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Proceedings ArticleDOI

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

09 Apr 2019-Vol. 2092, Iss: 1, pp 040018
TL;DR: In order to increase diabetes self-care management among diabetic patients, sleep quality need to be improved by controlling their blood glucose and providing better environment of sleep.
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.
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Journal ArticleDOI
TL;DR: The data suggest that people with type 2 diabetes 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.
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.

8 citations


Cites background from "Correlation between sleep quality w..."

  • ...Also, recent study suggested improving sleep quality may help to increase diabetes self-care management among people with T2DM [37]....

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Journal ArticleDOI
TL;DR: 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 to avoid complications.
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.

3 citations

Journal ArticleDOI
TL;DR: In this article , the construct validity of the Turkish version of the Diabetes Foot Self-Care Behavior Scale (DFSBS) in patients with type-2 diabetes has been evaluated and the exploratory factor analysis results showed that 75% of the total variance is explainable by two factors.
Abstract: Background: This study was planned to test the construct validity of the Turkish version of the Diabetes Foot Self-Care Behavior Scale (DFSBS) in patients with type-2 diabetes. Method: 119 type-2 diabetic patients (57 women; 62 men) with a mean age of 53.3±4.7 years were included in this study. The forward-backward translation of the DFSBS was conducted for translation from English to Turkish according to the methodology outlined by Beaton. The World Health Organization Well-being Questionnaire-22 (WBQ-22) and Nottingham Health Profile (NHP) were administered to the participants along with the DFSBS. Results: For convergent construct validity analysis, the correlations between the DFSBS score and WBQ-22 (r=0.639, p<0.001) and NHP total score (r=-0.200, p<0.029) were calculated with the Pearson correlation coefficient. The discriminative construct validity analysis showed that there is no difference between men and women in terms of scale scores. The exploratory factor analysis results showed that 75% of the total variance is explainable by two factors. The fit between the factor structure of the Turkish version and the original version was adequate as shown by the confirmatory factor analysis. Additionally, item discriminative power analysis showed that all items were able to discriminate ‘high’ and ‘low’ responses. Conclusion: The DFSBS is a rare scale that can assess and measure diabetic foot self-care behaviors in a person-centered approach with satisfactory construct validity. This scale can be used to assess self-care behaviors, plan interventions and education programs with diabetic foot clients.
Journal ArticleDOI
07 Sep 2020-Aquichan
TL;DR: High prevalence of discomfort, both physical and psychological, was found in patients with a diabetic foot ulcer, and integrating comfort into wound care management may help to reduce the psychological burden.
Abstract: Relacion entre la gravedad de la herida, la molestia y los problemas psicologicos en pacientes con ulcera del pie diabetico en Indonesia: estudio transversal Relacao entre gravidade da ferida, desconforto e problemas psicologicos em pacientes com ulcera diabetica do pe na Indonesia: um estudo transversal Objectives: The purpose of this study is to identify the relationship between wound severity, discomfort, and psychological problems in patients with a diabetic foot ulcer in Indonesia. Methods: A cross-sectional study is conducted in three general hospitals and one clinic in Indonesia. The Bates-Jensen wound assessment tool (BWAT), the discomfort evaluation of wound instrument (DEWI), and the depression, anxiety, and stress scale (DASS) are used to measure the variables of interest. Path analysis is performed to evaluate the association between wound severity, discomfort, and psychological problems. Results: Of 140 patients with diabetic foot ulcers who joined this study, the majority experienced immobilization (74.3 %), pain (69.3 %), and sleep disturbance (63.6 %). The means were as follows: discomfort (2.35 ± 0.33), depression (1.34 ± 0.41), stress (1.49 ± 0.48), anxiety (1.43 ± 0.40), and wound severity (31.35 ± 9.96). Discomfort partially mediated the relationship between wound severity and psychological problems, which indirect effect was 0.11. Conclusion: High prevalence of discomfort, both physical and psychological, was found in patients with a diabetic foot ulcer. Discomfort mediates the relationship between wound severity and psychological problems. Integrating comfort into wound care management may help to reduce the psychological burden. Para citar este articulo / To reference this article / Para citar este artigo Gayarti D , Nurachmah E , Mansyur M , Soewondo P , Suriadi S . Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study. Aquichan. 2020;20(3):e2033. DOI: https://doi.org/10.5294/aqui.2020.20.3.3 Recibido: 02/09/2019 Aceptado: 13/07/2020 Publicado: 07/09/2020

Cites background from "Correlation between sleep quality w..."

