<p>Relationship Between Self-Care Behavior and Cognitive Function in Hospitalized Adult Patients with Type 2 Diabetes: A Cross-Sectional Study</p>

Abstract

These authors contributed equally to this workPurpose: 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.

Self‐care activities among patients with type 2 diabetes mellitus: A cross‐sectional study

“…More than two‐thirds (68.8%) of the patients had not checked their feet or inspected the inside of their shoes every day. Our findings are consistent with those of previous studies demonstrating poor foot care performance in patients with T2DM (Ausili et al, 2017; Guo et al, 2012; Yang et al, 2020). A combination of actions (e.g., providing foot care education and training) should be taken by health‐care providers to promote greater self‐initiated foot care in Chinese patients with T2DM (Coffey et al, 2019).…”

“…Moreover, self‐care performance varies for diet, exercise, blood sugar testing and foot care (Ausili et al, 2017; Kav et al, 2017; Nicolucci et al, 2013). For example, the least frequently performed self‐care activities were exercise and foot care in patients in Italy and Bangladesh (Ausili et al, 2017; Saleh et al, 2014), whereas the Chinese patients with T2DM had the poorest performance on foot care and blood sugar testing (Guo et al, 2012; Yang et al, 2015, 2020).…”

Cognitive Function and Self-Management Behaviors in Older Adults With Type 2 Diabetes

“…In the study, executive function was not associated with DSMQ-R total or other subscale scores for diet, glucose management, and physical activity. Previous studies have found that, in adults with T2D, scores for executive function were positively associated with overall DSMB (Gatlin & Insel, 2015; Primožič et al, 2012; Thabit et al, 2009) or with specific DSMB such as diet and glucose management (Cuevas & Stuifbergen, 2017), medication management (Tran et al, 2014), and foot care (Cuevas & Stuifbergen, 2017; Yang et al, 2020). This inconsistency may be attributable to the fact that most participants in this study had normal cognitive functions and perceived themselves to have good cognitive functions.…”

Factors related to negative self-care adherence in individuals with diabetes mellitus

“…No que tange às comorbidades e complicações ligadas ao diabetes mellitus, as variáveis referentes à presença de hipertensão arterial sistêmica e de dislipidemia apresentaram associação às atitudes negativas relacionadas com o autocuidado. Sugere-se que pessoas com hipertensão e dislipidemia se cuidam menos em relação à alimentação, tabagismo e ao exercício físico (18) . A dislipidemia e hipertensão são frequentemente associadas e representam cerca de 50% do risco de desenvolvimento de doença arterial coronariana (19) .…”