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| Sleep quality among patients with hypertension and diabetes |
| HUANG Wen, TANG Jialiang, CHEN Kangkang, HUANG Mingang, CHEN Qifeng
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| Department of Non-infectious Diseases Control and Prevention, Shaoxing Center for Disease Control and Prevention, Shaoxing, Zhejiang 312000, China |
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Abstract Objective To investigate sleep quality among patients with hypertension and diabetes, so as to provide the basis for improving the health of patients with chronic diseases. Methods From May to August 2022, patients with hypertension and diabetes under the community management in 4 counties and cities (districts) of Shaoxing City, Zhejiang Province were recruited using a multi-stage stratified cluster random sampling method. Demographic information, disease history, smoking, alcohol consumption, physical activity and sleep quality were collected by questionnaire surveys, and blood pressure, fasting blood glucose and glycosylated hemoglobin were collected through physical examination and laboratory testing. The incidence of poor sleep quality symptoms (snoring/asphyxia/suffocation, difficulty falling asleep, night awakening, taking sleeping pills and early morning awakening) in patients with diabetes and hypertension was descriptively analyzed, and sleep quality was evaluated. Results A total of 1 539 patients with hypertension and diabetes were surveyed, including 715 males (46.46%) and 824 females (53.54%). The patients had a mean age of (68.68±7.62) years. The proportions of night awakening, early morning awakening, snoring/asphyxia/suffocation, difficulty falling asleep and taking sleeping pills were 29.82%, 28.53%, 20.73%, 15.79% and 4.29%, respectively. The proportion of poor sleep quality was 66.54%. Employment status, smoking status, moderate/high intensity physical activity and blood pressure control were related to poor sleep quality (all P<0.05). Conclusion Poor sleep quality is common in patients with hypertension and diabetes, with the main symptoms being night awakening, early morning awakening, difficulty falling asleep and snoring/asphyxia/suffocation.
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Received: 02 November 2023
Revised: 04 February 2024
Published: 15 April 2024
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[1] 国家心血管病中心. 中国心血管健康与疾病报告2021[M]. 北京:科学出版社,2022.
[2] 刘宇,卞鑫,王加红. 老年高血压患者睡眠干预效果评价[J]. 预防医学,2018,30(8):776-779.
[3] 拜晓伟,李彤彤,唐李,等. 睡眠障碍与糖尿病的研究进展[J]. 华西医学,2024,39(1):140-146.
[4] 王丽敏,关云琦. 睡眠状况与主要慢性病患病的关系[J].中华流行病学杂志,2020,41(8):1237-1241.
[5] 谢开婿,王春梅,陈玲琍,等.睡眠打鼾与浙江省成年人高血压患病关联的研究[J].中华流行病学杂志,2020,41(5):722-726.
[6] AHSANOVA E,POPOV V,BULANOVA N,et al. Hypotensive action of melatonin in patients with arterial hypertension[J/OL]. Eur Cardiol,2020,15[2024-02-04]. https://doi.org/10.15420/ecr.2020.15.1.PO20.
[7] 李建彬,刘建勋,武恩平,等. 郑州市成年居民睡眠质量及其影响因素分析[J]. 中国慢性病预防与控制,2022,30(5):370-373.
[8] 马爱娟,方凯,隗瑛琦,等.北京市成年人睡眠问题与血脂异常关系的研究[J].中华流行病学杂志,2020,41(8):1250-1255.
[9] 中华人民共和国卫生部疾病控制司. 中国成人超重和肥胖症预防控制指南[M]. 北京:人民卫生出版社,2006.
[10] 中华医学会. 高血压基层诊疗指南(2019年)[J].中华全科医师杂志,2019,18(4):301-313.
[11] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华内分泌代谢杂志,2021,37(4):311-398.
[12] 魏魏,陶一众,乐嘉宜,等. 2型糖尿病合并高血压患者睡眠质量调查分析[J]. 中华临床医师杂志(电子版),2015,9(14):2673-2676.
[13] 熊风,赖玉清,涂嘉欣,等. 中国老年人群睡眠障碍流行特征的 Meta 分析[J]. 中国循证医学杂志,2019,19(4):398-403.
[14] GUAN Y Q,ZHANG M,ZHANG X,et al. Association between sleep duration and hypertension of migrant workers in China:a national cross-sectional surveillance study[J/OL]. BMJ Open,2019,9(11)[2024-02-04].https://doi.org/10.1038/nature24284.
[15] 关云琦,梁明斌,潘劲,等. 浙江省成年人睡眠时间与高血压的关联研究[J]. 预防医学,2022,34(7):681-686.
[16] CAPPUCCIO F P,DELIA L,STRAZZULLO P,et al.Quantity ang quality of sleep and incidence of type 2 diabetes:a systematic review and meta-analysis[J].diabetes Care,2010,33(2):414-420.
[17] 施奕,赵敏君,牟鈃雨,等. 慢性病共病与睡眠障碍相关性的研究进展[J]. 中华全科医师杂志,2023,22(8):867-871.
[18] 赵韶盼,付士辉,骆雷鸣. 睡眠状况对老年高血压患者血压节律的影响[J].中华老年医学杂志,2018,37(4):405-408.
[19] 王思佳,李莉,孙东晗,等. BMI、腰围与睡眠质量对成年人高血压患病风险的联合作用[J].中华疾病控制杂志,2022,26(3):257-262. |
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