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糖尿病患者主观认识能力下降:与心理、睡眠的相关性以及糖尿病相关因素
Author(s) -
Kim Min Jung,
Park Chang,
Zhu Bingqian,
Fritschi Cynthia
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14624
Subject(s) - body mass index , type 2 diabetes , medicine , diabetes mellitus , cognition , distress , clinical psychology , psychiatry , endocrinology
Abstract Aims To determine whether psychological, sleep, and diabetes‐related factors were associated with subjective cognitive decline (SCD) in adults with type 2 diabetes (T2D). Design A secondary analysis with a cross‐sectional, correlational design. Methods Data from two parent studies were combined. A total of 105 adults with diabetes were recruited from a Midwestern city in the United States from September 2013–March 2014 and September 2016–September 2017. Subjective cognitive decline was measured with the psychological‐cognitive symptom subscale of the Diabetes Symptom Checklist–Revised. Psychological factors (diabetes distress, fatigue, and depressive symptoms) and sleep were measured using the Diabetes Distress Scale and Patient–Reported Outcomes Measurement Information System. Diabetes‐related factors were measured with body mass index and glycaemia control. Quantile regression was used to examine the associations. Results/Findings The mean age of the participants was 58.10 ( SD 7.92) years and 58.1% were women. The participants’ mean psychological‐cognitive symptom score was 1.41 ( SD 1.13). After controlling for age and gender, sleep disturbance, sleep‐related impairment, and body mass index were associated with SCD in lower cognitive symptom quantile groups (5th to 30th percentiles). In contrast, fatigue and depressive symptoms were more strongly associated with SCD in higher quantile groups (70th to 95th percentiles). Conclusion In adults with T2D, SCD was differentially associated with psychological, sleep, and diabetes‐related factors depending on cognitive symptom percentiles. Adults with T2D require regular screening for SCD. If they complain of cognitive symptoms at clinical visits, different underlying factors should be assessed according to their symptom severity. Impact Findings from this study provided evidence for early identification of SCD and its influencing factors, which may help to develop nursing interventions to recognize and/or delay the onset of cognitive impairment in adults with T2D.