.: ORİJİNAL ARAŞTIRMA
Tip 2 Diabetes Mellituslu Bireylerde Hipoglisemi Korkusu ile Uyku Kalitesi Arasındaki İlişki: Tanımlayıcı ve İlişki Arayıcı Çalışma
The Relationship Between Fear of Hypoglycemia and Sleep Quality in Individuals with Type 2 Diabetes Mellitus: Descriptive and Relationship Seeking Study
Turkiye Klinikleri J Nurs Sci. 2024;16(1):219-26
doi: 10.5336/nurses.2023-99282
Makale Dili: TR
Tam Metin
Ücretsiz Erişim
ÖZET
Amaç: Bu araştırma, Tip 2 diabetes mellituslu (DM) bireylerde hipoglisemi korkusu ile uyku kalitesi arasındaki ilişkiyi değerlendirmek amacıyla tanımlayıcı ve ilişki arayıcı türde yapıldı. Gereç ve Yöntemler: Araştırmanın evrenini İç Anadolu Bölgesi'nde bir kamu hastanesinde Tip 2 DM tanısıyla 20 Haziran-31 Ekim 2022 tarihleri arasında polikliniğe başvuran hastalar, örneklemini ise bu tarih aralığında araştırmaya katılmaya gönüllü olarak kabul eden ve dâhil edilme kriterlerine uyan 199 hasta oluşturdu. Verilerin toplanmasında ''kişisel bilgi formu'', ''Hipoglisemi Korku Ölçeği (HKÖ)'' ve ''Pittsburgh Uyku Kalite İndeksi (PUKİ)'' kullanıldı. Verilerin analizinde, normalite test sonuçlarına göre parametrik ve nonparametrik testler, korelasyon testi ve çoklu doğrusal regresyon analizleri kullanıldı. p<0,05 anlamlı kabul edildi. Bulgular: Hastaların HKÖ toplam puan ortalamasının 35,44±24,60, PUKİ global uyku puanı ortalamasının 5,43±3,29 puan olduğu ve %57,28'inin PUKİ global uyku puanının kötü uyku kalitesi göstergesi olan ≥5 puan olduğu belirlendi. HKÖ ile PUKİ global uyku puanı öznel uyku kalitesi, gündüz işlev bozukluğu, uyku bozukluğu, uyku ilacı kullanımı puanları arasında pozitif yönlü ilişki olduğu saptandı (tüm parametreler için p<0,05). Sonuç: Araştırmanın sonucunda Tip 2 DM'si olan bireylerde uyku kalitesinin kötü olduğu, hipoglisemi korkusu ile uyku kalitesi arasında ilişki olduğu, hipoglisemi korkusu arttıkça uyku kalitesinin olumsuz yönde etkilenebileceğine yönelik sonuçlar elde edildi.
Anahtar Kelimeler: Diabetes mellitus; hipoglisemi; korku; uyku kalitesi
Amaç: Bu araştırma, Tip 2 diabetes mellituslu (DM) bireylerde hipoglisemi korkusu ile uyku kalitesi arasındaki ilişkiyi değerlendirmek amacıyla tanımlayıcı ve ilişki arayıcı türde yapıldı. Gereç ve Yöntemler: Araştırmanın evrenini İç Anadolu Bölgesi'nde bir kamu hastanesinde Tip 2 DM tanısıyla 20 Haziran-31 Ekim 2022 tarihleri arasında polikliniğe başvuran hastalar, örneklemini ise bu tarih aralığında araştırmaya katılmaya gönüllü olarak kabul eden ve dâhil edilme kriterlerine uyan 199 hasta oluşturdu. Verilerin toplanmasında ''kişisel bilgi formu'', ''Hipoglisemi Korku Ölçeği (HKÖ)'' ve ''Pittsburgh Uyku Kalite İndeksi (PUKİ)'' kullanıldı. Verilerin analizinde, normalite test sonuçlarına göre parametrik ve nonparametrik testler, korelasyon testi ve çoklu doğrusal regresyon analizleri kullanıldı. p<0,05 anlamlı kabul edildi. Bulgular: Hastaların HKÖ toplam puan ortalamasının 35,44±24,60, PUKİ global uyku puanı ortalamasının 5,43±3,29 puan olduğu ve %57,28'inin PUKİ global uyku puanının kötü uyku kalitesi göstergesi olan ≥5 puan olduğu belirlendi. HKÖ ile PUKİ global uyku puanı öznel uyku kalitesi, gündüz işlev bozukluğu, uyku bozukluğu, uyku ilacı kullanımı puanları arasında pozitif yönlü ilişki olduğu saptandı (tüm parametreler için p<0,05). Sonuç: Araştırmanın sonucunda Tip 2 DM'si olan bireylerde uyku kalitesinin kötü olduğu, hipoglisemi korkusu ile uyku kalitesi arasında ilişki olduğu, hipoglisemi korkusu arttıkça uyku kalitesinin olumsuz yönde etkilenebileceğine yönelik sonuçlar elde edildi.
