Lidia G Compeán-Ortiz1, Esther C Gallegos2, José G Gonzalez-Gonzalez3, Marco V Gomez-Meza4, Barbara Therrien5, Bertha C Salazar6. 1. The Universidad Autonoma de Tamaulipas School of Nursing, Tampico, Tamulipas, Mexico (Dr Compeán-Ortiz) 2. Universidad Autonoma de Nuevo Leon (UANL) School of Nursing, Doctoral Program Department, Monterrey, Nuevo Leon, Mexico (Dr Gallegos) 3. UANL School of Medicine, “Dr. José Eleuterio Gonzalez” University Hospital, Monterrey, Nuevo Leon, Mexico (Dr Gonzalez-Gonzalez) 4. UANL School of Economics, Statistics Center, Monterrey, Nuevo Leon, Mexico (Dr Gomez-Meza) 5. University of Michigan School of Nursing, Center for Enhancement and Restoration of Cognitive Function, Ann Arbor, Michigan (Dr Therrien) 6. UANL School of Nursing, Associate Dean of Research, Monterrey, Nuevo Leon, Mexico (Dr Salazar)
Abstract
PURPOSE: The purpose of this study was to determine the effect of memory-learning on self-care activities in adults with type 2 diabetes moderated by previous education/understanding in diabetes and to explore the explicative capacity of age, gender, schooling, diabetes duration, and glycemic control in memory-learning. METHODS: A descriptive correlational study was conducted in a randomized sample of 105 Mexican adult patients with type 2 diabetes at a community-based outpatient clinic. Evaluation measures included the Wechsler Memory Scale for memory-learning; 2 questionnaires for self-care activities and previous education/understanding in diabetes, respectively; and glycosylated hemoglobin for glycemic control. Multiple linear regression analysis was used to examine the effect of memory-learning on self-care activities and the moderator capacity of previous education/understanding on diabetes. Multivariate analysis was used to identify the capacity of age, schooling, diabetes duration, and glycemic control in memory-learning types. RESULTS: A significant positive effect of memory-learning on self-care activities was found. Education/understanding in diabetes moderated the relationship between immediate and delayed memory-learning and self-care in glucose monitoring and diet. Gender, schooling, and the gender-glycemic control interaction explained memory-learning performance. CONCLUSIONS: Immediate and delayed verbal and visual memory-learning were important for the patient to carry out self-care activities, and this relationship can be moderated by previous education/understanding in diabetes. These findings suggest potential benefits in emphasizing cognitive strategies to promote relearning of self-care behaviors in persons who live with diabetes.
PURPOSE: The purpose of this study was to determine the effect of memory-learning on self-care activities in adults with type 2 diabetes moderated by previous education/understanding in diabetes and to explore the explicative capacity of age, gender, schooling, diabetes duration, and glycemic control in memory-learning. METHODS: A descriptive correlational study was conducted in a randomized sample of 105 Mexican adult patients with type 2 diabetes at a community-based outpatient clinic. Evaluation measures included the Wechsler Memory Scale for memory-learning; 2 questionnaires for self-care activities and previous education/understanding in diabetes, respectively; and glycosylated hemoglobin for glycemic control. Multiple linear regression analysis was used to examine the effect of memory-learning on self-care activities and the moderator capacity of previous education/understanding on diabetes. Multivariate analysis was used to identify the capacity of age, schooling, diabetes duration, and glycemic control in memory-learning types. RESULTS: A significant positive effect of memory-learning on self-care activities was found. Education/understanding in diabetes moderated the relationship between immediate and delayed memory-learning and self-care in glucose monitoring and diet. Gender, schooling, and the gender-glycemic control interaction explained memory-learning performance. CONCLUSIONS: Immediate and delayed verbal and visual memory-learning were important for the patient to carry out self-care activities, and this relationship can be moderated by previous education/understanding in diabetes. These findings suggest potential benefits in emphasizing cognitive strategies to promote relearning of self-care behaviors in persons who live with diabetes.
Authors: Priya Palta; Sherita H Golden; Jeanne Teresi; Walter Palmas; Ruth S Weinstock; Steven Shea; Jennifer J Manly; Jose A Luchsinger Journal: J Am Geriatr Soc Date: 2014-11-29 Impact factor: 5.562