A Nurse-Led Cognitive Training Intervention for Individuals With Type 2 Diabetes
A Nurse-Led Cognitive Training Intervention for Individuals With Type 2 Diabetes
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DOI：
10.3928/19404921-20190612-01
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发表时间：
2019-07-01
影响因子：
1.6
通讯作者：
Ward, Catherine
中科院分区：
文献类型：
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作者：
Cuevas, Heather E.;Stuifbergen, Alexa K.;Ward, Catherine
糖尿病会增加认知障碍的风险，并使诊断后认知能力下降的速度加倍。反过来，认知功能障碍使糖尿病的自我管理变得更加困难。帮助管理这些状况的护士专注于识别有并发症风险的患者，促进症状管理，并防止进一步恶化。当前研究的目的是开发和试点测试一种由护士主导的针对 2 型糖尿病 (T2DM) 患者的综合认知训练干预措施，即糖尿病患者的记忆注意力和问题解决技能 (MAPSS-DM)。为期 8 周的干预措施结合了面对面课程和在线计算机培训。发展包括： (a) 调整已确定的、经过测试的干预措施； (b) 与利益攸关方访谈； (c) 课程内容的整合； (d) 在一组前/后测试设计中对干预措施进行试点测试（N = 19）。干预后各方面的分数都有所提高；饮食依从性 (t([18] =-2.41,p < 0.005)、记忆能力 (t[18]= 5.54, p < 0.01) 和执行功能 (t[18] = 3.11, p < 0.01) 方面的改善具有统计学意义。58% 的参与者表示干预措施有助于他们的糖尿病自我管理，74% 的参与者表示他们希望继续使用在这项研究的结果表明，MAPSS-DM 对于 T2DM 患者来说是一种很有前途的认知训练干预措施。目标：T2DM 患者。干预说明：认知训练干预的面对面课程和在线计算机培训。作用机制：完成干预的参与者将表现出认知功能的改善，从而改善自我管理依从性，从而更好地控制血糖。结果：改善糖尿病自我管理并持续使用学到的认知策略。
Diabetes increases the risk for cognitive impairment and doubles the rate of cognitive decline after diagnosis. In turn, cognitive dysfunction makes diabetes self-management more difficult. Nurses who help manage these conditions are focused on identifying patients at risk for complications, promoting symptom management, and preventing further decline.The purpose of the current study was to develop and pilot test a nurse-led comprehensive cognitive training intervention for individuals with type 2 diabetes mellitus (T2DM), the Memory Attention and Problem Solving Skills in Persons With Diabetes Mellitus (MAPSS-DM).The 8-week intervention combined in-person classes and online computer training. Development included: (a) adaptation of established, tested interventions; (b) interviews with stakeholders; (c) integration of course content; and (d) pilot testing of the intervention in a one-group, pre-/posttest design (N = 19). Postintervention scores improved in all areas; improvements were statistically significant for diet adherence (t([18] =-2.41,p < 0.005), memory ability (t[18]= 5.54, p < 0.01), and executive function (t[18] = 3.11, p < 0.01). Fifty-eight percent of participants stated the intervention helped their diabetes self-management, and 74% indicated they wanted to continue using cognitive strategies learned in the intervention. Results from this study showed the MAPSS-DM to be a promising cognitive training intervention for individuals with T2DM.Targets: Individuals with T2DM.Intervention Description: In-person classes and online computer training of a cognitive training intervention.Mechanisms of Action: Participants who completed the intervention would show improved cognitive function, which would result in improved self-management adherence followed by better glycemic control.Outcomes: Improved diabetes self-management and sustained use of learned cognitive strategies.