PMID- 37775490
OWN - NLM
STAT- Publisher
LR  - 20230929
IS  - 0300-5283 (Print)
IS  - 0300-5283 (Linking)
VI  - 78
IP  - 5
DP  - 2023 Sep
TI  - A cross-sectional study on the sleep quality among type 2 diabetes mellitus 
      patients and its associated factors.
PG  - 627-634
AB  - INTRODUCTION: Poor sleep quality is common among patients with type 2 diabetes 
      mellitus (T2DM). It has detrimental effects on physical and psychological health, 
      as well as on quality of life. This study aimed to determine the prevalence of 
      poor sleep quality among T2DM patients and to investigate the factors associated 
      with this disorder. MATERIALS AND METHODS: A cross-sectional study was conducted 
      at Klinik Kesihatan Seremban in Seremban district, Negeri Sembilan. Data were 
      collected using the Malay version of the Pittsburgh Sleep Quality Index (PSQI-M) 
      with a cut-off point of >5 as poor sleep quality. The Depression Anxiety Stress 
      Scale-21 (DASS-21) was used to measure level of psychological distress. Data were 
      collected between July 2022 until January 2023. RESULTS: A total of 319 patients 
      with T2DM participated. Their mean age was 63 (11) years, 58% were women and 
      42.9% were of Indian ethnicity. The mean total score of PSQI was 4.04 (2.21) and 
      23% of the participants had poor sleep quality. Multivariate logistic regression 
      analysis revealed that poor sleep quality was significantly associated with 
      Indian ethnicity (Adj. OR = 2.25; 95%CI: 1.05, 4.82; p = 0.037), separated or 
      widowed (Adj. OR = 2.16; 95%CI = 1.15, 4.05; p = 0.016), having nocturia (Adj. OR 
      = 2.13; 95%CI = 1.18, 3.84; p = 0.012) and depressive symptoms (Adj. OR = 3.41; 
      95%CI: 1.01, 11.48; p = 0.048). CONCLUSION: Poor sleep quality was prevalent in 
      almost a quarter of T2DM patients studied. Indian ethnicity, separated or 
      widowed, having nocturia, and depressive symptoms were independently associated 
      with poor sleep quality. Despite lower prevalence of poor sleep quality compared 
      to other studies, identification of those at higher risk warrants further 
      exploration in lifestyle management of patients with T2DM.
FAU - Saparwan, N
AU  - Saparwan N
AD  - Klinik Kesihatan Seremban 2, Ministry of Health Malaysia, Negeri Sembilan, 
      Malaysia.
FAU - Tohit, N M
AU  - Tohit NM
AD  - Universiti Kebangsaan Malaysia, Faculty of Medicine, Department of Family 
      Medicine, Bandar Tun Razak, Kuala Lumpur, Malaysia. laili@ppukm.ukm.edu.my.
FAU - Salmiah, M S
AU  - Salmiah MS
AD  - Klinik Kesihatan Seremban, Ministry of Health Malaysia, Negeri Sembilan, 
      Malaysia.
LA  - eng
PT  - Journal Article
PL  - Malaysia
TA  - Med J Malaysia
JT  - The Medical journal of Malaysia
JID - 0361547
SB  - IM
EDAT- 2023/09/30 09:42
MHDA- 2023/09/30 09:42
CRDT- 2023/09/29 23:02
PHST- 2023/09/30 09:42 [medline]
PHST- 2023/09/30 09:42 [pubmed]
PHST- 2023/09/29 23:02 [entrez]
PST - ppublish
SO  - Med J Malaysia. 2023 Sep;78(5):627-634.