  • ...Pain, stress, bad smell, sleep disorder, and daily activities disturbances were the most common complaints by patients with a DFU (11, 12)....

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  • ...The previous study reported that discomfort due to a DFU is the most common complaint among patients and significantly impacts the wound healing process (12)....

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References
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Journal ArticleDOI
TL;DR: Sleep debt has a harmful impact on carbohydrate metabolism and endocrine function similar to those seen in normal ageing and, therefore, sleep debt may increase the severity of age-related chronic disorders.

3,322 citations

Journal ArticleDOI
TL;DR: Differences in leptin and ghrelin are likely to increase appetite, possibly explaining the increased BMI observed with short sleep duration, and changes in appetite regulatory hormones with sleep curtailment may contribute to obesity.
Abstract: Background Sleep duration may be an important regulator of body weight and metabolism. An association between short habitual sleep time and increased body mass index (BMI) has been reported in large population samples. The potential role of metabolic hormones in this association is unknown. Methods and Findings Study participants were 1,024 volunteers from the Wisconsin Sleep Cohort Study, a population-based longitudinal study of sleep disorders. Participants underwent nocturnal polysomnography and reported on their sleep habits through questionnaires and sleep diaries. Following polysomnography, morning, fasted blood samples were evaluated for serum leptin and ghrelin (two key opposing hormones in appetite regulation), adiponectin, insulin, glucose, and lipid profile. Relationships among these measures, BMI, and sleep duration (habitual and immediately prior to blood sampling) were examined using multiple variable regressions with control for confounding factors. A U-shaped curvilinear association between sleep duration and BMI was observed. In persons sleeping less than 8 h (74.4% of the sample), increased BMI was proportional to decreased sleep. Short sleep was associated with low leptin (p for slope = 0.01), with a predicted 15.5% lower leptin for habitual sleep of 5 h versus 8 h, and high ghrelin (p for slope = 0.008), with a predicted 14.9% higher ghrelin for nocturnal (polysomnographic) sleep of 5 h versus 8 h, independent of BMI.

2,111 citations

Journal ArticleDOI
Pengzi Zhang1, Jing Lu1, Yali Jing1, Sunyinyan Tang1, Dalong Zhu1, Yan Bi1 
TL;DR: It is found that that global diabetic foot ulcer prevalence was 6.3% (95%CI: 5.4–7.3%), and the prevalence in North America, Asia, Europe, Africa and Oceania was 13.0%, which was higher in males than in females, and more prevalent in type 2 diabetic patients than in type 1 diabetic foot patients.
Abstract: Diabetic foot is a severe public health issue, yet rare studies investigated its global epidemiology. Here we performed a systematic review and meta-analysis through searching PubMed, EMBASE, ISI Web of science, and Cochrane database. We found that that global diabetic foot ulcer prevalence was 6.3% (95%CI: 5.4-7.3%), which was higher in males (4.5%, 95%CI: 3.7-5.2%) than in females (3.5%, 95%CI: 2.8-4.2%), and higher in type 2 diabetic patients (6.4%, 95%CI: 4.6-8.1%) than in type 1 diabetics (5.5%, 95%CI: 3.2-7.7%). North America had the highest prevalence (13.0%, 95%CI: 10.0-15.9%), Oceania had the lowest (3.0%, 95% CI: 0.9-5.0%), and the prevalence in Asia, Europe, and Africa were 5.5% (95%CI: 4.6-6.4%), 5.1% (95%CI: 4.1-6.0%), and 7.2% (95%CI: 5.1-9.3%), respectively. Australia has the lowest (1.5%, 95%CI: 0.7-2.4%) and Belgium has the highest prevalence (16.6%, 95%CI: 10.7-22.4%), followed by Canada (14.8%, 95%CI: 9.4-20.1%) and USA (13.0%, 95%CI: 8.3-17.7%). The patients with diabetic foot ulcer were older, had a lower body mass index, longer diabetic duration, and had more hypertension, diabetic retinopathy, and smoking history than patients without diabetic foot ulceration. Our results provide suggestions for policy makers in deciding preventing strategy of diabetic foot ulceration in the future. Key messages Global prevalence of diabetic foot is 6.3% (95%CI: 5.4-7.3%), and the prevalence in North America, Asia, Europe, Africa and Oceania was 13.0% (95%CI: 10.0-15.9%), 5.5% (95%CI: 4.6-6.4%), 5.1% (95%CI: 4.1-6.0%), 7.2% (95%CI: 5.1-9.3%), and 3.0% (95% CI: 0.9-5.0%). Diabetic foot was more prevalent in males than in females, and more prevalent in type 2 diabetic foot patients than in type 1 diabetic foot patients. The patients with diabetic foot were older, had a lower body mass index, longer diabetic duration, and had more hypertension, diabetic retinopathy, and smoking history than patients without diabetic foot.

