Prevalence of sleep disorder and effect of continuous care model on sleep quality and disease control in patients with type 2 Diabetes in Gonabad in 2012.

Golchin Rahni, somayyeh (2013) Prevalence of sleep disorder and effect of continuous care model on sleep quality and disease control in patients with type 2 Diabetes in Gonabad in 2012. Masters thesis, Gonabad University of Medical Sciences.

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Abstract

Abstract Title: Sleep Quality Disorder Prevalence in Gonabad’s Patients with Diabetes Mellitus type 2 In 2013 And Effect of Continuous Care Model on Their Sleep Quality and Disease Control. Introduction:Appropriate sleep pattern is involved in prevention of diabetes mellitus and optimum blood glucose control in patients with diabetes mellitus. According to sleep disorder in patients with diabetes mellitus, this study has done to determine the prevalence of sleep disorders and effect of continuous care model on sleep quality and disease control of Gonabad’s patients with diabetes mellitus type 2 in 2013. Material and Methods: This study was done in 2 steps. At first, prevalence of sleep disorders of all Gonabad’s diabetes mellitus type 2, 507 patients, was assessed with a cross sectional design. Secondly, a randomized clinical trial study was performed to determine the effect of continuous care model on sleep quality and disease control of patients with diabetes mellitus type 2. In this stage 68 patients which had inclusion criteria entered the study and randomly assigned in 2 control and intervention groups. Data were gathered by Pittsburg’s sleep quality questionnaire and fast blood sugar, urea and creatinine. Intervention group were classified to 5 groups in order to apply the 4 levels of model (understanding, sensitization, control and evaluation); each group had received 3-4 educational sessions in 2 weeks and 6 weeks later continuous consults, control and evaluation were performed. After intervention questionnaire was completed and FBS, urea and creatinine were checked in both groups. Data were analyzed by SPSS version 20 and descriptive and analytical statistic tests. Findings: Sleep disorders prevalence was 51.5% and there was significant relationship between gender, marriage status and Glibenclamide daily dose with sleep disorders (p<0.05). Although, sleep quality total score, FBS, urea and creatinine had no significant difference before and after intervention (p>0.05); improvement was seen in delayed onset of sleep, sleep duration, sleep adequacy and decrease in urea and creatinine in intervention group. Discussion: Although in this study continuous care model has no significant effect on quality of sleep and disease control indicators; improved sleep dimensions and renal indicators. Therefore, should pay attention to sleep improvement as an effective factor on blood glucose and it is essential to involve strong educational methods by teams including endocrinologists, psychologists, nurses and social workers for public sensitization about sleep effect on diabetes mellitus control improvement especially in families if possible. Key words: sleep disorder, continuous care model, diabetes mellitus type 2, prevalence.

Item Type: Thesis (Masters)
Subjects: R Medicine > RT Nursing
Depositing User: Unnamed user with email eprints@gmu.ac.ir
Date Deposited: 30 Oct 2019 08:00
Last Modified: 30 Oct 2019 08:00
URI: http://eprints.gmu.ac.ir/id/eprint/1205

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