scholarly journals Hubungan diabetes melitus dengan kualitas tidur

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Inry N. Tentero ◽  
Damayanti H.C. Pangemanan ◽  
Hedison Polii

Abstract: Diabetes mellitus (DM) is a serious problem with the incidence rising sharply. DM can affect almost all segments of society throughout the world. The number of people with diabetes continues to grow from year to year due to poor lifestyle. People today are less likely to move and have unhealthy eating patterns. High blood sugar levels are disturb concetration to sleep, due to frequent urge to urinate during the night. Sleep disorder is a common problem that occurs in patients with DM and DM reverse can also cause sleep disturbance due to nocturia and pain complaints. The purpose of this study was to determine the relationship of the DM with the quality of sleep in out patients with DM who in the Pancaran Kasih General Hospital Manado. This research is descriptive analytic with cross-sectional study. The study population was the out patients with DM in Pancaran Kasih General Hospital Manado totaling 456 people. Samples were taken using total sampling technique as much as 78 respondents who met the inclusion criteria. The data were analyzed using Pearson's correlation to determine whether there is a correlation between diabetes mellitus and sleep quality by using the application of computer programs. There is a correlation between Diabetes Mellitus with the quality of sleep in patients of Pancaran Kasih General Hospital Manado.Keywords: diabetes mellitus, sleep quality, people with diabetes mellitus Abstrak: Diabetes Melitus (DM) merupakan masalah serius dengan angka kejadian yang meningkat tajam. DM dapat menyerang hampir semua golongan masyarakat di seluruh dunia. Jumlah penderita DM terus bertambah dari tahun ke tahun karena pola hidup manusia zaman sekarang yang cenderung jarang bergerak dan pola makan yang tidak sehat. Kadar gula darah yang tinggi sangat mengganggu konsentrasi untuk tidur nyenyak, dikarenakan seringnya keinginan untuk buang air kecil pada malam hari. Kadang muncul rasa haus yang berlebihan. Gangguan tidur merupakan masalah umum yang terjadi pada pasien DM dan sebaliknya DM juga dapat menimbulkan gangguan tidur akibat adanya keluhan nocturia dan nyeri. Tujuan penelitian ini adalah untuk mengetahui hubungan DM dengan kualitas tidur pada pasien DM yang melakukan pemeriksaan rawat jalan di poliklinik penyakit dalam Rumah Sakit Umum Pancaran Kasih Manado. Jenis penelitian ini bersifat deskriptif analitik dengan rancangan cross-sectional study. Populasi penelitian adalah semua pasien DM yang melakukan pemeriksaan rawat jalan di Rumah Sakit Umum Pancaran Kasih Manado yang berjumlah 456 orang. Sampel penelitian diambil menggunakan teknik total sampling sebanyak 78 responden yang memenuhi kriteria inklusi. Data-data hasil penelitian dianalisis dengan menggunakan korelasi Pearson untuk mengetahui apakah ada hubungan antara diabetes mellitus dan kualitas tidur dengan menggunakan aplikasi dari program komputer. Terdapat hubungan antara Diabetes Mellitus dengan kualitas tidur pada pasien Rumah Sakit Umum Pancaran Kasih GMIM Manado. Kata kunci: diabetes melitus, kualitas tidur, penderita diabetes melitus

