社区2型糖尿病合并高血压患者失眠现状及其影响因素分析-现代医学

社区2型糖尿病合并高血压患者失眠现状及其影响因素分析

单位：扬州市疾病预防控制中心慢性非传染病防制科, 江苏扬州 225000

分类号：R587.1;R544.1

出版年·卷·期（页码）：2025·53·第一期（50-56）

摘要：

目的: 调查扬州市社区2型糖尿病(T2DM)合并高血压患者失眠的发生率，并分析其影响因素。方法: 从2023年辖区内在册管理的T2DM合并高血压患者中分层随机抽样1 650例，采用7个条目的失眠严重程度问卷(ISI)对纳入对象开展入户调查，比较不同特征T2DM合并高血压患者ISI得分，采用Logistic回归分析失眠的影响因素。结果: 共回收有效问卷1 604份(97.21%)，其中T2DM合并高血压患者276例(17.21%)符合失眠诊断标准。多因素分析显示，女性(OR=1.657)、年龄≥60岁(OR=1.444)、午睡(OR=0.626)、焦虑(OR=3.361)、抑郁(OR=4.345)、功能性便秘(OR=2.697)和家庭功能障碍(OR=3.601)均为T2DM合并高血压患者失眠的影响因素(P＜0.05)。结论: 社区T2DM合并高血压患者失眠率较高，识别并及时干预可解决的影响因素对于预防睡眠障碍和改善睡眠尤为重要。

Objective: To investigate the prevalence of insomnia in community-based patients with type 2 diabetes mellitus(T2DM)combined with hypertension in Yangzhou city, and to analyze its influencing factors. Methods: A random sample of 1 650 patients with T2DM combined with hypertension under registered management in the jurisdiction in 2023 was selected, and a household survey of the included subjects was conducted using the 7-item Insomnia Severity Questionnaire(ISI) to compare the ISI scores of patients with different characteristics of T2DM combined with hypertension. The influencing factors of insomnia were studied by using Logistic regression. Results: A total of 1 604(97.21%) valid questionnaires were recovered, of which 276(17.21%) patients with T2DM combined with hypertension met the diagnostic criteria for insomnia, and multifactorial analysis showed that female(OR=1.657), age≥ 60 years(OR=1.444), napping(OR=0.626), anxiety(OR=3.361), depression(OR=4.345), functional constipation(OR=2.697) and family dysfunction(OR=3.601) were all the influential factors for insomnia in patients with T2DM combined with hypertension(P<0.05). Conclusion: The rate of insomnia in community patients with T2DM combined with hypertension is high. Identifying and timely intervening with resolvable influencing factors is particularly important for preventing sleep disorders and improving sleep.

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