Anahtar Kelimeler: Diabetes mellitus; hipoglisemi; korku; uyku kalitesi
ABSTRACT
Objective: This descriptive and correlational study was conducted to evaluate the relationship between fear of hypoglycemia and sleep quality in individuals with Type 2 diabetes mellitus (DM). Material and Methods: The population of the study consisted of the patients who applied to the outpatient clinic with a diagnosis of Type 2 DM in a public hospital in the Central Anatolian Region between June 20 and October 31, 2022, and the sample consisted of 199 patients who voluntarily accepted to participate in the study and met the inclusion criteria. ''Personal information form'', ''Hypoglycemia Fear Scale (HFS)'' and ''Pittsburgh Sleep Quality Index (PSQI)'' were used for data collection. Parametric and nonparametric tests, correlation test and multiple linear regression analysis were used to analyze the data according to normality test results. p<0.05 was considered significant. Results: The mean total HFS score of the patients was 35.44±24.60, the mean PSQI global sleep score was 5.43±3.29 points, and 57.28% had a PSQI global sleep score of ≥5 points, which is an indicator of poor sleep quality. It was found that there was a statistically significant positive correlation between the HFS and PSQI global sleep score subjective sleep quality, daytime dysfunction, sleep disturbance, and sleep medication use scores (all had p<0.05). Conclusion: As a result of the study, it was concluded that sleep quality was poor in individuals with Type 2 DM, there was a relationship between fear of hypoglycemia and sleep quality, and sleep quality was negatively affected as the fear of hypoglycemia increased.
Keywords: Diabetes mellitus; hypoglycemia; fear; sleep quality
Objective: This descriptive and correlational study was conducted to evaluate the relationship between fear of hypoglycemia and sleep quality in individuals with Type 2 diabetes mellitus (DM). Material and Methods: The population of the study consisted of the patients who applied to the outpatient clinic with a diagnosis of Type 2 DM in a public hospital in the Central Anatolian Region between June 20 and October 31, 2022, and the sample consisted of 199 patients who voluntarily accepted to participate in the study and met the inclusion criteria. ''Personal information form'', ''Hypoglycemia Fear Scale (HFS)'' and ''Pittsburgh Sleep Quality Index (PSQI)'' were used for data collection. Parametric and nonparametric tests, correlation test and multiple linear regression analysis were used to analyze the data according to normality test results. p<0.05 was considered significant. Results: The mean total HFS score of the patients was 35.44±24.60, the mean PSQI global sleep score was 5.43±3.29 points, and 57.28% had a PSQI global sleep score of ≥5 points, which is an indicator of poor sleep quality. It was found that there was a statistically significant positive correlation between the HFS and PSQI global sleep score subjective sleep quality, daytime dysfunction, sleep disturbance, and sleep medication use scores (all had p<0.05). Conclusion: As a result of the study, it was concluded that sleep quality was poor in individuals with Type 2 DM, there was a relationship between fear of hypoglycemia and sleep quality, and sleep quality was negatively affected as the fear of hypoglycemia increased.