874 citations

Journal ArticleDOI
TL;DR: A somewhat reduced SMBG frequency in subjects with linguistic barriers, some ethnic minorities, and subjects with lower education levels suggests the potential for targeted, culturally sensitive, multilingual health education.
Abstract: OBJECTIVE: Self-monitoring of blood glucose (SMBG) is a cornerstone of diabetes care, but little is known about barriers to this self-care practice. RESEARCH DESIGN AND METHODS: This cross-sectional study examines SMBG practice patterns and barriers in 44,181 adults with pharmacologically treated diabetes from the Kaiser Permanente Northern California Region who responded to a health survey (83% response rate). The primary outcome is self-reported frequency of SMBG. RESULTS: Although most patients reported some level of SMBG monitoring, 60% of those with type 1 diabetes and 67% of those with type 2 diabetes reported practicing SMBG less frequently than recommended by the American Diabetes Association (three to four times daily for type 1 diabetes, and once daily for type 2 diabetes treated pharmacologically). Significant independent predictors of nonadherent practice of SMBG included longer time since diagnosis, less intensive therapy, male sex, age, belonging to an ethnic minority, having a lower education and neighborhood income, difficulty communicating in English, higher out-of-pocket costs for glucometer strips (especially for subjects with lower incomes), smoking, and excessive alcohol consumption. CONCLUSIONS: Considerable gaps persist between actual and recommended SMBG practices in this large managed care organization. A somewhat reduced SMBG frequency in subjects with linguistic barriers, some ethnic minorities, and subjects with lower education levels suggests the potential for targeted, culturally sensitive, multilingual health education. The somewhat lower frequency of SMBG among subjects paying higher out-of-pocket expenditures for strips suggests that removal of financial barriers by providing more comprehensive coverage for these costs may enhance adherence to recommendations for SMBG.

525 citations

Journal ArticleDOI
TL;DR: The proportion of patients with poor glycemic control was high, which was nearly comparable to that reported from many countries, and an educational program that emphasizes lifestyle modification with importance of adherence to treatment regimen would be of great benefit in gly glucose control.
Abstract: Objectives Determine factors associated with poor glycemic control among Jordanian patients with Type 2 diabetes. Methods A systematic random sample of 917 patients was selected from all patients with Type 2 diabetes over a period of 6 months in 2008. A prestructured questionnaire sought information about sociodemographic, clinical characteristics, self-care management behaviours, medication adherence, barriers to adherence, and attitude towards diabetes. Weight, height, and waist circumferences were measured. All available last readings of hemoglobin A1c (HbA1c), fasting blood sugar measurements and lipid were abstracted from patients' records. Poor glycemic control was defined as HbA1c ≥7%. Results Of the total 917 patients, 65.1% had HbA1c ≥7%. In the multivariate analysis, increased duration of diabetes (>7 years vs. ≤7years) (OR=1.99, P ≤.0005), not following eating plan as recommended by dietitians (OR=2.98, P ≤.0005), negative attitude towards diabetes, and increased barriers to adherence scale scores were significantly associated with increased odds of poor glycemic control. Conclusion The proportion of patients with poor glycemic control was high, which was nearly comparable to that reported from many countries. Longer duration of diabetes and not adherent to diabetes self-care management behaviors were associated with poor glycemic control. An educational program that emphasizes lifestyle modification with importance of adherence to treatment regimen would be of great benefit in glycemic control.

451 citations