Sleep quality among type 2 diabetes mellitus patients in a private hospital setting in Yangon, Myanmar

Abstract

PurposeThis study aimed to assess the sleep quality and its associated factors among patients with type 2 diabetes mellitus (T2DM) in a private hospital in Yangon, Myanmar.Design/methodology/approachA cross-sectional study was conducted. A total of 289 T2DM patients were interviewed using a structured questionnaire. An English version of the Pittsburgh Sleep Quality Index (PSQI) was translated into Myanmar and used for assessing sleep quality.FindingsApproximately 48.4% of T2DM patients had poor sleep quality (PSQI score > 5). The mean ± SD of the PSQI global score was 5.97 ± 3.45. About 36.0% of participants reported the presence of diabetes complications, and 14.9% used sleep medication. About 27.7% had depression and 8.3% had poor family relationships. Multiple logistic regression analysis revealed that the presence of complications (AOR = 1.86; 95%CI; 1.04–3.35), poor family relationships (AOR = 5.09; 95%CI; 1.55–16.68) and depression (AOR = 7.52; 95%CI; 3.83–14.76) were significantly associated with poor sleep quality.Originality/valueThe prevalence of poor sleep quality is rather high among T2DM patients. Healthcare personnel and hospital administrators should focus on the complication status, family relationships and depression status of T2DM patients by providing regular screening for sleep quality and depression and by providing a program of sleep health education and counselling at diabetic clinics

Influence of sleep quality and other associated factors on glycemic control among diabetic patients: A hospital-based study

“…The PSQI score average was 7.5±3.44. This result was in line with the study by Htut NH et al, 8 which found that 48.4% of participants had poor sleep quality. In a similar vein, 51.9% of the study participants had poor sleep quality, according to Obaid ZH et al 9 Similarly, the mean PSQI score of 7.5±3 reported by Gozashti MH et al 10 was in line with the outcomes of our investigation.…”

“…Our findings were supported by the significant statistical difference (p = 0.004) in sleep quality between the two groups. Our findings also aligned with the research carried out by Htut NH et al, 8 ) Sakamoto R et al's findings from 2013 were comparable. Similarly, Martorina W. 14 and others discovered that, with a p value of less than 0.001, low sleep quality is linked to poor glycemic management.…”

Prevalence and determinants of poor sleep quality among diabetic patients in Ethiopia: systematic review

“…The finding of this study was consistent with the studies conducted in China (47.1%) ( 44 ), Thailand (48.4%) ( 45 ), and Myanmar (48.4%) ( 45 ). The possible justification could be that diabetic patients may have similar physiological complications such as nocturia, nocturnal hypoglycemia, restless leg syndrome, sedentary breathing, and diabetic and heart failure problems.…”

Physical Activity and Its Synergistic Interaction With Low Platelet–Lymphocyte Ratio Levels Increasing the Sleep Quality in Type 2 Diabetes Mellitus

“…The proportion of individuals with T2DM who had low sleep quality was 81% in Jordan, 13 80% in the United States, 42 77.4% in Turkey, 43 and 72% in Saudi Arabia. 44 The proportions in this study are higher than those of studies conducted in Kenya with 53.4%, 45 48.4% in Myanmar, 46 63.9% in Trinidad and Tobago, 47 and 63.3% in Thailand. 48 Moreover, a significant proportion of 87.5% of individuals with T2DM reported that they typically take >15 minutes to fall asleep each night.…”