Keywords: Diabetes mellitus; hypoglycemia; fear; sleep quality
REFERANSLAR:
- Ogurtsova K, da Rocha Fernandes JD, Huang Y, Linnenkamp U, Guariguata L, Cho NH, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40-50. [Crossref] [PubMed]
- Araszkiewicz A, Bandurska-Stankiewicz E, Borys S, Budzyński A, Cyganek K, Cypryk K, et al. 2021 Guidelines on the management of patients with diabetes. A position of Diabetes Poland. Clin Diabetol. 2021;10(1):1-113. [Crossref]
- Ratzki-Leewing A, Harris SB, Mequanint S, Reichert SM, Belle Brown J, Black JE, et al. Real-world crude incidence of hypoglycemia in adults with diabetes: Results of the InHypo-DM Study, Canada. BMJ Open Diabetes Res Care. 2018;6(1):e000503. [Crossref] [PubMed] [PMC]
- Emral R, Tetiker T, Sahin I, Sari R, Kaya A, Yetkin İ, et al; IO HAT investigator group. An international survey on hypoglycemia among insulin-treated type I and type II diabetes patients: Turkey cohort of the non-interventional IO HAT study. BMC Endocr Disord. 2018;18(1):9. [Crossref] [PubMed] [PMC]
- Nakhleh A, Shehadeh N. Hypoglycemia in diabetes: An update on pathophysiology, treatment, and prevention. World J Diabetes. 2021;12(12):2036-49. [Crossref] [PubMed] [PMC]
- Rossi MC, Nicolucci A, Ozzello A, Gentile S, Aglialoro A, Chiambretti A, et al; HYPOS-1 Study Group of AMD. Impact of severe and symptomatic hypoglycemia on quality of life and fear of hypoglycemia in type 1 and type 2 diabetes. Results of the Hypos-1 observational study. Nutr Metab Cardiovasc Dis. 2019;29(7):736-43. [PubMed]
- Green MJ, Espie CA, Popham F, Robertson T, Benzeval M. Insomnia symptoms as a cause of type 2 diabetes Incidence: a 20 year cohort study. BMC Psychiatry. 2017;17(1):94. [Crossref] [PubMed] [PMC]
- Luyster FS, Dunbar-Jacob J. Sleep quality and quality of life in adults with type 2 diabetes. Diabetes Educ. 2011;37(3):347-55. [Crossref] [PubMed] [PMC]
- Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. [Crossref] [PubMed]
- Sakamoto R, Yamakawa T, Takahashi K, Suzuki J, Shinoda MM, Sakamaki K, et al. Association of usual sleep quality and glycemic control in type 2 diabetes in Japanese: A cross sectional study. Sleep and Food Registry in Kanagawa (SOREKA). PLoS One. 2018;13(1):e0191771. [Crossref] [PubMed] [PMC]
- Gül Ş, Duru Aşiret G, Okatan C. Tip 2 diyabetes mellituslu bireylerin hipoglisemi korkusunun incelenmesi [Examination of hypoglisemia fear of patients with type 2 diabetes mellitus]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektron Derg. 2021;14(3):179-87. [Crossref]
- Suteau V, Saulnier PJ, Wargny M, Gonder-Frederick L, Gand E, Chaillous L, et al; VARDIA study group. Association between sleep disturbances, fear of hypoglycemia and psychological well-being in adults with type 1 diabetes mellitus, data from cross-sectional VARDIA study. Diabetes Res Clin Pract. 2020;160:107988. [Crossref] [PubMed]
- Fallah LY, Namdar P, Jalalpour A, Talebi F, Mafi MH. The relationship between fear of hypoglycemia and sleep quality among type 2 diabetic patients. Clin Diabetol. 2021;10(1):149-54. [Crossref]
- Cox DJ, Irvine A, Gonder-Frederick L, Nowacek G, Butterfield J. Fear of hypoglycemia: quantification, validation, and utilization. Diabetes Care. 1987;10(5):617-21. [Crossref] [PubMed]
