Sleep disturbance in people with diabetes: A concept analysis.
Bingqian Zhu, Catherine Vincent, Mary C Kapella and 5 others
PMID 28793386WHAT IT FOUND
Sleep disturbance in diabetes is a symptom, not a diagnosis.
Assess difficulty starting or staying asleep, frequent night waking, too little sleep, and too much sleep, alongside diabetes-related causes and daytime effects.
Key findings
01The concept analysis identified sleep disturbance as a symptom involving impaired sleep quality and/or abnormal sleep duration.
02Diabetes-related physiological change and reduced psychological well-being were identified as major antecedents.
03The analysis identified impaired daytime functioning, glucose regulation, and quality of life as consequences of sleep disturbance.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The analysis included a small number of articles, many were excluded because they did not describe sleep disturbance. The included studies were mostly cross-sectional and review papers, so they do not show that treating sleep changes diabetes outcomes. Data extraction and analysis were mainly done by a single author, with random checking by another, which may introduce bias. The concept is early stage and terminology is inconsistent.
Declared interests
No conflicts of interest were declared by the authors.
The easy way to misread this
Do not read this as proof that sleep disturbance causes worse glucose control or that treating it improves diabetes. The paper is a concept analysis of how the term has been used, not an intervention study.