Cuevas Heather, Zuñiga Julie
School of Nursing, The University of Texas at Austin, 1710 Red River, Austin, TX, 78701, USA.
J Immigr Minor Health. 2021 Apr;23(2):337-343. doi: 10.1007/s10903-020-00995-7.
Cognitive complaints indicate risk for dementia, but few studies have examined the perspective of cognitive complaints in Latinx with type 2 diabetes (T2DM). This study explored the meaning of cognitive health from the perspective of Latinx adults with T2DM to assist in detecting problems with diabetes self-management. This was an exploratory qualitative descriptive study using narrative interviews (n = 30) and content analysis. Participants' mean age was 66 years; mean time with diabetes, 8.7 years; mean A1C, 9.7%. Participants emphasized health as the absence of disease, memory issues as a cognitive compliant, use of cognitive strategies, and the negative effect of cognitive problems on self-management. An additional finding was the impact of ethnic/racial discrimination on health. This study provides insights into cognitive health for Latinxs as well as the negative impact of racism experienced in the US healthcare system and shows that cognitive health assessment and education can positively impact diabetes self-management.
认知方面的主诉表明存在患痴呆症的风险，但很少有研究从2型糖尿病（T2DM）拉丁裔人群的角度审视认知方面的主诉。本研究从患有T2DM的拉丁裔成年人的角度探讨了认知健康的意义，以帮助发现糖尿病自我管理方面的问题。这是一项探索性定性描述性研究，采用叙事访谈（n = 30）和内容分析。参与者的平均年龄为66岁；平均患糖尿病时间为8.7年；平均糖化血红蛋白（A1C）为9.7%。参与者强调健康即无疾病、记忆问题属于认知方面的主诉、认知策略的运用以及认知问题对自我管理的负面影响。另一个发现是种族/民族歧视对健康的影响。本研究为拉丁裔人群的认知健康以及在美国医疗系统中所经历的种族主义的负面影响提供了见解，并表明认知健康评估和教育可以对糖尿病自我管理产生积极影响。
