ABSTRACT
Introduction and Aims: in the last years, there has been increasing interest on possible association between the sleep apnea with hypertension and poor sleep quality in patients with glucose metabolism disorders. The present study aimed to assess the relationship between sleep apnea, hypertension and sleep quality in patients with type 2 diabetes
Materials and Methods: this descriptive - analytic study was carried out on 100 type 2 diabetes patients' referral to the Saghez city diabetes unit with convenience sampling. Data were gathered using Berlin Questionnaire and Pittsburgh Sleep Quality Index. Data were analyzed using descriptive statistical testes, independent T test and Chi-square test
Results: the results of this study showed 46 % of samples complained from sleep apnea and 42 % complained from poor sleep quality. Results showed that there are statistically significant relationship between sleep apnea and high blood [CI95% = 1.6-9.4, OR = 3.9, p < 0.002] and sleep quality [CI95% = 1-4.9, OR = 2.1, P=0.04].The risk of sleep apnea were 3.9 and 2.1 fold higher in patients with hypertension and poor sleep quality than those patients without normotensive and good sleep quality
Conclusion: regarding to high prevalence of sleep apnea and relationship between this disorder and high blood pressure and sleep quality in patients with diabetes, using of screening methods for diagnose of sleep apnea in diabetic patients is necessary
ABSTRACT
Cardiac syndrome X is a relatively common disorder, and still not much is known about the causative factors or its pathophysiology, which makes it difficult to cure. Due to its chronic nature and debilitating symptoms, many patients have significantly reduced quality of life [QOL].The purpose of this study was to assess the impact of phase III cardiac rehabilitation [CR] and relaxation on the QOL of patients. This research is a randomized clinical trial study. Forty eligible and consenting women [age 30-65 years] were randomly assigned to four groups. In the first group [n = 11], progressive muscle relaxation [PMR]; in the second group [n = 11], phase III CR; and in the third group [n = 11], PMR along with phase III CR were performed for 8 weeks at home. The fourth group [n = 7] was used as the control group. Short form of QOL questionnaire [SF 36] was used for data gathering.Data analysis was performed using X[2], Kruskal-Wallis, and rank sum difference tests. After phase III CR, relaxation, and combination of CR and relaxation, patients demonstrated improved QOL [P < 0.001]. The results of post test multiple comparisons showed that there were statistically significant differences between control and all intervention groups [P < 0.05]. There was also statistically significant difference between relaxation and combination of phase III CR and relaxation groups [P < 0.5]. An 8 week phase III CR program together with relaxation improved QOL of patients with cardiac syndrome X. We suggest phase III CR program together with relaxation as an effective treatment in these patients.