Journal of Diabetes Nursing

fa ارتباط کیفیت خواب شبانه و کیفیت زندگی بیماران دیابتی تیپ دو Sleep Quality and Quality of Life in Adults with Type 2 Diabetes تخصصي Special پژوهشي Research مقدمه و هدف: دیابت شیرین یکی از شایعترین بیماریهای مزمن پزشکی است که بر ابعاد فیزیکی و روانی کیفیت زندگی افراد تأثیر میگذارد. اختلال خواب، یکی از مشکلات رایج این بیماران است که اثر متقابلی روی کیفیت زندگی و بروز دیابت میگذارد. این مطالعه با هدف بررسی کیفیت زندگی و کیفیت خواب بیماران بزرگسال دیابتی تیپ دو و رابطه آنها با متغیر بیوشیمیایی (HbA1c) و BMI انجام شد.<o:p /> مواد و روشها: این مطالعه توصیفی- همبستگی، روی 110 بیمار واجد شرایط در انجمن دیابت شهر همدان بر اساس نمونهگیری غیرتصادفی و مبتنی بر هدف در سال 92-1391 انجام شد. ابزار جمعآوری اطلاعات شامل پرسشنامه کیفیت خواب پیتزبرگ(PSQI) ، پرسشنامه کیفیت زندگی (SF-36) و بررسی میزان متغیر بیوشیمیایی HbA1c و BMI بود. پرسشنامههای تکمیل شده توسط نمونهها، دارای استاندارد جهانی هستند و در ایران نیز روایی و پایایی آن تأیید گردید. تجزیه و تحلیل دادهها با استفاده از آزمون آماری کای اسکوئر، ضریب همبستگی پیرسون و مدل رگرسیون خطی با استفاده از برنامه ویرایش 17 انجام شد.<o:p /> یافتهها: نتایج نشان داد که بیش از 80% بیماران دیابتی از کیفیت زندگی و کیفیت خواب کمی برخوردار هستند. نمره کیفیت خواب نمونهها با بعد فیزیکی کیفیت زندگی ارتباط معنیداری داشت (P<0.05). همچنین مشخص شد، افرادی که خواب بدی دارند (global PSQI>5) میزان BMI و HbA1c بالاتری نسبت به سایرین دارند.<o:p /> بحث و نتیجهگیری: پایین بودن کیفیت زندگی و خواب بیماران دیابتی لزوم توجه مسئولین به برنامههای بازآموزی پرستاران و آموزش بیماران را در این زمینه افزایش داده و آن را از اولویتهای مراقبت پرستاری قرار میدهد.<o:p /> Introduction: Diabetes mellitus is one of the most common chronic medical conditions that effect on physical and psychotic dimensions of life quality. Sleep disorder is one of common problems in the patients that mutually influenced on life quality and incidence of diabetes. The aim of the study was to investigate sleep quality and quality of life in adults with type 2 diabetes, and to examine the relationships between these two parameters with biochemical variable of HbA1c and anthropometric variable of BMI.<o:p /> Methodology: This descriptive – correlation study was conducted on 110 eligible patients with type 2 diabetes seen at a diabetic's patient's community in Hamedan city. The subjects were selected through non-probability sampling by purposive method. Data collection instruments were Diabetes Quality of Life (SF-36) questionnaire modified, Pittsburgh Sleep Quality Index (PSQI) questionnaire and HbA1c and BMI variables. Validity and reliability these questionnaires were confirmed in Iran. Data analysis was performed by SPSS version 12 and statistical methods of chi-square test, Pearson correlation index and linear regressions.Results:<span style="line-height: 115% font-family: "Calibri","sans-serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Arial mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> <span style="line-height: 115% font-family: "TimesNewRoman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: TimesNewRoman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">The results <span style="line-height: 115% font-family: "TimesNewRoman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: TimesNewRoman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">showed that more than 80% <span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">the participants<span style="line-height: 115% font-family: "TimesNewRoman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: TimesNewRoman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> have low <span style="line-height: 115% font-family: "AGaramond-Regular","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-ascii-font-family: AGaramond-Regular mso-hansi-font-family: Calibri mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">sleep <span style="line-height: 115% font-family: "AGaramond-Regular","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-ascii-font-family: AGaramond-Regular mso-hansi-font-family: Calibri mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">quality and quality of life<span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> sleep quality score of subjects was significant <span style="line-height: 115% font-family: "PalatinoLinotype-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: PalatinoLinotype-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">association<span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> <span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">with physical dimension of quality of life<span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: "B Nazanin" mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> (P<0.05)<span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">. Also was showed that <span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: "B Nazanin" mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">BMI and HbA1c indexes <span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA">in persons with poor sleep<span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: "B Nazanin" mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> (global PSQI>5)<span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> are more than others.<span style="line-height: 115% font-family: "TimesNewRoman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: TimesNewRoman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"><span style="line-height: 115% font-family: "AGaramond-Regular","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-ascii-font-family: AGaramond-Regular mso-hansi-font-family: Calibri mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"><span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"><span style="line-height: 115% font-family: "Times-Roman","serif" font-size: 11pt mso-fareast-font-family: Calibri mso-bidi-font-family: Times-Roman mso-ansi-language: EN-US mso-fareast-language: EN-US mso-bidi-language: FA"> Conclusion: Low quality of life and poor Sleep quality in diabetic patients were increased attention of administrators with re-education programs of nurses and education of patients and it was situated in nursing care priorities.<o:p /> بیمار دیابتی, کیفیت خواب شبانه, کیفیت زندگی. Sleep Quality, Quality of Life, Diabetic patient. 51 61 http://jdn.zbmu.ac.ir/browse.php?a_code=A-10-1-19&slc_lang=fa&sid=1 mohammad Torabi محمد ترابی m.torabi@sbmu.ac.ir 1003194753284600445 1003194753284600445 Yes Shahid Beheshti University of Medical Sciences داﻧﺸﻜﺪه ﭘﺮﺳﺘﺎری و ﻣﺎﻣﺎﻳﻲ ahmad Izadi احمد ایزدی 1003194753284600446 1003194753284600446 No mahin Naderi far مهین نادری فر 1003194753284600447 1003194753284600447 No farshid Shamsaei فرشید شمسایی 1003194753284600448 1003194753284600448 No