A Nurse-Led Cognitive Training Intervention for Individuals With Type 2 Diabetes.

Journal of Muscle Foods Pub Date : 2019-07-01 DOI:10.3928/19404921-20190612-01

Heather E Cuevas, Alexa K Stuifbergen, Sharon A Brown, Catherine Ward

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Abstract

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.

Targets: Individuals with T2DM.

Intervention description: In-person classes and online computer training of a cognitive training intervention.

Mechanisms of action: Participants who completed the intervention would show improved cognitive function, which would result in improved self-management adherence followed by better glycemic control.

Outcomes: Improved diabetes self-management and sustained use of learned cognitive strategies. [Res Gerontol Nurs. 2019; 12(4):203-212.].

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针对 2 型糖尿病患者的护士认知训练干预。

糖尿病会增加认知障碍的风险，并使确诊后认知能力下降的速度加倍。反过来，认知功能障碍又会增加糖尿病患者自我管理的难度。帮助管理这些病症的护士主要负责识别有并发症风险的患者、促进症状管理并防止病情进一步恶化。本研究的目的是为 2 型糖尿病（T2DM）患者开发并试点测试一种由护士主导的综合认知训练干预方法，即糖尿病患者的记忆注意力和解决问题能力（MAPSS-DM）。这项为期 8 周的干预措施结合了面对面授课和在线计算机培训。开发工作包括(a)改编既有的、经过测试的干预措施；(b)采访利益相关者；(c)整合课程内容；(d)在单组、前/后测试设计中对干预措施进行试点测试（N = 19）。干预后的得分在所有方面都有所提高；在饮食依从性（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）方面的提高具有统计学意义。58%的参与者表示干预有助于他们的糖尿病自我管理，74%的参与者表示希望继续使用干预中学到的认知策略。这项研究的结果表明，MAPSS-DM 对 T2DM 患者来说是一种很有前景的认知训练干预方法：干预措施说明：干预措施描述：认知训练干预的面授课程和在线计算机培训：完成干预的参与者将显示出认知功能的改善，从而提高自我管理的依从性，进而改善血糖控制：结果：改善糖尿病自我管理，持续使用所学认知策略。[Res Gerontol Nurs.

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来源期刊

Journal of Muscle Foods 工程技术-食品科技

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