The Science of Diabetes Self-Management and Care,
Journal Year:
2023,
Volume and Issue:
49(6), P. 438 - 448
Published: Oct. 24, 2023
The
purposes
of
this
study
were
to
(1)
examine
the
relationships
between
fatigue,
its
influencing
factors,
and
diabetes
self-management
(2)
test
mediation
effects
fatigue
on
link
factors
in
adults
with
type
2
diabetes.This
cross-sectional,
correlational
was
guided
by
theory
unpleasant
symptoms.
Data
collected
using
structured
questionnaires.
Fatigue
measured
Symptom
Inventory
Multidimensional
Inventory.
Diabetes
Summary
Self-Care
Activities.
From
March
July
2021,
a
convenience
sample
150
participants
recruited
from
outpatient
clinics
regional
hospital
Taiwan.
analyzed
structural
equation
modeling.A
more
recent
diagnosis
diabetes,
depressive
symptoms,
lower
sleep
quality
related
higher
fatigue.
Higher
correlated
less
performance
self-management.
mediated
relationship
quality,
self-management.Fatigue
had
mediating
effect
psychological
Future
development
interventions
integrating
symptoms
management
will
likely
increase
improve
health
outcomes
diabetes.
tested
empirical
data
assist
building
theory-guided
people
Healthcare,
Journal Year:
2019,
Volume and Issue:
7(1), P. 37 - 37
Published: March 5, 2019
For
healthy
existence,
humans
need
to
spend
one-third
of
their
time
sleeping.
Any
qualitative
or
quantitative
disturbances
in
sleep
would
result
an
increased
prevalence
obesity,
metabolic
disorders,
diabetes,
cardiovascular
diseases,
and
hypertension.
The
paper
aims
highlight
the
growing
global
problem
insufficient
its
significant
impact
on
rising
incidence
diabetes
mellitus.
An
extensive
literature
search
was
done
all
major
databases
for
“insufficient
sleep”
“Diabetes
Mellitus”
this
review.
Shorter
(<6
h)
longer
(>9
durations
have
been
adversely
related
insulin
resistance.
Though
relation
between
mellitus
is
more
less
understood,
little
known
about
how
oversleeping
hypersomnia
(10–12
increases
risk
diabetes.
relationship
dual-sided,
as
chronic
elevate
developing
resistance,
while
worsen
quality
sleep.
Both
significantly
increase
which
supported
by
numerous
community-based
hospital-based
epidemiological
studies
discussed
Obstructive
apnea
one
most
common
disorders
characterized
intermittent
hypoxia
sympathetic
activity,
thus
leading
a
higher
Sleep
therapy
may
serve
low-cost
method
fighting
against
epidemic
Frontiers in Nutrition,
Journal Year:
2022,
Volume and Issue:
9
Published: Sept. 21, 2022
Sleep
problems
are
extremely
common
in
industrialized
countries
and
the
possibility
that
diet
might
be
used
to
improve
sleep
has
been
considered.
The
topic
reviewed
many
times,
resulting
frequent
suggestion
carbohydrate
increases
uptake
of
tryptophan
by
brain,
where
it
is
metabolized
into
serotonin
melatonin,
with
this
improves
sleep.
An
alternative
mechanism
was
proposed
based
on
animal
literature
largely
ignored
those
considering
hypothesis
that,
as
hypothalamus
there
glucose-sensing
neurons
associated
sleep-wake
cycle,
we
should
consider
impact
carbohydrate-induced
changes
level
blood
glucose.
A
meta-analysis
found
after
consuming
a
lower
amount
carbohydrate,
more
time
spent
slow-wave
(SWS)
less
rapid-eye-movement
As
credibility
mechanisms
tended
not
have
critically
evaluated,
they
were
considered
examining
their
biochemical,
nutritional,
pharmacological
plausibility.
Although
high
consumption
can
increase
only
occurs
such
low
levels
protein
relevant
normal
diet.
After
entering
brain
converted
serotonin,
neurotransmitter
known
influence
so
different
aspects
wakefulness,
reasonable
expect
uniform
improvement
Some
although
exogenous
dose
melatonin
needed
cannot
credibly
provided
This
review
registered
International
Prospective
Register
Systematic
Reviews
(CRD42020223560).
European Journal of Cardiovascular Nursing,
Journal Year:
2020,
Volume and Issue:
20(3), P. 192 - 201
Published: July 16, 2020
Abstract
Background
Sleep
disturbance
is
one
of
the
most
common
symptoms
among
heart
failure
patients.
reduces
quality
life
and
leads
to
higher
rates
mortality.
