在2型糖尿病的医疗补助受益者中,自我报告的执行功能障碍的相关性
David Von Nordheim1, Cynthia Herrick2, Niko Verdecias3
1Health Communication Research Lab, Brown School of Social Work, Washington University, St. Louis, MO.
概括
2型糖尿病的执行功能障碍与年龄,教育,抑郁,并发症,糖尿病困扰和未来时间导向有关. 解决这些因素可以改善糖尿病自我管理.
科学领域:
- 临床心理学 临床心理学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 执行功能 (EF) 障碍对2型糖尿病患者的结果产生负面影响.
- 现有的EF风险因素研究往往与2型糖尿病风险因素重叠,需要有针对性的调查.
- 本研究旨在澄清2型糖尿病人群中各种因素和EF之间的特定关联.
研究的目的:
- 确定与2型糖尿病成年人执行功能障碍相关的关键人口,健康和心理社会因素.
- 区分这些因素对执行职能的影响,控制潜在的混因素.
- 为临床实践提供有关2型糖尿病管理和相关认知挑战的信息.
主要方法:
- 利用了来自社会需求干预试验的基线数据,该试验涉及患有2型糖尿病的成年医疗补助计划会员.
- 采用双变量和多变量回归分析来检查执行职能与潜在相关者之间的关联.
- 对人口,健康 (并发症负担) 和心理社会 (抑郁症症状,糖尿病相关的痛苦,未来时间导向) 变量进行控制.
主要成果:
- 六个因素与执行功能障碍有显著的相关性:年龄增加 (β = 0.10),较低的教育水平 (大学与没有大学; β = -0.38),更高的抑郁症状 (β = 0.18),更大的并发症负担 (β = 0.21),糖尿病相关的痛苦增加 (β = 0.14) 和较低的未来时间导向 (β = -0.13).
结论:
- 一些因素,包括年龄,教育,抑郁症,并发症负担,糖尿病困扰和未来时间导向,与2型糖尿病的执行功能障碍有显著联系.
- 这些已识别的因素可能会阻碍有效的糖尿病自我管理.
- 医疗保健提供者在制定治疗计划和评估患者需要额外的支持或住宿时应考虑这些相关性.
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