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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 analyze the status quo of sleep time in patients with type 2 diabetes mellitus and explore the influence of sleep time on their psychological status and quality of life. Methods A total of 365 patients with type 2 diabetes mellitus were recruited from April 2014 to April 2015 in Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine using the convenience sampling method. Patients were divided into two groups with sleep time of 6 h. The general condition questionnaire , WHOQOL-BREF, DDS, GSES. Two independent samples t test, 2 test, Mann-Whitney U test, multiple linear regression statistical analysis. Results The average sleep time of 365 patients with type 2 diabetes mellitus was 7.03 h. The 109 patients whose sleep time was less than 6 h had lower quality of life and general self-efficacy than those with sleep time more than 6 h, High, the difference was statistically significant (P <0.05). Multivariate regression analysis showed that sleep time was the influencing factor of quality of life (β = 0.117, P = 0.047), diabetic pain (β = -0.118, P = 0.046) and general self-efficacy (β = 0.136, P = 0.024). Conclusion Sleep time has a great impact on the psychology and life of patients with type 2 diabetes. Health care workers should pay more attention to their sleep and improve their psychological status and quality of life.