It
may
affect
ability
patients
perform
adequate
self-care.
Although
some
research
has
evaluated
association
between
sleep
self-care,
a
synthesis
recent
available
evidence
lacking.
Aims
This
systematic
review
aimed
assess
self-care
in
adults
with
failure.
Methods
The
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
methodology
was
used.
Medline,
CINAHL,
PsycINFO
SCOPUS
were
searched.
Observational,
case-control
cohort
studies
considered.
Joanna
Briggs
Institute’s
Critical
Appraisal
Tools.
Results
Six
articles
included.
Association
reported
by
three
studies.
One
these
did
not
find
an
while
other
two
did.
An
medication
adherence
All
found
associations
variables.
Studies
have
measured
similar
but
different
constructs.
Two
assessed
quality,
four
excessive
daytime
sleepiness.
Half
examined
half
adherence.
Conclusions
should
be
strengthened,
seems
mechanism
underlying
effect
on
remains
unclear.
Future
longitudinal
interaction
analyses
could
useful
clarify
this
mechanism.
Journal of Clinical Nursing,
Journal Year:
2019,
Volume and Issue:
28(17-18), P. 3200 - 3209
Published: April 19, 2019
Abstract
Aims
and
objectives
To
test
the
hypothesis
that
fatigue
sleep
disturbance
account
for
a
significant
amount
of
variation
in
eating
styles
among
people
with
type
2
diabetes
(T2D).
Background
Healthy
is
an
important
component
self‐care
but
remains
major
challenge.
In
T2D,
symptoms
are
pervasive.
However,
there
limited
understanding
whether
associated
style
T2D.
Design
Correlational
design.
Methods
This
study
was
reported
following
STROBE
checklist.
Data
were
collected
between
February
2017
January
2018.
A
convenience
sample
64
T2D
adults
completed
Three‐Factor
Eating
Questionnaire‐R18V2
to
measure
(e.g.,
emotional
eating,
cognitive
restraint
uncontrolled
eating).
Diabetes
distress,
measured
using
validated
questionnaires.
Hierarchical
regression
analyses
performed.
Results
Only
age
predictor
(
β
=
−0.344)
restraint.
Participant
demographics,
psychological
factor
health‐related
factors
contribute
significantly
model
predicting
only
distress
0.433).
Introducing
poor
quality
explained
additional
12.0%
eating.
The
final
24.9%
eating;
both
0.294)
0.360)
predictors.
Conclusion
There
strong,
independent
relationship
patients.
effect
improving
on
should
be
explored.
Relevance
clinical
practice
practice,
nurses
recommended
include
detailed
assessment
patients
diabetes.
Additional
conventional
nutrition
therapy
focusing
diet
advice,
also
incorporated
education
by
nurses.
Journal of Nursing Scholarship,
Journal Year:
2021,
Volume and Issue:
54(5), P. 546 - 553
Published: Dec. 27, 2021
Abstract
Purpose
This
meta‐analysis
was
conducted
to
determine
the
prevalence
and
risk
factors
of
fatigue
in
type
1
2
diabetes
mellitus
(DM).
Methods
Observational
studies
reporting
or
DM
were
systematically
searched
for
PubMed,
Embase,
CINAHL
Plus,
Cochrane
Trial,
ProQuest
Dissertation
Theses
databases.
Data
extracted
by
two
independent
reviewers.
A
random‐effect
model
used
data
analysis.
Findings
We
included
19
involving
7131
patients
with
32
34,994
study.
The
pooled
44%
50%,
respectively.
Asia–Pacific
region
(e.g.,
Japan
Australia),
South
America,
Africa
lacked
reports
regarding
DM,
North
Asia
Southeast
DM.
Depression
physical
activity
only
variables
significantly
correlated
both
(all
p
<
0.05).
Conclusions
Approximately
half
experienced
fatigue,
Our
findings
its
can
provide
an
evidence‐based
approach
managing
patients.
Clinical
relevance
emphasizes
importance
management
Most
significantly,
our
results
on
related
contribute
development
strategies
individuals
The Diabetes Educator,
Journal Year:
2019,
Volume and Issue:
45(3), P. 287 - 294
Published: March 15, 2019
Purpose
The
purpose
of
this
study
was
to
examine
the
collective
effect
a
symptom
cluster
(depression,
anxiety,
fatigue,
and
impaired
sleep
quality)
at
baseline
on
quality
life
(QOL)
patients
with
type
2
diabetes
(T2DM)
over
time.