Author(s):  
P. Thiyagarajan Palanichamy

Background: Sleep is basic physiological requirement. Sleep quality have impact on employee behaviour like alertness at work, error-making and absenteeism. The sleep disorders of nurses and other allied health workers have been reported as a risk factor for patient safety.Studies have found high prevalence of poor sleep quality among nurses. Main objective of this study was aimed to find out the morningness, eveningness chronotypes and sleep quality among allied health workers in shift work.Methods: A descriptive cross-sectional study was carried out among nursing and other allied health workers working in shifts using Pittsburgh sleep quality index (PSQI) and morningness-eveningness questionnaire (MEQ). After final scores participants were categorized as having good or bad quality of sleep and different chronotypes as per the scoring guidelines given. Chi-square test, Pearson’s partial correlation analyses done using SPSS software.Results: Only 26.9% had good quality sleep (mean PSQI score 8.9±4.5). Among chronotypes 69.9% were intermediateness and 30.1% were moderate morningness (mean MEQ score 55.5±7). 87.1% participants go to sleep within one hour after dinner. 40% use mobile phones in bed. 31.2% took up to 30 mins (mean 22.15±13.8) to get asleep. Strong negative correlation found between the sleep hours and total PSQI score (r=-0.495; p=0.000).Conclusions: Higher prevalence of poor quality of sleep with intermediateness as preferred circadian chronotype, there was also a strong negative correlation found between the hours of sound sleep and the total PSQI score.


2020 ◽  
pp. 64-66
Author(s):  
Shailaja Sandeep Jaywant ◽  
Dnyaneshvari Ramakant Giri ◽  
Shrutika Patil

BACKGROUND: Primigravida mothers are more apprehensive about their ability to breastfeed their neonate and may have less condence about the breastfeeding ability. Very few studies have been done on the effect of sleep & fatigue on breastfeeding efcacy in postpartum mothers, in India OBJECTIVE: To study the correlation between sleep quality & breastfeeding efcacy, fatigue & breastfeeding efcacy, postpartum depression & breastfeeding efcacy in primigravida lactating mothers. MATERIALS AND METHOD: Hospital based cross sectional study was conducted at the tertiary care hospital in Mumbai.Total assessment questionnaires, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Multidimensional Assessment of Fatigue (MAF) Scale, Breastfeeding Self Efcacy Scale (BSES), Edinburgh Postnatal Depression Scale (EPDS) were used to gather information from 84 primigravida lactating mothers attending anti-natal clinic during study period. Fifty-two mothers lled all the questionnaire and 32 mothers did not complete all questionnaires appropriately. RESULTS. The very weak negative correlation between BSFS with PSQI, BSES with ISI, BSES with MAF, BSES with EPDS, PSQI with MAF, ISI with MAF and MAF with EPDS. High correlation was observed in PSQI with ISI (0.794), PSQI with EPDS (0.732), ISI with EPDS (0.736) with 'p' value<0.05. In analysis it was revealed that Quality of sleep, Insomnia and Postpartum depression has good correlation between them. These factors does not signicantly correlate with the breastfeeding efcacy of postpartum lactating mothers CONCLUSION: Quality of sleep, level of fatigue, fatigue and postpartum depression does not impact directly on the perception of primigravida mothers on their breastfeeding ability


Author(s):  
Afreen Begum H Itagi ◽  
Amudharaj Dharmalingam ◽  
Satish Dipankar ◽  
Akshay Berad ◽  
Senthil M Velou ◽  
...  

Introduction: Stress affects different cardiovascular responses and trigger arrhythmias through Autonomic Nervous System (ANS) activation. Medical students generally tend to reduce their sleep, in order to adjust and cope with their stressful and demanding workload. Aim: To assess the correlation of QT intervals variables with quality of sleep and stress among young adult medical students. Materials and Methods: This cross-sectional study was undertaken in All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India, among 60 medical students taken as internal match for collection of data at the beginning of the academic year (unstressed) and three weeks before the term-end examination (stressed) during October 2019 to March 2020. Two validated questionnaires namely, Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and the Medical Student Stress Questionnaire (MSSQ) to measure the stressors and the intensity of stress were used among the medical students. Short-term Electrocardiogram (ECG) recording was used to measure QT interval variables. Descriptive statistics and paired t-test were applied using Statistical Package for the Social Sciences (SPSS) version 19.0. The p≤0.05 was considered significant. Results: Academic Related Stress (ARS) showed a highly significant increase during the stressed conditions (p<0.001). The mean global PSQI score of 6.03±2.76 was significantly higher (p-value <0.001; PSQI >5) during the stressed conditions indicating poor quality of sleep, when compared to 4.50±2.87 recorded in unstressed conditions. In stressed conditions, QT interval measures had moderate correlation with ARS. Quality of sleep had negative correlations with all QT interval measures except for corrected QT interval (QTc) and QTCmin. Conclusion: Stress affects the sleep quality and induced QT changes which reflected difference in variability between ‘stressed’ and ‘unstressed’ times. However, there is no significant impact on QT duration among the young adult medical students.


