Tip 2 Diyabetli Hastaların Uyku Kaliteleri ile HbA1c Düzeyleri Arasındaki İlişki

Abstract

Amaç: Tip 2 diyabetli hastalarda uyku bozuklukları yaygındır. Bu çalışmanın amacı tip 2 diyabetli hastaların uyku kalitesi ve uyku kalitesinin alt boyutları ile HbA1c düzeyleri arasındaki ilişkiyi incelemektir.

Yöntem: Bu korelatif ve kesitsel tasarım tipindeki çalışma 10 Kasım 2020-10 Aralık 2020 tarihleri arasında İstanbul'da gerçekleştirilmiştir. Veriler, araştırmacılar tarafından oluşturulan veri toplama formu ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ile toplanmıştır.

Bulgular: Çalışmaya katılan 186 tip 2 diyabetli hastanın %56.4’ü sigara kullanmaktadır. Hastaların PUKİ toplam puan ortalaması 14.89±3.69 olup %85.4’ünün düşük uyku kalitesine (PUKİ >5) sahip olduğu belirlenmiştir. PUKİ toplam puanı ve HbA1c arasında pozitif yönde anlamlı bir ilişki saptanmıştır (r: 0.245, p: 0.042). Ayrıca alışılmış uyku etkinliği (r: -0.145, p: 0.036) ve uyku bozukluğu (r: 0.223, p: 0.032) alt boyutları puanları ile HbA1c arasında da pozitif yönde ilişki saptanmıştır. Kadınların PUKİ toplam puanları erkeklerden anlamlı olarak daha yüksektir (p: 0.042) ve uyku süreleri daha kısadır p<0.001). Sigara kullanmayan kişilerin uyku kalitelerinin, kullanan kişilere göre daha iyi düzeyde olduğu belirlenmiştir (p:0.017).

Sonuç: Tip 2 diyabetli hastalarda bozulmuş uyku kalitesi ile HbA1c arasında pozitif yönde bir ilişki bulunmuştur. Bu ilişki alışılmış uyku etkinliği ve uyku bozukluğu tarafından yönlendirilmiştir, Kadınlar ve sigara içenlerde uyku kalitesinin daha kötü olduğu saptanmıştır. Diyabet hastalarının takibinde sıklıkla gözden kaçan uyku kalitesi değerlendirilmesi diyabet yönetiminin bir parçası olmalıdır.

Keywords

• diyabet
• Uyku kalitesi
• HbA1c
• Pittsburgh Uyku Kalitesi İndeksi

The Relationship Between Sleep Quality and HbA1c of Patients with Type 2 Diabetes

Abstract

Aim: Sleep disorders are common in patients with type-2 diabetes. This study aims to examine the relationship between sleep quality and sleep quality subdimensions and HbA1c levels of patients with type 2 diabetes.

Method: This correlative and cross-sectional design study was conducted in Istanbul/ Turkey between November 10, 2020, and December 10, 2020. The data collection form created by the researchers and the Pittsburgh Sleep Quality Index (PSQI) were used to collect data.

Result: Of the 186 patients with type 2 diabetes in the study 56.4% smokers. It was determined that the mean total PSQI score of the patients was 14.89±3.69 and 85.4% had low sleep quality (PSQI>5). A positive significant relationship was found between PSQI total score and HbA1c (r:0.245, p:0.042). In addition, a positive relationship was found between HbA1c and the scores of habitual sleep efficiency (r:0.145, p:0.036) and sleep disorder (r:0.223, p:0.032) sub-scale. The total PSQI scores of women were significantly higher (p: 0.042) and sleep duration was shorter (p<0.001) compared to men. It was determined that the sleep quality of non-smokers was better than that of smokers (p:0.017).

Conclusion: A positive relationship was found between impaired sleep quality and HbA1c in patients with type 2 diabetes. It was found out that this relationship was due to habitual sleep efficiency and sleep disorder and that sleep quality was worse in women and smokers. Often overlooked in the follow-up of patients with diabetes, assessment of sleep quality should be part of diabetes care.

Keywords

• Type 2 Diabetes
• Sleep Quality
• , HbA1c
• Pittsburgh Sleep Quality Index

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