귀분석등진행분석.결과 2형당뇨병환자중,안수면질량분위량조,수면장애환자(수면질량지수＞7)점32.16％(91례).량조환자지간적이도소사용비례、억욱상태비례적차이유통계학의의(x2=14.337、70.910,P=0.001),서장압적차이유통계학의의(Z=-2.172,P=0.030),한밀이돈억욱량표초필구체화、인식장애、일야변화、조체、수면장애、절망감등억욱인자득분존재통계학차이(Z=-5.961、-4.854、-7.159、-7.159、-10.183、-4.882,균P＜0.05).수면질량지수분별여억욱평분、시부주사이도소저량개변량적상관성존재통계학의의(r =0.682,P＜0.05;r =0.209,P ＜0.05),억욱평분、시부주사이도소시영향수면질량지수적독립상관인소(β=0.430,P ＜0.05；β=1.142,P=0.022).재주사이도소적환자중,주사이도소적차수여저혈당사건빈솔적상관성유통계학의의(r =0.235,P=0.041),저혈당사건빈솔여억욱평분적상관성유통계학의의(r=0.275,P=0.016).결론 억욱상태、주사이도소회영향2형당뇨병환자적수면질량.
Objective To investigate the influencing factors of sleep quality in patients with type 2 diabetes mellitus (T2DM).Methods Two hundred and eighty-three T2DM patients were enrolled in this investigation interviewed exclusively for Pittsburgh Sleep Quality Index (PSQI) and Hamilton Depression Scale (HAMD).Chi-square test,independent-samples t test,Mann-Whitney U test,Spearman correlation,stepwise regression analysis were used for data analysis.Results Ninety-one T2DM patients (32.16％)suffered from sleep disorders.Those with or without sleep disorders showed significant differences in insulin use (x2 =14.337,P =0.001),depression (x2 =70.910,P =0.001),diastolic blood pressure (Z =-2.172,P =0.030) and HAMD (P ＜ 0.05).PSQI score was significantly correlated with insulin injection and HAMD score (r values were 0.682 and 0.209,respectively ; both P ＜ 0.05).HAMD score and insulin injection were significantly independent risk factors of PSQI score (β values were 0.430 and 1.142,respectively; P ＜ 0.05 or P =0.022).In those subjects who have insulin injection,times of injection was significantly correlated with the frequency of hypoglycemia (r =0.235,P =0.041),and hypoglycemia was significantly correlated with HAMD score (r =0.275,P =0.016).Conclusion Depression and insulin injection may affect sleep quality of T2DM patients.
