Dewi Gayatri

Bio: Dewi Gayatri is an academic researcher. The author has contributed to research in topics: Pittsburgh Sleep Quality Index & Diabetic foot. The author has an hindex of 1, co-authored 2 publications receiving 5 citations.

Correlation between sleep quality with diabetes self-care management on diabetes mellitus type 2 patients

Abstract: Decreased sleep quality in patients with type 2 diabetes can interfere their daytime functions, alterations in emotions and decrease their quality of life. Relationship between sleep quality and self-care management among diabetes type 2 patients were examined. We used cross-sectional methods following with questionnaire of patient characteristic, Pittsburgh sleep quality index, perceived stress scale, diabetes self-management questionnaire and family support. This research has been conducted in 152 diabetes type 2 patients who were divided into 79 respondents without diabetic foot ulcers and 73 respondents with diabetic foot ulcers. Result of this study showed that 63.2% of respondents had poor sleep quality, 59.2% mild stress, 57.2% poor family support and 56.6% good diabetes self-management behavior. There was a significant relationship between sleep quality, duration of diabetes mellitus, and stress with diabetes self-care management (p: 0.013; p: 0.009; p: 0.007). There was no significant relationship between age, sex, education level, family support and diabetic ulcers with diabetes self-management care. In order to increase diabetes self-care management among diabetic patients, sleep quality need to be improved. Improvement can be made by controlling their blood glucose and providing better environment of sleep.

Sleep quality in diabetic mellitus with diabetic foot ulcer

Abstract: Diabetic patients have poor sleep quality because of its disease complication. Diabetic foot ulcer (DFU) patients were predicted have lower sleep quality because of the high-stress level and pain. The study objective was to compare sleep quality between diabetic patients with and without DFU. This study design was quantitative analytic cross-sectional. This research has been conducted in 152 diabetes type 2 patients who were divided into 79 respondents without diabetic foot ulcers and 73 respondents with diabetic foot ulcers. The instruments used in this study were numeric pain scale, Wagner scale, Pittsburgh Sleep Quality Index and Perceived Stress Scale. Based on chi-square test, there was no significant difference in sleep quality of diabetic patients with and without DFU (p=0.420; OR=1.39) however, the majority of DFU patients experienced poor sleep quality (67%). The majority of patients who experienced pain also had poor sleep quality (64.2%). The pain was found to be significantly related to poor sleep quality (p=0.013; OR=1.10). This research recommend about the pain in DFU have to manage to increase the quality of sleep comfort care in diabetes patients are urgently required to improve sleep quality, especially in DFU patients.

A comparison of diabetes self-care behavior in people with type 2 diabetes with and without insomnia symptoms.

Abstract: Individuals with type 2 diabetes (T2DM) are advised to undertake diabetes self-care behavior (DSCB) in order to avoid complications of T2DM. However, comorbidities, such as insomnia symptoms which are commonly reported in people with T2DM, may limit the ability to engage in DSCB. Insomnia and the common sequelae accompanying insomnia such as pain, depression, and anxiety may negatively influence the performance of DSCB. Therefore, this study aimed to compare the DSCB of people with T2DM with and without insomnia symptoms. Sixty participants with T2DM were divided into two groups based on the presence of insomnia symptoms: T2DM-only group and T2DM+ insomnia group. Insomnia symptoms were identified using the Insomnia Severity Index (ISI). DSCB was assessed using the Diabetic Care Profile (DCP). A standardized composite score was established to account for all of the DCP domains. Chi-square and independent sample t tests were used to assess between-group differences in categorical and continuous variables, respectively. Stepwise linear regression analysis used the ISI score to predict standardized DCP composite score, while controlling for covariates. Significant between-group differences were found in age, symptoms of pain, depression, and anxiety. The total DCP composite score was significantly lower in the T2DM+ insomnia group compared to the T2DM-only group (− 0.30 ± 0.46 vs. 0.36 ± 0.48, respectively, p < 0.001) with large effect size (g = 1.40). Stepwise linear regression results showed that a 1-point increase in ISI score significantly predicted a .03-point decrease in standardized DCP composite score, after controlling for age, symptoms of pain, depression, and anxiety (β = − 0.03, p = 0.04). The data suggest that people with T2DM and insomnia symptoms had worse scores on the majority of the DSCB domains and a worse DCP composite score compared to people with T2DM only. The data suggest a negative association between insomnia severity and DSCB among people with T2DM. Further research using a larger sample size and more rigorous research design is required to examine the causal relationship between insomnia symptoms and DSCB.

