Association Between Types of Family Support and Glycemic Control for Adults With Cognitive Impairment.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2023-12-21 eCollection Date: 2023-01-01 DOI:10.1177/23337214231218800

Yaguang Zheng, Katharine Lawrence, Jason Fletcher, Xiang Qi, Bei Wu

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Abstract

Background: Family support is important in assisting with diabetes self-management for individuals with cognitive impairment, but what types of family support are most effective remain unknown.

Objectives: We aimed to examine the association between the types of family support in diabetes self-management with glycemic control in middle-aged and older adults with cognitive impairment.

Methods: A total of 267 individuals were included with diabetes and cognitive impairment (27-point Telephone Interview for Cognitive Status score <12), using the data of 2003 Health and Retirement Study (HRS) Diabetes Study and 2004 wave of the HRS.

Results: Most respondents were White (68.9%), followed by Black (25.8%). The mean age was 73.4±8.4 years. Adults with strong family support (as indicated by a "strongly agree" response) in testing sugar and in handling feelings about diabetes had significantly lower A1C compared with those with less family support (mean ± standard deviation: 7.08±1.39 vs. 7.51±1.42, P=.03; 6.79±0.87 vs. 7.57±1.53; P=.007 respectively).

Conclusions: Our findings indicate that family members of individuals with cognitive impairment provide critical support to patients with diabetes and cognitive impairment, and may need additional intervention to assist with diabetes self-management tasks that require unique knowledge and skills.

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认知障碍成人的家庭支持类型与血糖控制之间的关系。

背景：家庭支持对于帮助认知障碍患者进行糖尿病自我管理非常重要，但哪种类型的家庭支持最有效仍是未知数：我们旨在研究糖尿病自我管理中的家庭支持类型与有认知障碍的中老年人血糖控制之间的关系：方法：共纳入 267 名患有糖尿病和认知障碍（认知状况电话访谈 27 分）的受访者：大多数受访者为白人（68.9%），其次是黑人（25.8%）。平均年龄为 73.4±8.4 岁。在检测血糖和处理对糖尿病的感受方面得到家人大力支持（以 "非常同意 "的回答表示）的成人，其 A1C 明显低于得到家人支持较少的成人（平均值 ± 标准差：7.08±1.39 vs 7.08±1.39 = 7.08±1.39 vs 7.08±1.39 = 7.08±1.39分别为 7.08±1.39 vs. 7.51±1.42，P=.03；6.79±0.87 vs. 7.57±1.53；P=.007）：我们的研究结果表明，认知障碍患者的家庭成员为糖尿病和认知障碍患者提供了重要的支持，他们可能需要额外的干预来协助完成需要独特知识和技能的糖尿病自我管理任务。

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

Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology

CiteScore

2.90

自引率

3.70%

发文量

119

审稿时长

12 weeks

期刊介绍： Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.