Effect of Educational Strategies on the Sleep Quality of People with Diabetes: Randomized Clinical Trial

Flávia Helena Pereira, Danilo Donizetti Trevisan, Daniela Santos Lourenço, Juliana Bastoni Silva, Maria Helena Melo Lima

Resumen


Efecto de estrategias educativas en la calidad del sueño en personas con diabetes: ensayo clínico aleatorizado

Efeito de estratégias educativas na qualidade do sono de pessoas com diabetes: ensaio clínico randomizado

Objetivo: evaluar el efecto de estrategias educativas en la calidad del sueño y su relación con el estrés emocional asociado con diabetes en personas con DM2. Materiales y método: ensayo clínico aleatorizado con dos grupos. El grupo 1 (G1, n = 45) tuvo orientaciones verbales y folletos acerca de estrategias de higiene del sueño; el grupo 2 (G2, n = 46), orientaciones usuales de las unidades de salud sobre autocuidado con los pies. El sueño se evaluó por el Pittsburgh Sleep Quality Inventory (PSQI-BR), y el estrés emocional, por el Diabetes Distress Scale (B-DDS). Se emplearon modelos lineales de efectos mixtos y modelo de regresión lineal para análisis estadísticas. Resultados: al término del seguimiento, se encontró mejoría de la calidad del sueño (p = 0,02) en el G1. Bajo índice de estrés emocional (p = 0,03), ser del sexo masculino (p = 0,02), pertenecer al G1 (p = 0,002) y edad (p = 0,04) contribuyeron a mejor calidad del sueño. Conclusión: orientaciones educativas acerca de la higiene del sueño en pacientes con DM2 fueron efectivas en la mejoría de la puntuación de la calidad del sueño, mensurada por el instrumento PSQI-BR, y del estrés emocional relacionado con diabetes, evaluado por el instrumento del B-DDS.

Para citar este artigo / Para citar este artículo / To reference this article

Pereira FHTrevisan DDSantos Dda Silva JBLima MHdM. Effect of educational strategies on the sleep quality of people with diabetes: randomized clinical trial. Aquichan 2019; 19(3): e1932. DOI: https://doi.org/10.5294/aqui.2019.19.3.2

Received: 10/01/2019

Accepted: 12/06/2019


Palabras clave


Sueño; higiene del sueño; Diabetes Mellitus tipo 2; estrés psicológico; Enfermería

Referencias


Ogurtsova K, da Rocha Fernandes JD, Huang Y, Linnenkamp U, Guariguata L, Cho NH et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40-50. DOI: https://doi.org/10.1016/j.diabres.2017.03.024

Zeng Y, Wu J, Yin J, Chen J, Yang S, Fang Y. Association of the combination of sleep duration and sleep quality with quality of life in type 2 diabetes patients. Qual Life Res. 2018; 27(12):3123-30. DOI: https://doi.org/10.1007/s11136-018-1942-0

McNeil J, Doucet É, Chaput JP. Inadequate sleep as a contributor to obesity and type 2 diabetes. Can J. Diabetes. 2013;37(2):103-8. DOI: https://doi.org/10.1016/j.jcjd.2013.02.060

Barone MT, Menna-Barreto L. Diabetes and sleep: a complex cause-and-effect relationship. Diabetes Res Clin Pract. 2011;91(2):129-37. DOI: https://doi.org/10.1016/j.diabres.2010.07.011

Gupta S, Wang Z. Predictors of sleep disorders among patients with type 2 diabetes mellitus. Diabetes Metab Syndr. 2016;10(4):213-20. DOI: https://doi.org/10.1016/j.dsx.2016.06.009

Ryan S. Sleep and diabetes. Curr Opin Pulm Med. 2018;24(6):555-60. DOI: https://doi.org/10.1097/MCP.0000000000000524

Sakamoto R, Yamakawa T, Takahashi K, Suzuki J, Shinoda MM, Sakamaki K et al. Association of usual sleep quality and glycemic control in type 2 diabetes in Japanese: A cross sectional study. Sleep and Food Registry in Kanagawa (SOREKA). PLoS One. 2018;13(1):e0191771. DOI: https://doi.org/10.1371/journal.pone.0191771

Khandelwal D, Dutta D, Chittawar S, Kalra S. Sleep Disorders in Type 2 Diabetes. Indian J Endocrinol Metab. 2017;21(5):758-61. DOI: https://doi.org/10.4103/ijem.IJEM_156_17

Luyster FS, Dunbar-Jacob J. Sleep quality and quality of life in adults with type 2 diabetes. Diabetes Educ. 2011;37(3):347-55. DOI: https://doi.org/10.1177/0145721711400663

Stanković Z, Jasović-Gasić M, Lecić-Tosevski D. Psychological problems in patients with type 2 diabetes — clinical considerations. Vojnosanit Pregl. 2013;70(12):1138-44.

