Association between quality of sleep and health‐related quality of life in persons with diabetes mellitus type 2

• Published in: Journal of clinical nursing Vol. 27; no. 7-8; pp. 1653 - 1661
• Main Authors: Bani‐issa, Wegdan, Al‐Shujairi, Arwa M, Patrick, Linda
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.04.2018
• Subjects: daytime dysfunction; Diabetes; diabetes mellitus type 2; health‐related quality of life; Nursing; Quality of life; Quantitative analysis; Sleep; Sleep deprivation; sleep quality; subjective sleep quality; use of sleep medication; United Arab Emirates; health-related quality of life; subjective sleep quality; use of sleep medication; daytime dysfunction; diabetes mellitus type 2; sleep quality
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/jocn.14221

Aim and objectives To estimate the relationship of sleep quality with health‐related quality of life (HRQOL) in persons with diabetes mellitus type 2 (DMT2) living in the United Arab Emirates (UAE). Background DMT2 is an epidemic health condition in the UAE that has enormous impacts on heath, and consequent effects on HRQOL. However, because of an absence of screening for quality of sleep, people with DMT2 who experience poor sleep are likely to go untreated, which may compound the distressing impacts of DMT2 on their HRQOL. Design This is a cross‐sectional quantitative research design. Methods A sample of 268 participants with DMT2 were recruited from community healthcare settings in the UAE using cluster sampling. Participants completed questionnaires, including the Pittsburgh Sleep Quality Index (PSQI) and the World Health Organization HRQOL. Data analysis used descriptive and correlational statistics. Results Of the 268 participants, 34% identified as “poor sleepers” and 55% had poor HRQOL. Poor sleepers showed significantly lower scores for HRQOL than good sleepers. The global PSQI scores were found to be independently predictive of global HRQOL. Subjective perceptions of sleep quality, the use of sleep medications and impaired daytime functioning were the variables found to have the highest correlations with global HRQOL and its four domains. Conclusions This study found that people with DMT2 who indicate experiencing poor quality sleep are more likely to show a negative correlation with HRQOL. Additional research is needed to investigate how poor sleep may impact the health of people with DMT2. Relevance to clinical practice Findings suggest that assessment of sleep quality should be an essential component of diabetes care. Understanding sleep practices may aid public health practitioners and other healthcare providers in the design of culturally appropriate interventions to improve sleep quality in persons with DMT2.