Stratified support pattern-based internet-assisted self-management therapy for DM-MCI: A randomized controlled trial

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-24 DOI:10.1016/j.gerinurse.2025.03.055

Yun-Xian Wang PhD , Rong Lin PhD , Yue-Qi Chao MM , Yi-Fei Xu MM , Chen-Shan Huang PhD , Ji-Xing Liang MM , Ming-Feng Chen MBBS , Na-Fang Wang MM , Yuan-Jiao Yan PhD , Hong Li PhD

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引用次数: 0

Abstract

Background

Improving self-management ability can not only improve blood glucose control but also improve cognitive function. The current research on self-management only focuses on individual diseases, and the degree of personalization is insufficient.

Methods

A total of 68 participants were recruited and randomly assigned to a 12 week Stratified Support Pattern-based Internet-assisted Self-management Therapy (SISMT ) intervention group or control group.

Result

The Montreal Cognitive Assessment (MoCa) and Fasting Blood Sugar (FBS) with mild cognitive impairment associated with diabetes-mellitus (DM-MCI) was statistically significant. For the Auditory Verbal Learning Test (AVLT) were statistically significant. The Symbol Digit Modalities Test (SDMT) that reflected attention of DM-MCI was also statistically significant. For the psychological outcomes, Self-Assessment Scale for Anxiety (SAS), General Self-Efficacy Scale (GSES) , Self-Efficacy Scale (SES) , Memorial University of Newfoundland Scale of Happiness (MUNSH) were statistically significant. The effect of SISMT on the Quality of Life Alzheimer's Disease (QoL-AD) , Diabetes Self-care Scale (DSCS) , Health Literacy Scale (HLS) were statistically significant. The effect of intervention on the Glycated Hemoglobin (HbA1C) , Postprandial Plasma Glucose (PPG) with DM-MCI were not statistically significant.

Conclusion

The SISMT can improve fasting blood glucose, cognitive function, anxiety, quality of life, subjective well-being, and other indicators in patients.

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基于分层支持模式的互联网辅助自我管理治疗DM-MCI：一项随机对照试验

背景提高自我管理能力不仅可以改善血糖控制，还可以改善认知功能。目前对自我管理的研究只关注个体疾病，个性化程度不足。方法共招募68名参与者，随机分为为期12周的分层支持模式网络辅助自我管理治疗干预组和对照组。结果蒙特利尔认知评估（MoCa）和空腹血糖（FBS）与轻度认知障碍合并糖尿病（DM-MCI）有统计学意义。对于听觉语言学习测试（AVLT）有统计学意义。符号数字模态测试（SDMT）反映DM-MCI的注意力也有统计学意义。心理结果方面，焦虑自我评估量表（SAS）、一般自我效能量表（GSES）、自我效能量表（SES）、纽芬兰纪念大学幸福量表（MUNSH）的差异均有统计学意义。ssmt对老年痴呆症（QoL-AD）、糖尿病自我护理量表（DSCS）、健康素养量表（HLS）生活质量的影响均有统计学意义。干预对DM-MCI患者糖化血红蛋白（HbA1C）、餐后血糖（PPG）的影响无统计学意义。结论SISMT可改善患者的空腹血糖、认知功能、焦虑、生活质量、主观幸福感等指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.