Ogbera A, Adeyemi-Doro A. Emotional distress is associated with poor self-care in type 2 diabetes mellitus. J Diabetes. 2011;3(4):348-52. DOI: https://doi.org/10.1111/j.1753-0407.2011.00156.x

Bloom HG, Ahmed I, Alessi CA, Ancoli-Israel S, Buysse DJ, Kryger MH et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons. J Am Geriatr Soc. 2009;57(5):761-89. DOI: https://doi.org/10.1111/j.1532-5415.2009.02549.x

Wu MC, Sung HC, Lee WL, Smith GD. The effects of light therapy on depression and sleep disruption in older adults in a long-term care facility. Int J Nurs Pract. 2015;21(5):653-9. DOI: https://doi.org/10.1111/ijn.12307

Lee SWH, Ng KY, Chin WK. The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: A systematic review and meta-analysis. Sleep Med Rev. 2017;31:91-101. DOI: https://doi.org/10.1016/j.smrv.2016.02.001

Düzgün G, Durmaz Akyol A. Effect of Natural Sunlight on Sleep Problems and Sleep Quality of the Elderly Staying in the Nursing Home. Holist Nurs Pract. 2017;31(5):295-302. DOI: https://doi.org/10.1097/HNP.0000000000000206

Boubekri M, Cheung IN, Reid KJ, Wang CH, Zee PC. Impact of windows and daylight exposure on overall health and sleep quality of office workers: a case-control pilot study. J Clin Sleep Med. 2014;10(6):603-11. DOI: https://doi.org/10.5664/jcsm.3780

Schulz KF, Altman DG, Moher D, Group C. CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med. 2010;152(11):726-32. DOI: https://doi.org/10.7326/0003-4819-152-11-201006010-00232

Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5. DOI: https://doi.org/10.1016/j.sleep.2010.04.020

Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: impact of educational status. Arq Neuropsiquiatr. 1994;52(1):1-7. DOI: https://doi.org/10.1590/S0004-282X1994000100001

Saeedi M, Shamsikhani S, Varvani Farahani P, Haghverdi F. Sleep hygiene training program for patients on hemodialysis. Iran J Kidney Dis. 2014;8(1):65-9.

Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM, Association AD. Preventive foot care in people with diabetes. Diabetes Care. 2003;26(suppl 1):S78-9. DOI: https://doi.org/10.2337/diacare.26.2007.s78

Brazilian Sleep Association, Bacelar A, Pinto Júnior LR, editors. Insônia: do diagnóstico ao tratamento — III Consensus Brazilian Insomnia. São Paulo: Omnifarma; 2013. [cited 2018 oct 09]; Available from: http://www.absono.com.br/consenso-brasileiro-de-insonia.html

Brucki SM, Nitrini R, Caramelli P, Bertolucci PH, Okamoto IH. Suggestions for utilization of the mini-mental state examination in Brazil. Arq Neuropsiquiatr. 2003;61(3B):777-81. DOI: https://doi.org/10.1590/S0004-282X2003000500014

Apolinario PP, Trevisan DD, Rodrigues RC, Jannuzzi FF, Ferreira JF, de Oliveira HC, et al. Psychometric Performance of the Brazilian Version of the Diabetes Distress Scale in Patients With Diabetes Mellitus Type 2. J Nurs Meas. 2016;24(2):101-13. DOI: https://doi.org/10.1891/1061-3749.24.2.E101

Fisher L, Hessler DM, Polonsky WH, Mullan J. When is diabetes distress clinically meaningful?: establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012;35(2):259-64. DOI: https://doi.org/10.2337/dc11-1572

Association AD. (6) Glycemic targets. Diabetes Care. 2015;38(suppl):S33-40. DOI: https://doi.org/10.2337/dc15-S009

Cohen J. A power primer. Psychol Bull. 1992;112(1):155-9.

Keskin A, Ünalacak M, Bilge U, Yildiz P, Güler S, Selçuk EB et al. Effects of Sleep Disorders on Hemoglobin A1c Levels in Type 2 Diabetic Patients. Chin Med J (Engl). 2015;128(24):3292-7. DOI: https://doi.org/10.4103/0366-6999.171415

Khosravan S, Alami A, Golchin Rahni S. Effects of continuous care model based non-pharmacological intervention on sleep quality in patients with type 2 diabetes mellitus: a randomized controlled clinical trial. Int J Community Based Nurs Midwifery. 2015;3(2):96-104.

Soleimani F, Motaarefi H, Hasanpour-Dehkordi A. Effect of Sleep Hygiene Education on Sleep Quality in Hemodialysis Patients. J Clin Diagn Res. 2016;10(12):LC01-4. DOI: https://doi.org/10.7860/JCDR/2016/19668.8941

Seligowski AV, Pless Kaiser AP, Niles BL, Mori DL, King LA, King DW. Sleep quality as a potential mediator between psychological distress and diabetes quality of life in veterans with type 2 diabetes. J Clin Psychol. 2013;69(10):1121-31. DOI: https://doi.org/10.1002/jclp.21866

Reutrakul S, Siwasaranond N, Nimitphong H, Saetung S, Chirakalwasan N, Ongphiphadhanakul B et al. Relationships among sleep timing, sleep duration and glycemic control in Type 2 diabetes in Thailand. Chronobiol Int. 2015;32(10):1469-76. DOI: https://doi.org/10.3109/07420528.2015.1105812

Zhou H, Zhu J, Liu L, Li F, Fish AF, Chen T et al. Diabetes-related distress and its associated factors among patients with type 2 diabetes mellitus in China. Psychiatry Res. 2017;252:45-50. DOI: https://doi.org/10.1016/j.psychres.2017.02.049

Andrechuk CR, Ceolim MF. Sleep quality and adverse outcomes for patients with acute myocardial infarction. J Clin Nurs. 2016;25(1-2):223-30. DOI: https://doi.org/10.1111/jocn.13051

Hung HC, Yang YC, Ou HY, Wu JS, Lu FH, Chang CJ. The association between self-reported sleep quality and overweight in a Chinese population. Obesity (Silver Spring). 2013;21(3):486-92. DOI: https://doi.org/10.1002/oby.20259

Moraes W, Piovezan R, Poyares D, Bittencourt LR, Santos-Silva R, Tufik S. Effects of aging on sleep structure throughout adulthood: a population-based study. Sleep Med. 2014;15(4):401-9. DOI: https://doi.org/10.1016/j.sleep.2013.11.791




DOI: https://doi.org/10.5294/aqui.2019.19.3.2

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