Cuevas Heather E, Stuifbergen Alexa K, Brown Sharon A, Ward Catherine
Res Gerontol Nurs. 2019 Jul 1;12(4):203-212. doi: 10.3928/19404921-20190612-01.
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.
Individuals with T2DM.
In-person classes and online computer training of a cognitive training intervention.
Participants who completed the intervention would show improved cognitive function, which would result in improved self-management adherence followed by better glycemic control.
Improved diabetes self-management and sustained use of learned cognitive strategies. [Res Gerontol Nurs. 2019; 12(4):203-212.].
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翻倍。反过来，认知功能障碍会使糖尿病自我管理更加困难。帮助管理这些疾病的护士专注于识别有并发症风险的患者、促进症状管理以及防止病情进一步恶化。本研究的目的是为2型糖尿病（T2DM）患者开发并进行初步测试一种由护士主导的综合认知训练干预措施，即糖尿病患者的记忆、注意力和解决问题技能训练（MAPSS-DM）。为期8周的干预措施结合了面对面授课和在线计算机培训。开发过程包括：（a）改编已确立且经过测试的干预措施；（b）与利益相关者进行访谈；（c）整合课程内容；以及（d）采用单组前测/后测设计（N = 19）对干预措施进行初步测试。干预后所有领域的得分均有所提高；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）的改善具有统计学意义。58%的参与者表示该干预措施有助于他们进行糖尿病自我管理，74%的参与者表示他们希望继续使用在干预中学到的认知策略。本研究结果表明，MAPSS-DM对于T2DM患者是一种有前景的认知训练干预措施。
T2DM患者。
认知训练干预的面对面授课和在线计算机培训。
完成干预的参与者将表现出改善的认知功能，这将导致自我管理依从性提高，进而实现更好的血糖控制。
改善糖尿病自我管理并持续使用所学的认知策略。[《老年护理研究》。2019年；12(4):203 - 212。]