Methods
This
secondary
data
analysis
302
T2DM
who
presented
both
hypertension
hyperlipidemia.
All
participants
were
enrolled
in
randomized
controlled
intervention
testing
strategies
improve
medication
adherence.
psychological
symptoms
QOL
assessed
baseline,
6
months,
12
months.
Cluster
used
identify
subgroups
based
severity
baseline.
Results
Hierarchical
identified
4
patient
subgroups:
all
low
severity,
mild,
moderate,
high
severity.
There
significant
differences
patients’
overall
among
subgroups.
Compared
all-low-severity
subgroup,
higher
had
poorer
across
3
time
points.
most
impacted
by
trait
anxiety
Conclusion
significantly
clusters
T2DM.
Healthcare
providers
should
not
neglect
that
experience.
It
is
important
assess
manage
these
diabetes.
Clinical Epidemiology,
Journal Year:
2021,
Volume and Issue:
Volume 13, P. 555 - 565
Published: July 1, 2021
To
examine
the
association
of
psychological
distress
with
all-cause,
cardiovascular
disease
(CVD)
and
cancer
mortality
in
US
adults,
verified
whether
associations
differed
between
participants
without
diabetes.A
total
485,864
adults
(446,288
diabetes
39,576
diabetes)
who
participated
National
Health
Interview
Survey
from
1997
to
2013
were
linked
Death
Index
through
December
31,
2015.
Psychological
was
measured
by
Kessler
6
scale
(K6).
Multivariable
Cox
proportional
hazards
regression
models
performed
estimate
hazard
ratios
(HR)
95%
confidence
intervals
(95%
CI)
for
mortality.We
ascertained
11,746
deaths
(mean
follow-up,
7.
7
years)
among
people
51,636
(9.9
those
diabetes.
associated
higher
CVD,
mortality.
Compared
non-diabetic
distress,
HRs
1.07
(1.04
1.09)
mild,
1.26
(1.22
1.30)
moderate
1.46
(1.38
1.55)
severe
distress.
same
reference
group,
diabetic
1.39
(1.33
1.44)
no
1.59
(1.53
1.66)
1.90
(1.80
2.00)
1.98
(1.82
2.17)
Similar
also
observed
CVD
but
non-statistically
significant
interaction.Psychological
mortality,
particularly
Strategies
ameliorate
may
be
important
reduce
this
population.
Journal of Clinical Nursing,
Journal Year:
2021,
Volume and Issue:
31(11-12), P. 1409 - 1427
Published: Sept. 28, 2021
Abstract
Aims
and
objectives
To
synthesise
empirical
studies
on
factors
related
to
fatigue
its
impact
diabetes
self‐management
(DSM)
quality
of
life
(QOL)
in
adults
with
type
2
mellitus
(T2DM).
Background
Fatigue
is
commonly
reported
people
T2DM,
a
chronic
condition
that
highly
prevalent
worldwide.
However,
holistic
understanding
the
consequences
T2DM
not
well
synthesised.
Design
This
integrative
review
used
Whittemore
Knafl's
methodology
was
according
Preferred
Reporting
for
Systematic
Reviews
Meta‐Analyses
(PRISMA)
guidelines
checklist.
Methods
The
theory
unpleasant
symptoms
(TOUS)
as
conceptual
model
guide
review.
PubMed,
PsychINFO
CINAHL
databases
were
searched
identify
recruited
peer‐reviewed,
written
English
investigated
primary
or
secondary
outcome.
Two
investigators
independently
appraised
extracted
data.
Results
Twenty‐nine
articles
met
inclusion
criteria:
23
observational
studies,
two
randomised
controlled
trials,
one
quasi‐experimental
study
three
qualitative
studies.
All
high
quality.
Physiological
(e.g.
duration,
complications
inflammatory
biomarkers),
psychological
distress,
depression
sleep
quality)
situational
race/ethnicity,
education
social
support)
fatigue.
Studies
barrier
physical
activity,
healthy
eating
behaviours
aspect
QOL.
Conclusions
Multiple
are
T2DM.
Gaps
literature
include
multiple
dimensions
fatigue,
effectiveness
interventions
alleviate
experiences
under‐represented
populations.
Relevance
clinical
practice
supports
complex
origin
Nurses
should
evaluate
modifiable
provide
support
help
improve
DSM
QOL
this
population.