Correlations between self-management and sleep quality among schizophrenia patients with type 2 diabetes
10.3760/cma.j.issn.1674-2907.2019.19.015
- VernacularTitle:精神分裂症合并2型糖尿病患者的自我管理水平及睡眠质量的相关性研究
- Author:
Jing ZHAO
1
;
Jing GAO
;
Jing SHAO
;
Cheng FEI
;
Shuangjiang ZHOU
Author Information
1. 北京回龙观医院28病区 100096
- Keywords:
Schizophrenia;
Diabetes mellitus,type 2;
Self-management;
Sleep quality
- From:
Chinese Journal of Modern Nursing
2019;25(19):2440-2443
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the status of self-management and sleep quality among schizophrenia patients with type 2 diabetes and to analyze the correlations between them. Methods? From July 2017 to September 2019, we selected schizophrenia inpatients with type 2 diabetes at a Class Ⅲ Grade A psychiatric hospital as subjects by convenience sampling. The Chinese version Scale of the Diabetes Self-care Activities (SDSCA) and Pittsburgh Sleep Quality Index (PSQI) were used to investigate those patients. We described the general information and self-management of patients, and analyzed the correlations between self-management and sleep quality with the correlation statistic method. A total of 150 questionnaires were sent out with 96.7% for the valid rate. Results? Among 145 schizophrenia patients with type 2 diabetes, the total score of SDSCA was (39.06±16.91) and 53.79% of them were with an intermediate level of self-management. The scores of foot care and blood glucose monitoring were low. Correlation analysis showed that the total score of SDSCA had a positive correlation with sleep duration (r=0.195,P＜0.05), and had negative correlations with sleep latency (r=-0.232, P＜0.01), sleep disturbances (r=-0.190,P＜0.05) as well as daytime dysfunction (r=-0.177,P＜0.05). Foot care was positively correlated with sleep duration (r=0.379,P＜0.01) and habitual sleep efficiency (r=0.222,P＜0.01), and were negatively correlated with sleep latency (r=-0.384,P＜0.01), sleep disturbances (r=-0.351,P＜0.01), sleep medications (r=-0.298,P＜0.01), daytime dysfunction (r=-0.317,P＜0.01) as well as the total score of PSQI (r=-0.288,P＜0.01). Conclusions? Schizophrenia patients with type 2 diabetes have a low level of self-management and most of them have intermediate levels. We should help patients develop high levels of self-management to improve sleep quality so as to improve the glucose control and delay the complications.
