Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Tip 2 Diabetes Mellitus Olan Bireylerde Kardiyovasküler Hastalık Riskine Yönelik Bilgi Düzeyi ve Uyku Kalitesi Arasındaki İlişkinin Değerlendirilmesi: Tanımlayıcı ve İlişki Arayıcı Çalışma
Evaluation of the Relationship between Knowledge Level of Cardiovascular Disease Risk Factors and Sleep Quality in Individuals with Type 2 Diabetes Mellitus: Descriptive and Relationship Seeking Study
Gürcan SOLMAZa
aİstanbul Üniversitesi-Cerrahpaşa, Florence Nightingale Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği ABD, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1164-72
doi: 10.5336/nurses.2023-98305
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada; Tip 2 diabetes mellitus (T2DM) olan bireylerin kardiyovasküler hastalık risk bilgi düzeyi ile uyku kalitesi arasındaki ilişki değerlendirilmiştir. Gereç ve Yöntemler: Çalışma, Marmara Bölgesi'nde bir devlet hastanesinin dahiliye ve endokrin polikliniklerine Nisan-Haziran 2023 tarihleri arasında başvuran araştırma kriterlerini karşılayan 208 T2DM'li birey ile gerçekleştirilmiştir. Veriler Kişisel Bilgi Formu, Kardiyovasküler Hastalıklar Risk Faktörleri Bilgi Düzeyi Ölçeği ve Pittsburgh Uyku Kalitesi İndeksi aracılığıyla araştırmacı tarafından yüz yüze görüşme yöntemi ile toplanmıştır. Verilerin analizinde tek yönlü varyans analizi, t-testi, Pearson korelasyon analizi ve aracılık testi kullanılmıştır. Bulgular: Katılımcılardan 45-55 yaş aralığında, erkek, günlük uyku süresi 7 saatin altında, kontrolsüz glisemik ve lipid düzeyine sahip, 10 yıldan kısa süredir T2DM olanların uyku kalitesinin düşük ve kardiyovasküler hastalık risklerine yönelik farkındalıklarının yetersiz olduğu tespit edilmiştir (p<0,001). Kardiyovasküler hastalıklar hakkında farkındalık arttıkça uyku kalitesi %64,6 artış göstermekte iken, aynı zamanda 10 yıldan kısa süredir T2DM olanların düşük olan kardiyovasküler hastalık farkındalıkları kötü uyku kalitesine yatkınlığı %12,4 artırmaktadır (p<0,001). Sonuç: 45-55 yaş aralığında, erkek, düzensiz glisemik ve lipid düzeyi ile 10 yıldan daha az süredir T2DM olanların uyku kalitelerinin kötü ve gelişebilecek kardiyovasküler hastalıklar hakkında yetersiz bilgiye sahip oldukları görülmektedir. Hemşirelerin T2DM olan bireyleri hastalığın ilk 10 yılı içerisinde kötü uyku kalitesi ve onun oluşturabileceği kardiyovasküler komplikasyonlar konusunda ayrıca ele almalarının önemli olduğu söylenebilir.

Anahtar Kelimeler: Hemşirelik; kardiyovasküler sistem; Tip 2 diabetes mellitus; uyku
ABSTRACT
 Objective: In this study, the relationship between cardiovascular disease risk knowledge level and sleep quality in individuals with Type 2 diabetes mellitus (T2DM) was evaluated. Material and Methods: The study was conducted with 208 individuals diagnosed with T2DM who met the research criteria in the internal medicine and endocrinology outpatient clinics of a state hospital in the Marmara region between April and June 2023. Data were collected through faceto-face interviews conducted by the researcher using a Personal Information Form, Cardiovascular Disease Risk Knowledge Level Scale, and Pittsburgh Sleep Quality Index. One-way analysis of variance, ttest, correlation analysis, and mediation analysis were used for data analysis. Results: It was found that participants between the ages of 45-55, male, with sleep duration less than seven hours, uncontrolled glycemic and lipid levels, and having T2DM for less than ten years had poor sleep quality and inadequate awareness of cardiovascular disease risks (p<0.001). As awareness of cardiovascular diseases increased, sleep quality showed a 64.6% improvement, while inadequate awareness of cardiovascular disease in individuals with T2DM for less than ten years increased the susceptibility to poor sleep quality by 12.4% (p<0.001). Conclusion: It is observed that individuals between the ages of 45-55, male, with irregular glycemic and lipid levels, and having T2DM for less than ten years have poor sleep quality and insufficient knowledge about potential cardiovascular diseases. It is recommended that nurses address individuals with T2DM specifically for the first ten years of the disease, focusing on poor sleep quality and the cardiovascular complications it may cause.

Keywords: Nursing; cardiovascular system; Type 2 diabetes mellitus; sleep
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