Sleeping Disturbance and its Associated Risk Factors Among Type 2 Diabetes Mellitus Patients Attending in a Tertiary Level Hospital in Dhaka City Bangladesh

Abstract

Objective: Poor sleep quality is an unreported and unrecognized problem which can affect the prognosis of diabetes patients. The aim of this study was to assess the prevalence of poor sleep quality and its associated factors among patients with diabetes mellitus in a tertiary care hospital in Dhaka. Methods: A hospital-based cross-sectional study was conducted among 343 diabetes mellitus patients at the Razarbagh Central Police Hospital from October 2021 to March 2022. A convenience sampling method was used to reach the study subjects. An interviewer-administered questionnaire was used for data collection. Pittsburgh sleep quality index was used for assessing sleep quality. Result: The overall prevalence of poor sleep quality was 81.85%. Multivariable analysis of the factors found that married person (AOR: 6.10, 95% CI: 1.03-35.93, p= 0.04), alcohol consumption (AOR: 12.11, 95% CI: 1.39-65.53, p= 0.02), no physical exercise (AOR: 11.99, 95% CI: 1.26-78.93, p= 0.03), HbA1c (AOR: 3.48, 95% CI: 1.21-21.71, p= 0.01) and low HDL (AOR: 18.60, 95% CI: 6.73-94.56, p= 0.04) were significantly associated with poor sleep. Conclusion: In this study, more than 80% patients had poor sleep quality. Drinking alcohol, smoking type 2 diabetes mellitus, and poor glycemic control were factors in poor sleep quality.