Relationship between self-management behavior and each dimension of cognitive function in patients with type 2 diabetic mellitus
WANG Lu-lu1,2, LIU An-nuo2, LIU Hong-yan3, ZHENG Hong-ying1, SUN Xiao-hong1, GONG Juan1, JIANG Yan2
1.The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China;
2.School of Nursing, Anhui Medical University, Hefei, Anhui 230032, China;
3.The Third People's Hospital of Hainan Province, Sanya, Hainan 572000, China
Abstract:Objective To explore the current status of cognitive function and its correlation with self-management behavior in patients with type 2 diabetic mellitus (T2DM). Methods One hundred and forty-nine patients with T2DM hospitalized in department of endocrinology, a tertiary hospital in Hefei city from January to October in 2016 were selected to serve as the research subjects. All of the patients were assessed using general information questionnaire, Montreal Cognitive Assessment Scale (Changsha Version) and the Summary of Diabetes Self-care Activities Questionnaire. The t-test, χ2 test and multivariate logistic regression analysis were used to analyze the prevalence of mild cognitive impairment (MCI), the influencing factors and the relationship between self-management behavior and each dimension of cognitive function. Results The prevalence rate of MCI among the patients with T2DM was 40.94%. Age (OR=4.38), complicating with cerebral infarction (OR=5.25) were risk factors for MCI, while educational background (OR=0.52),drinking tea (OR=0.29) and self-management behavior (OR=0.03) were protective factors for MCI. Among self-management behavior, diet positively predicted visual space/executive function (β=0.16), naming (β=0.20), attention (β=0.29) and the total score of cognitive function (β=0.12), exercise positively predicted orientation (β=0.25), and prescribed medication positively predicted visual space/executive function (β=0.13), delayed memory (β=0.16) and orientation (β=0.15). Conclusions There is a correlation between self-management behavior and cognitive function in patients with T2DM. Targeted prevention and intervention based on self-management behavior of the patients with T2DM should be made in clinical practice so as to delay the occurrence and development of MCI.
汪璐璐, 刘安诺, 刘鸿雁, 郑红英, 孙小红, 宫娟, 蒋燕. 2型糖尿病患者自我管理行为与认知功能各维度的关系研究[J]. 实用预防医学, 2020, 27(1): 1-4.
WANG Lu-lu, LIU An-nuo, LIU Hong-yan, ZHENG Hong-ying, SUN Xiao-hong, GONG Juan, JIANG Yan. Relationship between self-management behavior and each dimension of cognitive function in patients with type 2 diabetic mellitus. , 2020, 27(1): 1-4.
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