Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy

Objectives To understand the sleep quality and its influencing factors in patients with type 2 diabetes mellitus (T2DM) who suffered diabetic peripheral neuropathy (DPN), and provide evidence for clinicians to carry out comprehensive intervention measures to improve the sleep quality of patients. Me...

Full description

Bibliographic Details
Main Authors: Lin Fu, Liping Zhong, Xin Liao, Lingrui Wang, Youyi Wang, Xiuquan Shi, Yanna Zhou
Format: Article
Language:English
Published: PeerJ Inc. 2024-01-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/16789.pdf
_version_ 1797347476214120448
author Lin Fu
Liping Zhong
Xin Liao
Lingrui Wang
Youyi Wang
Xiuquan Shi
Yanna Zhou
author_facet Lin Fu
Liping Zhong
Xin Liao
Lingrui Wang
Youyi Wang
Xiuquan Shi
Yanna Zhou
author_sort Lin Fu
collection DOAJ
description Objectives To understand the sleep quality and its influencing factors in patients with type 2 diabetes mellitus (T2DM) who suffered diabetic peripheral neuropathy (DPN), and provide evidence for clinicians to carry out comprehensive intervention measures to improve the sleep quality of patients. Methods Patients who were admitted to the Endocrinology Department of Affiliated Hospital of Zunyi Medical University were recruited from May to December 2022, and the investigation were conducted by face-to-face interview. The questionnaires included PSQI questionnaire and influencing factors, such as lifestyle and health status. Results Among the 193 patients, 40.4% of the patients never took physical examination, 56.5% of the patients had duration of illness greater than 5 years, 61.7% of the patients had had an operation, 10.4% of the patients had bad dietary status, and 55.4% of the patients had physical pain. In addition, the PSQI general score was 8.34 ± 3.98, the occurrence rate of poor sleep quality (PSQI ≥ 8) was 54.4%, and the results showed that sleep quality of the physical pain group was worse than the no pain group. Moreover, the results of multivariate analysis revealed that the factors affecting sleep quality were lower frequency of exercise, bad dietary status, lower frequency of physical examination, longer duration of illness, and smoking, and the OR and 95% CI were [1.40, 1.04∼1.89], [3.42, 1.86∼6.29], [1.49, 1.01∼2.20], [1.78, 1.09∼2.92], [2.38, 1.17∼4.88], respectively. Conclusion Patients with DPN have higher risk of poor sleep quality. Moreover, there were many risk factors associated with poor sleep quality, clinicians and health policymakers should timely detect and effectively intervene in these factors to improve the sleep quality, which is important to enhance the quality of life of T2DM patients complicated with DPN.
first_indexed 2024-03-08T11:48:19Z
format Article
id doaj.art-45f65855f19846c9929a13d282f869d4
institution Directory Open Access Journal
issn 2167-8359
language English
last_indexed 2024-03-08T11:48:19Z
publishDate 2024-01-01
publisher PeerJ Inc.
record_format Article
series PeerJ
spelling doaj.art-45f65855f19846c9929a13d282f869d42024-01-24T15:05:35ZengPeerJ Inc.PeerJ2167-83592024-01-0112e1678910.7717/peerj.16789Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathyLin Fu0Liping Zhong1Xin Liao2Lingrui Wang3Youyi Wang4Xiuquan Shi5Yanna Zhou6Department of Epidemiology and Health Statistics, Zunyi Medical University, Zunyi, ChinaDepartment of Epidemiology and Health Statistics, Zunyi Medical University, Zunyi, ChinaEndocrinology Department, Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaEndocrinology Department, the Second Affiliated Hospital of Zunyi Medical University, Zunyi, ChinaDepartment of Epidemiology and Health Statistics, Zunyi Medical University, Zunyi, ChinaDepartment of Epidemiology and Health Statistics, Zunyi Medical University, Zunyi, ChinaDepartment of Epidemiology and Health Statistics, Zunyi Medical University, Zunyi, ChinaObjectives To understand the sleep quality and its influencing factors in patients with type 2 diabetes mellitus (T2DM) who suffered diabetic peripheral neuropathy (DPN), and provide evidence for clinicians to carry out comprehensive intervention measures to improve the sleep quality of patients. Methods Patients who were admitted to the Endocrinology Department of Affiliated Hospital of Zunyi Medical University were recruited from May to December 2022, and the investigation were conducted by face-to-face interview. The questionnaires included PSQI questionnaire and influencing factors, such as lifestyle and health status. Results Among the 193 patients, 40.4% of the patients never took physical examination, 56.5% of the patients had duration of illness greater than 5 years, 61.7% of the patients had had an operation, 10.4% of the patients had bad dietary status, and 55.4% of the patients had physical pain. In addition, the PSQI general score was 8.34 ± 3.98, the occurrence rate of poor sleep quality (PSQI ≥ 8) was 54.4%, and the results showed that sleep quality of the physical pain group was worse than the no pain group. Moreover, the results of multivariate analysis revealed that the factors affecting sleep quality were lower frequency of exercise, bad dietary status, lower frequency of physical examination, longer duration of illness, and smoking, and the OR and 95% CI were [1.40, 1.04∼1.89], [3.42, 1.86∼6.29], [1.49, 1.01∼2.20], [1.78, 1.09∼2.92], [2.38, 1.17∼4.88], respectively. Conclusion Patients with DPN have higher risk of poor sleep quality. Moreover, there were many risk factors associated with poor sleep quality, clinicians and health policymakers should timely detect and effectively intervene in these factors to improve the sleep quality, which is important to enhance the quality of life of T2DM patients complicated with DPN.https://peerj.com/articles/16789.pdfType 2 diabetes mellitusDiabetic peripheral neuropathySleep qualityInfluence factors
spellingShingle Lin Fu
Liping Zhong
Xin Liao
Lingrui Wang
Youyi Wang
Xiuquan Shi
Yanna Zhou
Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy
PeerJ
Type 2 diabetes mellitus
Diabetic peripheral neuropathy
Sleep quality
Influence factors
title Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy
title_full Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy
title_fullStr Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy
title_full_unstemmed Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy
title_short Deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy
title_sort deteriorated sleep quality and associate factors in patients with type 2 diabetes mellitus complicated with diabetic peripheral neuropathy
topic Type 2 diabetes mellitus
Diabetic peripheral neuropathy
Sleep quality
Influence factors
url https://peerj.com/articles/16789.pdf
work_keys_str_mv AT linfu deterioratedsleepqualityandassociatefactorsinpatientswithtype2diabetesmellituscomplicatedwithdiabeticperipheralneuropathy
AT lipingzhong deterioratedsleepqualityandassociatefactorsinpatientswithtype2diabetesmellituscomplicatedwithdiabeticperipheralneuropathy
AT xinliao deterioratedsleepqualityandassociatefactorsinpatientswithtype2diabetesmellituscomplicatedwithdiabeticperipheralneuropathy
AT lingruiwang deterioratedsleepqualityandassociatefactorsinpatientswithtype2diabetesmellituscomplicatedwithdiabeticperipheralneuropathy
AT youyiwang deterioratedsleepqualityandassociatefactorsinpatientswithtype2diabetesmellituscomplicatedwithdiabeticperipheralneuropathy
AT xiuquanshi deterioratedsleepqualityandassociatefactorsinpatientswithtype2diabetesmellituscomplicatedwithdiabeticperipheralneuropathy
AT yannazhou deterioratedsleepqualityandassociatefactorsinpatientswithtype2diabetesmellituscomplicatedwithdiabeticperipheralneuropathy