The relationship between sleep disturbance and glycaemic control in adults with type 2 diabetes: An integrative review.
The relationship between sleep disturbance and glycaemic control in adults with type 2 diabetes: An integrative review.
复制标题
DOI：
10.1111/jocn.13899
复制
发表时间：
2017-12
影响因子：
4.2
通讯作者：
Fritschi C
中科院分区：
文献类型：
--
作者：
Zhu B;Hershberger PE;Kapella MC;Fritschi C
探讨和综合目前的研究，以评估2型糖尿病（T2 DM）成人睡眠障碍与血糖控制之间关系的科学状态。提示睡眠障碍是T2 DM的一个危险因素。糖尿病本身就是导致死亡的主要原因，但如果再加上睡眠障碍，就会带来额外的健康风险。然而，对于显性糖尿病患者睡眠障碍和血糖控制之间的关系知之甚少。综合审查。Whittemore和Knafl的方法指导了这一综合性审查。2016年10月之前发表的原始研究通过使用以下术语对7个数据库进行系统检索来确定：糖尿病 *;睡眠或失眠; glycem* 或葡萄糖或A1 C或HbA 1c或糖;以及它们的组合。研究分别采用矩阵法和叙述性综合法对研究结果进行组织和综合。使用Crowe Critical Appraisal Tool评价研究质量。共确定了26项研究;其中17项报告了睡眠措施和血糖控制之间的显着关系。在13项研究中，睡眠时间与血糖控制呈线性（n=2）和非线性（n=3）关系，但8项研究报告无显著关系。22项研究中有14项睡眠质量与血糖控制显著相关。9项研究发现，任何睡眠指标与血糖控制之间都没有关系。有强有力的证据支持睡眠质量和血糖控制之间的关系，但睡眠时间和血糖控制之间的关系需要进一步检查。睡眠障碍，特别是睡眠质量受损，可能会影响T2 DM成人的血糖控制。治疗糖尿病患者的护士应包括睡眠评估、健康睡眠教育和睡眠障碍治疗的转诊，以最大限度地实现良好的血糖控制。
To explore and synthesize current research to assess the state of science about the relationship between sleep disturbance and glycemic control in adults with type 2 diabetes (T2DM). Sleep disturbance is suggested a risk factor for T2DM. Diabetes alone is a leading cause of death, but when coupled with sleep disturbance poses additional health risks. However, little is known about the relationship between sleep disturbance and glycemic control in people with overt diabetes. An integrative review. Whittemore and Knafl's methodology guided this integrative review. Original studies published before Oct. 2016 were identified through systematic searches of seven databases using terms: diabet*; sleep or insomnia; glycem* or glucose or A1C or HbA1c or sugar; and their combinations. The matrix and narrative synthesis were employed to organize and synthesize the findings, respectively. The Crowe Critical Appraisal Tool was used to evaluate the study quality. A total of 26 studies were identified; 17 of which reported significant relationships between sleep measures and glycemic control. In 13 studies sleep duration was associated with glycemic control in both linear (n=2) and nonlinear (n=3) relationships, however 8 studies reported no significant relationships. Sleep quality was significantly related to glycemic control in 14 of 22 studies. Nine studies found no relationship between any measure of sleep and glycemic control. There is strong evidence supporting the relationship between sleep quality and glycemic control but further examination of the relationship between sleep duration and glycemic control is warranted. Sleep disturbance, particularly impaired sleep quality, could potentially influence glycemic control in adults with T2DM. Nurses who treat patients with diabetes should include assessment of sleep, education for healthy sleep, and referral for treatment of sleep disturbance in order to maximize the potential for achieving good glycemic control.
登录
查看更多内容
影响因子：
5.1
作者：
Guariguata, L.;Whiting, D. R.;Shaw, J. E.
通讯作者：
Shaw, J. E.
DOI：
10.2147/dmso.s23904
发表时间：
2011
期刊：
Diabetes, metabolic syndrome and obesity : targets and therapy
影响因子：
--
作者：
Garfinkel D;Zorin M;Wainstein J;Matas Z;Laudon M;Zisapel N
通讯作者：
Zisapel N
影响因子：
3.7
作者：
Lecube, Albert;Sanchez, Enric;Simo, Rafael
通讯作者：
Simo, Rafael
影响因子：
16.2
作者：
Cappuccio FP;D'Elia L;Strazzullo P;Miller MA
通讯作者：
Miller MA
影响因子：
--
作者：
Knutson, Kristen L.;Ryden, Armand M.;Van Cauter, Eve
通讯作者：
Van Cauter, Eve