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目的了解社区糖尿病患者的睡眠状况及相关影响因素。方法采用整群抽样法抽取宁波市北仑区20个社区449例糖尿病患者,进行问卷调查、体格检查和实验室检测。利用匹兹堡睡眠质量指数(PSQI)进行睡眠质量评价。结果 39.42%的社区糖尿病患者睡眠质量较差。社区糖尿病患者PSQI(5.50±3.82)分高于常模PSQI(3.88±2.52)分,睡眠质量下降明显(P<0.01)。多因素Logistic回归分析显示,BMI指数、心血管疾病和家庭年人均收入是影响睡眠质量的主要因素,OR值及其95%CI分别为0.93(0.87~0.99)、1.58(1.01~2.47)和0.35(0.15~0.80);多元线性回归分析显示,家庭年人均收入和离退休人员与睡眠质量相关(P<0.05)。结论糖尿病患者睡眠质量较差,患有心血管疾病、家庭收入低、偏瘦和在职是糖尿病患者睡眠障碍的影响因素。
Objective To understand the status of sleep and related factors in community diabetic patients. Methods A total of 449 diabetic patients in 20 communities in Beilun district of Ningbo city were sampled by cluster sampling method, and questionnaires, physical examination and laboratory tests were performed. Sleep quality was assessed using Pittsburgh Sleep Quality Index (PSQI). Results 39.42% of community diabetic patients had poor sleep quality. PSQI (5.50 ± 3.82) in community diabetic patients was higher than that of normotensive PSQI (3.88 ± 2.52), and the quality of sleep decreased significantly (P <0.01). Multivariate Logistic regression analysis showed that BMI index, cardiovascular disease and annual per capita income were the main factors affecting sleep quality. The OR and 95% CI were 0.93 (0.87-0.99), 1.58 (1.01-2.47) and 0.35 (0.15-0.80). Multivariate linear regression analysis showed that the annual per capita income and retirees were related to sleep quality (P <0.05). Conclusion Diabetic patients with poor sleep quality, suffering from cardiovascular disease, family income low, lean and serving on the job of diabetic patients with sleep disturbance factors.