Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes

Purposes To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes. Design This study was a cross‐sectional, correlational study with data col...

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Veröffentlicht in:Journal of nursing scholarship 2017-07, Vol.49 (4), p.400-410
Hauptverfasser: Chang, Chun‐Jen, Pei, Dee, Wu, Chien‐Chih, Palmer, Mary H., Su, Ching‐Chieh, Kuo, Shu‐Fen, Liao, Yuan‐Mei
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container_end_page 410
container_issue 4
container_start_page 400
container_title Journal of nursing scholarship
container_volume 49
creator Chang, Chun‐Jen
Pei, Dee
Wu, Chien‐Chih
Palmer, Mary H.
Su, Ching‐Chieh
Kuo, Shu‐Fen
Liao, Yuan‐Mei
description Purposes To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes. Design This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes. Methods Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control. Findings Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality. Conclusions Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality. Clinical Relevance Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes.
doi_str_mv 10.1111/jnu.12302
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Design This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes. Methods Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control. Findings Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality. Conclusions Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality. Clinical Relevance Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12302</identifier><identifier>PMID: 28544465</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adiposity ; Adult ; Aged ; Blood Glucose - metabolism ; Body weight ; Caffeine ; Consumption ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - physiopathology ; Exercise ; Female ; Glycemic control ; Health risk assessment ; Humans ; Insomnia ; Lifestyles ; Medical diagnosis ; Middle Aged ; Nocturia ; Nocturia - epidemiology ; Nursing ; Risk Factors ; Sleep ; Sleep - physiology ; Sleep deprivation ; sleep quality ; Surveys and Questionnaires ; Symptom management ; Type 2 diabetes mellitus ; Urinary tract diseases ; Weight control ; Women ; Womens health ; Young Adult</subject><ispartof>Journal of nursing scholarship, 2017-07, Vol.49 (4), p.400-410</ispartof><rights>2017 Sigma Theta Tau International</rights><rights>2017 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. 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Design This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes. Methods Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control. Findings Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality. Conclusions Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality. 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Design This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes. Methods Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control. Findings Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality. Conclusions Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality. Clinical Relevance Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>28544465</pmid><doi>10.1111/jnu.12302</doi><tpages>11</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adiposity
Adult
Aged
Blood Glucose - metabolism
Body weight
Caffeine
Consumption
Cross-Sectional Studies
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - physiopathology
Exercise
Female
Glycemic control
Health risk assessment
Humans
Insomnia
Lifestyles
Medical diagnosis
Middle Aged
Nocturia
Nocturia - epidemiology
Nursing
Risk Factors
Sleep
Sleep - physiology
Sleep deprivation
sleep quality
Surveys and Questionnaires
Symptom management
Type 2 diabetes mellitus
Urinary tract diseases
Weight control
Women
Womens health
Young Adult
title Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes
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