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目的探讨睡眠相关行为与2型糖尿病(T2DM)发病情况之间的关系,有效制定T2DM患者睡眠行为护理干预措施。方法科研设计采用1:1匹配的病例对照研究法;资料收集采用问卷调查法;资料处理分析采用t检验及多元条件Logistic回归模型分析法。结果病例组与对照组睡眠质量差异有统计学意义(t=10.15,P﹤0.05)。睡眠相关行为:午睡情况、晚睡情况、打鼾情况、入睡困难情况、夜间睡眠充足与否及睡眠质量等因素与T2DM发病存在关联,多元条件Logistic回归模型的OR值和OR95%CI分别为[(OR=6.70,95%CI:4.29~10.44);(OR=7.57,95%CI:4.14~13.86)(OR=4.02,95%CI:2.56~6.31);(OR=6.95,95%CI:3.52~13.71);(OR=3.25,95%CI:1.99~5.30);(OR=5.70,95%CI:3.65~8.87)]。结论睡眠相关行为与T2DM发病密切相关,晚睡、打鼾、入睡困难、夜间睡眠不足、睡眠质量差等因素可能为T2DM发病的危险因素,适当午睡可能是T2DM发病的保护性因素。
Objective To explore the relationship between sleep-related behaviors and the incidence of type 2 diabetes mellitus (T2DM) and to effectively develop nursing interventions for sleep behavior in T2DM patients. Methods The scientific research design adopted a 1: 1 matched case-control study method; the data collection was conducted by questionnaire; the data processing analysis was conducted by t-test and multivariate conditional logistic regression model analysis. Results There were significant differences in sleep quality between case group and control group (t = 10.15, P <0.05). Sleep-related behaviors: factors such as somnolence, late-night sleep, snoring, difficulty falling asleep, adequacy of nighttime sleepiness and quality of sleep correlated with the incidence of T2DM. The OR value and OR95% CI of multivariate Logistic regression model were [( OR = 6.70, 95% CI: 4.29-10.44) (OR = 7.57, 95% CI: 4.14-13.86) (OR = 4.02, 95% CI: 2.56-6.31) (OR = 3.25, 95% CI: 1.99-5.30); (OR = 5.70, 95% CI: 3.65-8.87)]. Conclusions Sleep-related behaviors are closely related to the pathogenesis of T2DM. Factors such as late sleep, snoring, difficulty falling asleep, lack of sleep at night, poor sleep quality may be risk factors for T2DM. Appropriate nap may be a protective factor in the pathogenesis of T2DM.