Determination of patient’s knowledge with diabetes type 2 for self- management regarding control blood glucose level

Abstract: Diabetes Mellitus is a metabolic disorder of multiple etiologic factors characterized by chronic hyperglycemia with disturbance of carbohydrate metabolism. It can play a vital role in the cause of morbidity and mortality through continued clinical consequence. Therefore, good knowledge of glycemic control is necessary for promoting care, enhancing better therapeutic outcomes, and in the prevention and management of diabetes complications. Diabetes self-management is necessary to ensure optimum Blood glucose level Control. However, limited data were available regarding the practice of self-management by Iraqi diabetic patients. A descriptive study was carried out to determine if the Patient’s Knowledge with diabetes type 2 for SelfManagement Regarding Blood glucose level Control. From 2 nd January, 2018 to 2 nd July, 2019 in order to achieve the objectives of the present study. Including (111) males and (89) females. The data were collected by utilization of the study instruments and employment of scheduled interview as means data collection. The data collection process was performed from 2 nd January, 2018 to 2 nd July, 2019. A questionnaire was designed constructed by the researcher to measure the variable. The questionnaire consisted of 2 parts which are demographical, and diabetics’ self-care skills indicator toward blood glucose level control. The reliability of the questionnaire was determined through a pilot study and the validity through a panel of experts. The data were analyzed through the application of descriptive statistic frequency, percentage, and the application of inferential statistical procedures, which include the Pearson correlation coefficient, and contingency coefficient. This study shows the highest percent of the study samples were (50-59) years old with the mean age (34.5) years, most of them were married male. With a low educational level. With the group's duration are (1-5) years. Insufficient monthly income, unemployed, overweight, they had information from the physician. Also, they were diagnosed incidentally when they measure blood glucose during the physician visit. Most of the study samples were presented with a lack of knowledge regarding self-care management toward blood glucose level control by patients with diabetes type 2 diseases. There is a significant association between self-management toward blood glucose level control and (age, educational level, monthly income). While no significant with another variable. New diabetic patients should be engage in educational program by nurse & supply with booklet which include selfcare skills toward blood glucose level control and supported by videotapes to enforce their practices, with the nurse supervision during visit them to the center, instructed to control their blood glucose level, and body weight to improve their self-care skills to avoid complications.

Is There an Association between Sleep Disorders and Diabetic Foot? A Scoping Review

Abstract: Diabetic foot is associated with a low quality of life since physical disabilities, mood disturbances and psychological disorders are frequent. One of the most important biological processes to ensure quality of life is sleep. Sleep disorders can impair glycemic control in patients with diabetes mellitus or even cause long-term type 2 diabetes mellitus. The aim of this study is to carry out a scoping review about the association between sleep cycle disorders and diabetic foot. PubMed, Scopus, CINAHL, PEDro, Cochrane Library, SCIELO and EMBASE databases were chosen for the search and the following terms were used: "diabetic foot","sleep*","rest-activity","mood" and"behavior". All the studies should include outcome variables about sleep and diabetic foot. Finally, 12 articles were selected, all of whichwere observational. The most frequent variables were those regarding diabetic foot ulcer aspects and diabetic neuropathy on one side, and obstructive sleep apnea, sleep duration and sleep quality on the other side. The results suggest that there is a possible association between obstructive sleep apnea and the presence or history of diabetic foot ulcers. No direct associations between sleep quality or sleep duration and diabetic foot or diabetic foot ulcer variables have been found.