Chen Hua-Fen, Jiang Ju Ying, Chen Mei-Hsiu, Lin Rong, Jerence Seng Wei Ooi, Chang Chin-Huan, Chou Cheng-Chen
Division of Endocrinology & Metabolism, Far Eastern Memorial Hospital, New Taipei City, Taiwan; School of Medicine and Department of Public Health, College of Medicine, Fujen Catholic University, New Taipei City, Taiwan.
Division of Endocrinology & Metabolism, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Geriatr Nurs. 2023 Jul-Aug;52:165-171. doi: 10.1016/j.gerinurse.2023.05.017. Epub 2023 Jun 22.
Diabetes is widely prevalent among older people and can influence accelerated cognitive decline. Gender-based disparities may contribute to variations in cognitive decline. This study examined gender differences in cognitive function and associated factors among older adults with diabetes. A cross-sectional study was conducted involving 318 Taiwanese older adults with type 2 diabetes. Demographic, health, and diabetes-related data were collected, and cognitive neuropsychological tests were evaluated. Compared to men, women with diabetes showed significantly poorer performance in global cognitive function and executive function. Age, years of education, sleep quality, and HbA1c were correlated with domains of cognitive function in men, whereas age, years of education, depressive symptoms, HbA1c, and duration of diabetes were associated with domains of cognitive function among women. Nurses should recognize gender differences in factors associated with cognitive function in older adults with diabetes and should develop individualized interventions to improve patients' cognitive function.
糖尿病在老年人中广泛流行，并且会影响认知功能的加速衰退。基于性别的差异可能导致认知衰退的差异。本研究调查了糖尿病老年患者认知功能的性别差异及相关因素。进行了一项横断面研究，纳入了318名台湾2型糖尿病老年患者。收集了人口统计学、健康状况和糖尿病相关数据，并对认知神经心理学测试进行了评估。与男性相比，患有糖尿病的女性在整体认知功能和执行功能方面表现明显较差。年龄、受教育年限、睡眠质量和糖化血红蛋白与男性的认知功能领域相关，而年龄、受教育年限、抑郁症状、糖化血红蛋白和糖尿病病程与女性的认知功能领域相关。护士应认识到糖尿病老年患者认知功能相关因素的性别差异，并应制定个性化干预措施以改善患者的认知功能。
