Analysis On Sleep Quality And Influencing Factors Of T2DM Patients In Shihezi Community

Objective:Through the investigation of sleep quality of T2DM patients in Shihezi community;To understand the sleep quality of patients with T2DM in Shihezi community and discuss the related factors,to improve the sleep quality of patients with diabetes in Shihezi community,and to provide guidance for the comprehensive assessment and effective comprehensive management of type 2 diabetes patients in Shihezi community.Methods:Through the whole group sampling method,431 T2DM patients living in 13communities in Shihezi City from October 2017 to January 2018 were selected as the research subjects.The general situation questionnaire and the Pittsburgh Sleep Quality Index?PSQI?scale J were used for subjects who met the inclusion criteria^[1],through the face-to-face questionnaire survey,on-site body index measurement,biochemical indicator measurement,complications screening,etc..Data entry using EpiData 3.1 software;SPSS17.0 conducted statistical analysis.The measurement data were all tested for normality.The normal distribution was expressed as an average±standard deviation,and two independent sample T tests were performed.The non-normal distribution was expressed in the median?lower quartile,upper quartile?.And two independent sample rank and inspection;The count data is expressed as a percentage of the number of positive cases?%?and the card square test is performed.The multi-factor analysis uses Logic regression,both using bilateral tests,P<0.05The difference is considered to be statistically significant.Results:1.The sleep quality status of T2DM patients in Shihezi community:Sleep disorders?PSQI?8 points?158?36.7%?,Good sleep?PSQI<8 points?273?63.3%?.The total score of PSQI is average?6.88±3.60?points,each factor score is subjective sleep quality?1.23±0.67?points,sleep incubation period?1.62±1.06?points,sleep time?0.69±0.90?points,sleep efficiency?0.85±1.06?,sleep disorders?1.47±0.57?,hypnotic drugs?0.29±0.77?,and daytime dysfunction?0.77±0.72?.In addition to the two factors of daytime dysfunction and sleep time,the total score of PSQI and the residual factors were significantly higher than those of the domestic norm,the difference was statistically significant?P<0.001?.2.Single factor analysis of sleep quality in patients with T2DM in Shihezi community:two groups:age,sex,height,weight,fasting blood-glucose and glycosylated hemoglobin,high-density lipoprotein,statins,adverse drug reactions,stress,diet control,and solitary living were statistically significant differences between groups.older women,lower height,lighter weight,high fasting blood-glucose,high glycosylated hemoglobin,and poor sleep quality in patients with high density lipoprotein;Taking statins,adverse drug reactions,high stress,diet control,and high detection rate of sleep disorders in solitary group.3.Multifactorial Analysis of Sleep Quality Influencing Factors in T2DM Patients in Shihezi Community:glycosylated hemoglobin levels,sex,statin and adverse drug reactions were the main factors affecting sleep quality in type 2 diabetes patients in Shihezi community.Age,height,weight,fasting blood-glucose,high-density lipoprotein,living pressure,control of diet,living alone and sleep quality in the community of Shihezi City T2DM patients did not find statistical significance.glycosylated hemoglobin levels,women,statine use,and adverse drug reactions were all positively correlated with sleep disorders.Different influencing factors have different effects on PSQI factors.Conclusion:1.The sleep quality of T2DM patients in Shihezi community was generally low,especially in subjective sleep quality,sleep latency period and sleep disturbance factors.2.The main factors affecting sleep quality of T2DM patients in Shihezi City community are:sex,glycosylated hemoglobin level,taking statins,and adverse drug reactions.Different influencing factors have different effects on sleep quality.