The impact of neuropsychological functions on self-care/self-management of type 2 diabetes in middle-aged people: a scoping review and meta-analysis.

IF 2.7 Q3 ENDOCRINOLOGY & METABOLISM

Expert Review of Endocrinology & Metabolism Pub Date : 2023-09-01 Epub Date: 2023-11-28 DOI:10.1080/17446651.2023.2268171

Hsiao-Mei Chen, Chien-Ning Huang, Ro-Ting Lin, Bei-Yi Su

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引用次数: 0

Abstract

Introduction: This study aimed to investigate the impact of neuropsychological functions on self-care/self-management in middle-aged individuals with type 2 diabetes (T2DM).

Areas covered: A comprehensive literature search was conducted from January 2012 to April 2023 across multiple databases. Ten articles were included in the scoping review, and 3 articles were included in the meta-analysis. The findings consistently indicated an association between reduced neuropsychological functions and poor self-care/self-management in this population. Memory functions, executive functions, and other domains were found to be significantly related to self-care/self-management, including diet management, exercise, blood glucose monitoring, and foot care.

Expert opinion: This study highlights the importance of considering neuropsychological factors in understanding and improving diabetes management outcomes. The findings underscore the need for comprehensive neuropsychological assessments and the development of targeted interventions to address specific vulnerable domains. Future research should focus on elucidating underlying mechanisms, addressing methodological inconsistencies, and exploring the effectiveness of interventions targeting neuropsychological impairments. Incorporating technology and personalized approaches into diabetes management can enhance self-care/self-management and clinical outcomes in individuals with T2DM.

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神经心理功能对中年人2型糖尿病自我护理/自我管理的影响：范围界定综述和荟萃分析。

引言：本研究旨在调查2型糖尿病（T2DM）中年患者神经心理功能对自我护理/自我管理的影响。涵盖领域：2012年1月至2023年4月，在多个数据库中进行了全面的文献检索。范围界定综述中纳入了10篇文章，荟萃分析中纳入了3篇文章。研究结果一致表明，该人群的神经心理功能下降与自我护理/自我管理能力差之间存在关联。研究发现，记忆功能、执行功能和其他领域与自我护理/自我管理显著相关，包括饮食管理、锻炼、血糖监测和足部护理。专家意见：这项研究强调了考虑神经心理因素在理解和改善糖尿病管理结果方面的重要性。研究结果强调，需要进行全面的神经心理学评估，并制定有针对性的干预措施，以解决特定的脆弱领域。未来的研究应侧重于阐明潜在机制，解决方法上的不一致，并探索针对神经心理障碍的干预措施的有效性。将技术和个性化方法纳入糖尿病管理可以提高T2DM患者的自我护理/自我管理和临床结果。

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

Expert Review of Endocrinology & Metabolism ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

0.00%

发文量

期刊介绍： Implicated in a plethora of regulatory dysfunctions involving growth and development, metabolism, electrolyte balances and reproduction, endocrine disruption is one of the highest priority research topics in the world. As a result, we are now in a position to better detect, characterize and overcome the damage mediated by adverse interaction with the endocrine system. Expert Review of Endocrinology and Metabolism (ISSN 1744-6651), provides extensive coverage of state-of-the-art research and clinical advancements in the field of endocrine control and metabolism, with a focus on screening, prevention, diagnostics, existing and novel therapeutics, as well as related molecular genetics, pathophysiology and epidemiology.