Relationship Between Self-Care Behavior and Cognitive Function in Hospitalized Adult Patients with Type 2 Diabetes: A Cross-Sectional Study
Authors Yang J, Zhang Z, Zhang L, Su Y, Sun Y, Wang Q
Received 2 November 2019
Accepted for publication 17 January 2020
Published 29 January 2020 Volume 2020:13 Pages 207—214
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Dr Antonio Brunetti
Jin Yang,1,* Zhenzhen Zhang,2,* Lijie Zhang,3 Ye Su,3 Yumei Sun,3 Qun Wang1
1Department of Endocrinology and Metabolism, Peking University Third Hospital, Beijing 100191, People’s Republic of China; 2Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, People’s Republic of China; 3Peking University School of Nursing, Beijing 100191, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yumei Sun
Peking University School of Nursing, Beijing 100191, People’s Republic of China
Department of Endocrinology and Metabolism, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191, People’s Republic of China
Purpose: To investigate the relationship between diabetes self-care behavior and cognitive function of hospitalized young and middle-aged Chinese patients with type 2 diabetes mellitus (T2DM).
Patients and Methods: In this cross-sectional study, young and middle-aged T2DM patients (age range, 35– 65 years) were recruited at 4 tertiary hospitals between July 2016 and January 2017. Data pertaining to self-care behavior and cognitive function were collected using two questionnaires (the Summary of Diabetes Self-care Activities [SDSCA] and the Montreal Cognitive Assessment [MoCA], respectively). Multivariate linear regression analysis was performed to assess the correlation between cognitive function and self-care activities.
Results: A total of 140 patients with diabetes were enrolled (mean age, 53.79± 7.96 years). The mean duration of T2DM was 10.83± 6.76 years. Regarding SDSCA performance, the mean scores for foot care and blood glucose monitoring were 2.20± 2.57 and 1.98± 2.45, respectively, which were the worst; scores for exercise (4.01± 2.58) and diet (3.16± 1.89) were better, while scores for medication administration (5.26± 2.79) were the best. The prevalence of cognitive impairment was 37.9% (53 patients). After variables adjustment, delayed recall showed a significant correlation with blood sugar monitoring behavior (B =0.224, P=0.019); visual space and executive function (B=0.255, P=0.009) and abstraction (B=− 0.337, P=0.001) showed a correlation with foot care behavior.
Conclusion: Cognitive ability affects the self-care behavior of patients with T2DM. Assessment of cognitive function may help inform patient education interventions to improve the self-care behavior of these patients.
Keywords: young and middle-aged, cognitive impairment, self-care behaviors, type 2 diabetes mellitus
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