Effect of Educational Strategies on the Sleep Quality of People with Diabetes: Randomized Clinical Trial
DOI:
https://doi.org/10.5294/aqui.2019.19.3.2Palavras-chave:
Sono, higiene do sono, Diabetes Mellitus tipo 2, estresse psicológico, EnfermagemResumo
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: avaliar o efeito de estratégias educativas sobre a qualidade do sono e sua relação com o estresse emocional associado com o diabetes em pessoas com DM2. Materiais e método: ensaio clínico randomizado com dois grupos. O grupo 1 (G1, n = 45) recebeu orientações verbais e folhetos sobre estratégias de higiene do sono; o grupo 2 (G2, n = 46), orientações usuais das unidades de saúde sobre autocuidado com os pés. O sono foi avaliado pelo Pittsburgh Sleep Quality Inventory (PSQI-BR), e o estresse emocional, pelo Diabetes Distress Scale (B-DDS). Utilizaram-se modelos lineares de efeitos mistos e modelo de regressão linear para as análises estatísticas. Resultados: no final do seguimento, verificou-se melhora da qualidade do sono (p = 0,02) no G1. Baixo escore de estresse emocional (p = 0,03), ser do sexo masculino (p = 0,02), pertencer ao G1 (p = 0,002) e idade (p = 0,04) contribuíram para melhor qualidade do sono. Conclusão: orientações educativas sobre a higiene do sono em pacientes com DM2 foram efetivas na melhora da pontuação da qualidade do sono, mensurada pelo instrumento PSQI-BR, e do diabetes-related emotional distress, avaliado pelo instrumento do B-DDS.
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Pereira FH, Trevisan DD, Santos D, da Silva JB, Lima 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
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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
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