- Erol O, Enc N. Hypoglycemia fear and self-efficacy of Turkish patients receiving insulin therapy. Asian Nurs Res (Korean Soc Nurs Sci). 2011;5(4):222-8. [Crossref] [PubMed]
- Ağargün MYA, Kara H, Anlar Ö. Pittsburgh Uyku Kalitesi İndeksi 'nin geçerliği ve güvenirliği [The validity and reliability of the Pittsburgh Sleep Quality Index]. 1996;7(2):107-15. [Link]
- Zoungas S, Patel A, Chalmers J, de Galan BE, Li Q, Billot L, et al; ADVANCE Collaborative Group. Severe hypoglycemia and risks of vascular events and death. N Engl J Med. 2010;363(15):1410-8. [Crossref] [PubMed]
- Yuksel M, Bektas H. Compliance with treatment and fear of hypoglycaemia in patients with type 2 diabetes. J Clin Nurs. 2021;30(11-12):1773-86. [Crossref] [PubMed]
- Çalışkan SG, Hacıağaoğlu N, Tuzun S, Öner C, Şimşek EE, Çetin H. Diyabet merkezden takipli tip 2 diabetes mellitus hastalarında hipoglisemi sıklığı ve hipoglisemi korkusu [The frequency of hypoglycemia and hypoglycemia fear in Type 2 diabetes mellitus patients with followed-up from diabetes center]. Turkish J Fam Med Prim Care. 2022;16(4):681-9. [Crossref]
- Martyn-Nemeth P, Phillips SA, Mihailescu D, Farabi SS, Park C, Lipton R, et al. Poor sleep quality is associated with nocturnal glycaemic variability and fear of hypoglycaemia in adults with type 1 diabetes. J Adv Nurs. 2018;74(10):2373-80. [Crossref] [PubMed] [PMC]
- Sakane N, Kotani K, Tsuzaki K, Nishi M, Takahashi K, Murata T, et al. Fear of hypoglycemia and its determinants in insulin-treated patients with type 2 diabetes mellitus. J Diabetes Investig. 2015;6(5):567-70. [Crossref] [PubMed] [PMC]
- Mehrdad M, Azarian M, Sharafkhaneh A, Alavi A, Zare R, Hassanzadeh Rad A, et al. Association between poor sleep quality and glycemic control in adult patients with diabetes referred to endocrinology clinic of guilan: a cross-sectional study. Int J Endocrinol Metab. 2021;20(1):e118077. [Crossref] [PubMed] [PMC]
- Birhanu TT, Hassen Salih M, Abate HK. Sleep quality and associated factors among diabetes mellitus patients in a follow-up clinic at the university of gondar comprehensive specialized hospital in gondar, northwest ethiopia: a cross-sectional study. Diabetes Metab Syndr Obes. 2020;13:4859-68. [Crossref] [PubMed] [PMC]
- Wu C, Wang W, Cheng S, Zhang H, Li L, Tian C, et al. The relationship between components of hypoglycemia worries and avoiding hypoglycemia behavior in type 2 diabetes mellitus with hypoglycemia: a network analysis. BMC Psychiatry. 2023;23(1):204. [Crossref] [PubMed] [PMC]
- Bayrak M, Çadirci K. Quality of sleep in elderly patients with diabetes mellitus from Turkey: a cross-sectional observational study. Exp Aging Res. 2022;48(4):373-86. [Crossref] [PubMed]
- Bener A, Al-Hamaq AOAA, Agan AF, Öztürk M, Ömer A. Sleeping disturbances and predictor risk factors among type 2 diabetic mellitus patients. Ann Afr Med. 2020;19(4):230-6. [Crossref] [PubMed] [PMC]
- Gjerløw E, Bjørgaas MR, Nielsen EW, Olsen SE, Asvold BO. Fear of hypoglycemia in women and men with type 1 diabetes. Nurs Res. 2014;63(2):143-9. [Crossref] [PubMed]
- Zhang Y, Li S, Zou Y, Wu X, Bi Y, Zhang L, et al. Fear of hypoglycemia in patients with type 1 and 2 diabetes: a systematic review. J Clin Nurs. 2020. [Crossref] [PubMed]
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