Intervention design to strengthen sleep routines in people with type 2 diabetes mellitus
DOI:
https://doi.org/10.56200/mentor.v5i2.12306Keywords:
Family routines, family support, circadian rhythm, diabetes type 2, sleep hygieneAbstract
Sleep routines have been affected by various factors in daily life, causing disruptions to the circadian rhythm which regulates glucose homeostasis resulting in insufficient or excessive sleep altering glycated hemoglobin levels in people with type 2 diabetes mellitus. This leads to a decline in the quality of life for the individual and their family, which serves as the individual’s primary support network. The objective was to design the first two phases of a nursing intervention, based on Denham’s family health model, to promote sleep routines in family members diagnosed with T2DM. This was an exploratory, descriptive, retrospective, and multi-stage design that followed the guidelines of Whittemore and Grey (2002) for the design of nursing interventions. A literature review was conducted; subsequently, based on the synthesis of the literature, the intervention “Sleeping Better, We Take Care of Our Family” was designed, consisting of 6 stages: 4 in person intervention sessions and 2 feedback sessions via teleconsultation. Nursing interventions are fundamental to the development of the discipline, laying the foundation for daily practice based on the best scientific evidence.
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Aranda, S. (2008). Designing nursing interventions. Collegian, 15(1), 19–25. https://doi.org/10.1016/j.colegn.2007.11.002
Arora, T., Chen, M.Z., Cooper, A.R., Andrews, R.C., & Taheri, S. (2016). The impact of sleep debt on excess adiposity and insulin sensitivity in patients with early type 2 diabetes mellitus. Journal of Clinical Sleep Medicine, 12(5), 673–680. https://doi.org/10.5664/jcsm.5792
Arrollo, F.J., Castillo, L.C., Gutiérrez, C., Jiménez, J., & Guerrero, F. (2024). Diseño y Evaluación de Intervenciones de Enfermería en el Adulto Mayor Institucionalizado. Índex de Enfermería, 33(2), e14718. https://scielo.isciii.es/scielo.php?pid=S1132-12962024000200017&script=sci_arttext
Azharuddin, M., Kapur, P., Adil, M., Ghosh, P., & Sharma, M. (2020). The impact of sleep duration and sleep quality on glycaemic control in Asian population with type 2 diabetes mellitus: A systematic literature review and meta-analysis of observational studies. Clinical Epidemiology and Global Health, 8(3), 967–975. https://doi.org/10.1016/j.cegh.2020.03.006
Buxton, O.M., Cain, S.W., O’Connor, S.P., Porter, J.H., Duffy, J.F., Wang, W., Czeisler, C.A., & Shea, S.A. (2015). Adverse metabolic consequences in humans of prolonged sleep restriction combined with circadian disruption. Science Translational Medicine, 4(129), 129ra43. https://doi.org/10.1126/scitranslmed.3003200
Darraj A. (2023). The Link Between Sleeping and Type 2 Diabetes: A Systematic Review. Cureus, 15(11), e48228. https://doi.org/10.7759/cureus.48228
Da Cunha, M.C.B., Zanetti, M.L., & Hass, V.J. (2008). Sleep quality in type 2 diabetics. Revista Latino-Americana de Enfermagem, 16(5), 850–855. https://doi.org/10.1590/S0104-11692008000500009
Denham, S. (2003). Family Health: a framework for nursing. F.A. Davis.