Author(s):  
Pablo Jorge-Samitier ◽  
Angela Durante ◽  
Vicente Gea-Caballero ◽  
Isabel Antón-Solanas ◽  
María Teresa Fernández-Rodrigo ◽  
...  

Background: Heart failure is a major problem in western societies. Sleep Disorders maintain a bidirectional relationship with heart failure, as shown by studies conducted in other countries. This study aims to describe the quality of sleep in Spanish patients with heart failure. Materials and methods: We carried out a cross-sectional study to analyze the quality of sleep in a sample of 203 patients with a diagnosis of heart failure admitted to an Internal Medicine Service. The Pittsburg Sleep Quality Index (PSQI) was used to evaluate sleep quality in our sample over a one-month period. Results: 75% of the sample presented sleep disorders. The most common problems included the interruption of sleep (73.5% nocturia and 30% breathing difficulties); 35% had poor sleep efficiency; 33% showed a decrease in daytime performance; 84% had used hypnotics at some point to induce sleep and 35% used them regularly. Conclusions: This is the first study to report on the perceived sleep quality of patients with heart failure in Spain. Self-perception of sleep quality differed from that estimated by the PSQI. The prevalence of the use of sleep-inducing medication was very high. The diurnal dysfunction generated by sleep disorders in a heart failure environment can contribute to the development of self-care and cognitive deterioration problems.


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Hafizah binti Pasi ◽  
Razman Mohd Rus ◽  
Karimah Hanim Abd Aziz ◽  
Muhammad Zubir Yusof ◽  
Noor Artika Hassan

Introduction: Sleep is one of the important needs in human life and good quality of sleep among adult population reduced the risk factor for adverse health outcome. This study aimed to determine the quality of sleep and its related factors among adult population in an urban area of Pahang. Materials and Methods: Cross sectional study was done on a selected urban housing area in Pahang. Participants were adult population, aged more than 18 years old (observation unit) in selected houses (n=180). Measurements obtained via the questionnaire include respondents’ socio-demographic, co-morbidity, smoking status, physical activity, monthly household income and caffeinated drinks consumed. Sleep quality was measured using the validated Pittsburgh Sleep Quality Index (PSQI). Results: A total of 145 respondents (response rate 81%) were available for data analysis. The prevalence of good sleeper (60%) was more than poor sleeper. Adjusted logistic regression showed that only those who did not take caffeinated drinks in the past one week had higher chance of having good quality of sleep as compared to those who take (OR=3.6, p=0.048). No other significant relationship was seen between quality of sleep and socio-demographic characteristics, exercise or co-morbid history. Conclusion: Majority of adult population in this selected urban area in Pahang have good quality of sleep and result showed significant relationship between quality of sleep with not taking caffeinated drinks, but not other factors. Nevertheless, programs such as sleep quality awareness campaign need to be done to educate the population and maintain this good sleep quality.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1472.2-1472
Author(s):  
T. El Joumani ◽  
H. Rkain ◽  
T. Fatima Zahrae ◽  
H. Kenza ◽  
R. Abouqal ◽  
...  

