Effects of Continuous Care Model Based Non-Pharmacological Intervention on Sleep Quality in Patients with Type 2 Diabetes Mellitus: A Randomized Controlled Clinical Trial

Document Type : Original article


1 Department of Community and Mental Health, School of Nursing and Midwifery; Social Determinant of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran

2 Department of Health, School of Public Health; Social Determinant of Health Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran

3 Department of Medical Surgical Nursing, Gonabad University of Medical Sciences, Gonabad, Iran


Background: Sleep is an important aspect of healthy lifestyle. One of the prevalent Diabetes mellitus-related non-vascular complications is sleep problems. The aim of this study was to investigate the effects of a non-pharmacological care plan designed based on the Continuous Care Model (CCM) on sleep quality in patients with type II diabetes with two month follow up.Methods: This randomized controlled clinical trial was conductedfrom May to November 2012 among 68 the patients with type II DM referring to the Diabetes Clinic of Gonabad University of Medical Sciences. The study instrument consisted of a self-reportdemographic questionnaire and the Pittsburgh Sleep Quality Index. The gathered data were analyzed via SPSS (V. 20) using t-test and Chi-square statistics.Results: After the intervention, the study groups did not differ significantly in terms of sleep quality (0.628). However, the study findings revealed that the interventional group’s sleep quality improved significantly after the intervention (P<0.001). Conclusion: Non-pharmacologic intervention according to CCM improved the sleep quality in the experimental group.Sleep care is a matter of great importance in diabetes mellitus, which deserves particular attention.The present study adds to the growing literature of the use of non-pharmaceutics intervention to improve sleep disorders of diabetic patients. Trial Registration Number: IRCT201202269140N1.