Federación Internacional de Diabetes (2025). Datos y cifras sobre la diabetes. https://idf.org/es/about-diabetes/diabetes-facts-figures/
Gonnissen, H.K.J., Mazuy, C., Rutters, F., Martens, E.A.P., Adam, T.C., & Westerterp, M.S. (2013). Sleep Architecture When Sleeping at an Unusual Circadian Time and Associations with Insulin Sensitivity. PLoS ONE, 8(8), 1–8. https://doi.org/10.1371/journal.pone.0072877
Henríquez, R., & Cartes, R. (2018). Impacto psicosocial de la diabetes mellitus tipo 1 en niños, adolescentes y sus familias. Revisión de la literatura. Revista chilena de pediatría, 89(3), 391-398. https://dx.doi.org/10.4067/S0370-41062018005000507
Herzog, N., Jauch, K., Hyzy, F., Richter, A., Friedrich, A., Benedict, C., & Oltmanns, K.M. (2013). Selective slow wave sleep but not rapid eye movement sleep suppression impairs morning glucose tolerance in healthy men. Psychoneuroendocrinology, 38(10), 2075–2082. https://doi.org/10.1016/j.psyneuen.2013.03.018
Leitón, Z.E., Cienfuegos, María. R., Deza, M.C., Fajardo, E., Villanueva, M.E., & López, A. (2018). Impacto emocional en el camino de aprender a vivir con "la diabetes". Revista Salud Uninorte, 34(3), 696-704. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-55522018000300696&lng=en&tlng=es
Li, M., Li, D., Tang, Y., Meng, L., Mao, C., Sun, L., Chang, B., & Chen, L. (2018). Effect of 67 Diabetes Sleep Education for T2DM Who Sleep after Midnight: A Pilot Study from China. Metabolic Syndrome and Related Disorders, 16(1), 13–19. https://doi.org/10.1089/met.2017.0069
Liu, F., Li, J., Li, X., Yang, Z., Wang, W., Zhao, L., Wu, T., Huang, C., & Xu, Y. (2024). Efficacy of telemedicine intervention in the self-management of patients with type 2 diabetes: a systematic review and meta-analysis. Frontiers in public health, 12, 1405770. https://doi.org/10.3389/fpubh.2024.1405770
Martins, M.M, & Rodrigues, M.L. (2019). Diabetes: Adhesión al tratamiento y papel de la familia a esta nueva realidad. Revista de Atenção à Saúde, 17(59), 95–102. https://doi.org/10.13037/ras.vol17n59.5838
Organización Panamericana de la Salud. (2023). Diabetes. https://www.paho.org/es/temas/diabetes
Ramírez, N., Vallez, A. M., Trujillo, L. E., & García, B. (2020). Efecto del Contexto, Rutinas y Funcionamiento en la Salud de Familias Mexicanas con Diabetes Tipo 2. Ciencia y Enfermería, 26(17), 1-10. https://www.scielo.cl/pdf/cienf/v26/0717-9553-cienf-26-18.pdf
Reynoso, J., Hernández, E., Martínez, M., Zamudio, J.L., Islas, I., Pelcastre, A., Garnica, B., & Ruvalcaba, J.C. (2020. La atención en casa: El apoyo familiar en el control glicémico en pacientes con diabetes mellitus tipo 2. Hospital a Domicilio, 4(4),199-207. https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2530-51152020000400004
Ríos, C.M., & Espínola, C.C. (2020). Apoyo familiar y control glicémico en pacientes diabéticos de un Hospital de III Nivel de atención de Paraguay. Revista del Nacional (Itauguá),12(1), 028-041. https://doi.org/10.18004/rdn2020.0012.01.028-041
Pereira, F.H., Trevisan, D.D., Santos, D., Da Silva, J.B., & Lima, M.H. (2019). Effect of educational strategies on the sleep quality of people with diabetes: Randomized clinical trial. Aquichan, 19(3). e1932 https://doi.org/10.5294/aqui.2019.19.3.2
Secretaría de Salud. (2018). Proyecto de Norma Oficial Mexicana PROY-NOM-015-SSA2-2018, para la prevención, detección, diagnóstico, tratamiento y control de la diabetes mellitus. Diario Oficial de la Federación. https://dof.gob.mx/nota_detalle.php?codigo=5521405&fecha=03/05/2018#gsc.tab=
Shan, Z., Ma, H., Xie, M., Yan, P., Guo, Y., Bao, W., Rong, Y., Jackson, C.L., Hu, F.B., & Liu, L. (2015). Sleep duration and risk of type 2 diabetes: A meta-analysis of prospective studies. Diabetes Care, 38(3), 529–537. https://doi.org/10.2337/dc14-2073
Sidani, S., & Braden, C. J. (2011). Design, evaluation, and translation of nursing interventions. Wiley-Blackwell.
Srinivasan, V., Spence, D.W., Pandi, S.R., Trakht, I., & Cardinali, D.P. (2008). Jet lag: Therapeutic use of melatonin and possible application of melatonin analogs. Travel Medicine and Infectious Disease, 6(1–2), 17–28. https://doi.org/10.1016/j.tmaid.2007.12.002
Trejo, F. (2012). Fenomenología como método de investigación: Una opción para el profesional de enfermería. Revista de Enfermería Neurológica, 11(2), 98–101. https://doi.org/10.37976/enfermeria.v11i2.138
Urrutia, G., & Bonfill, X. (2010). PRISMA. Medicina Clínica, 135(11), 507–511. http://es.cochrane.org/sites/es.cochrane.org/files/public/uploads/PRISMA_Spanish.pdf
Whittemore, R., & Grey, M. (2002). The systematic development of nursing interventions. Journal of Nursing Scholarship, 34(2), 115–120. https://doi.org/10.1111/j.1547-5069.2002.00115.x
Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. Methodological Issues in Nursing Research, 52(5), 546-553. https://pubmed.ncbi.nlm.nih.gov/16268861
Wight, D., Wimbush, E., Jepson, R., & Doi, L. (2015). Six steps in quality intervention development (6SQuID). Journal of Epidemiology and Community Health, 70(5), 520–525. https://doi.org/10.1136/jech-2015-205952
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