Objectives:To evaluate the effect of containment, during the Covid-19 pandemic, on the pain of patients with CIRD, and to analyze the factors associated with the experience of pain.Methods:A cross-sectional study was conducted among patients with rheumatic diseases using a questionnaire providing information on patients and disease characteristics. Impact of COVID-19 on This is a cross-sectional study that consecutively includedPatients were asked to assess the global pain which they had experienced before and during the containment period, using a single Visual Analogue Scale (VAS) ranging from 0 (no pain) to 10 (greatest pain).Statistical Analysis System IBM SPSS Statistics V20.0.0 was used to analyze the study data.We performed univariate then multivariate analysis to search any related factors to pain perception during to quarantines. Qualitative values were analyzed by the chi2 test. Quantitative values were analyzed by the Student test when the measures were normally distributed or by nonparametric test (Mann–Whitney U) when the measures were not normally distributed (Kolmogorov–Smirnov test was used to test normality).Results:Among the 350 patients who answered to the questionnaire online, rheumatoid arthritis represented 62.3%, spondyloarthropathy 34.3% and undifferentiated CIRD 3.4%.Pain experience caused by the CIRD during the containment was reported by 79.1% of patients.The level of pain, using the VAS of Pain increased significantly during the COVID-19 pandemic (4,6 ± 2,8 and 5,4 ± 3 before and during the containment; p<0.001).In multivariate analysis, the factors implicated in pain were the negative impact of Coronavirus on access to rheumatologic care, discontinuation of therapeutic adherence, the disturbed quality of sleep and the negative psychological impact (table 1).Table 1: Summarize multivariable analysis of factors associated with painful experience related to CIRD during containement.Table 1.Multivariable analysis of factors associated with painful experience related to CIRD during containementPImpact on monitoring0.05Impact on therapeutic adherence<0.001Quality of sleep disturbed0.001Negative psychological impact0.02Conclusion:This survey showed the that the COVID-19 pandemic have incresed painful experience in CIRD patients. Factors influencing painful experience should be taken into account to help patients to cope with their chronic rheumatism and this global health crisis.Disclosure of Interests:None declared


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043997
Author(s):  
Charilaos Lygidakis ◽  
Jean Paul Uwizihiwe ◽  
Michela Bia ◽  
Francois Uwinkindi ◽  
Per Kallestrup ◽  
...  

ObjectivesTo report on the disease-related quality of life of patients living with diabetes mellitus in Rwanda and identify its predictors.DesignCross-sectional study, part of the baseline assessment of a cluster-randomised controlled trial.SettingOutpatient clinics for non-communicable diseases of nine hospitals across Rwanda.ParticipantsBetween January and August 2019, 206 patients were recruited as part of the clinical trial. Eligible participants were those aged 21–80 years and with a diagnosis of diabetes mellitus for at least 6 months. Illiterate patients, those with severe hearing or visual impairments, those with severe mental health conditions, terminally ill, and those pregnant or in the postpartum period were excludedPrimary and secondary outcome measuresDisease-specific quality of life was measured with the Kinyarwanda version of the Diabetes-39 (D-39) questionnaire. A glycated haemoglobin (HbA1c) test was performed on all patients. Sociodemographic and clinical data were collected, including medical history, disease-related complications and comorbidities.ResultsThe worst affected dimensions of the D-39 were ‘anxiety and worry’ (mean=51.63, SD=25.51), ‘sexual functioning’ (mean=44.58, SD=37.02), and ‘energy and mobility’ (mean=42.71, SD=20.69). Duration of the disease and HbA1c values were not correlated with any of the D-39 dimensions. A moderating effect was identified between use of insulin and achieving a target HbA1c of 7% in the ‘diabetes control’ scale. The most frequent comorbidity was hypertension (49.0% of participants), which had a greater negative effect on the ‘diabetes control’ and ‘social burden’ scales in women. Higher education was a predictor of less impact on the ‘social burden’ and ‘energy and mobility’ scales.ConclusionsSeveral variables were identified as predictors for the five dimensions of quality of life that were studied, providing opportunities for tailored preventive programmes. Further prospective studies are needed to determine causal relationships.Trial registration numberNCT03376607.


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