| Titre : | Cognitive function and self-efficacy in insufficiently controlled type 2 diabetes patients (2015) |
| Auteurs : | Joan Montserrat, Auteur ; Cyril Ferdynus, Auteur ; Sonia Michalon, Auteur ; et al., Auteur |
| Type de document : | Article |
| Dans : | Education thérapeutique du patient (vol. 7, n° 1, Juin 2015) |
| Article en page(s) : | 10103 (7 p.) |
| Langues: | Français ; Anglais |
| Descripteurs : |
HE Vinci Auto-efficacité ; Autosoins ; Cognition ; Confiance ; Diabète de type 2 ; Education thérapeutique ; Patients ; Questionnaire ; Recherche ; Réunion (île) ; Troubles cognitifs |
| Résumé : | Introduction: Cognitive and memory impairment are more common and earlier in patients with type 2 diabetes and could hamper self-management. The relation to self-efficacy is largely unknown. Objectives: The purpose of this study was to evaluate associations between cognitive function and self-efficacy in disadvantaged patients with type 2 diabetes, in Reunion Island, in a context of high prevalence and poor metabolic control with high needs for self-management support. Methods: We held face-to-face questionnaires in 84 consecutive patients with type 2 diabetes (mean age 60 years; 54% of males; education 8 yrs 60.7%; diabetes duration 12.7 ± 9.3 yrs; HbA1c 9.2 ± 2.7%) referred to secondary care settings. We assessed memory complaints using McNair, cognitive functions using MMSE, MOCA, FAB, the five words (5WT) tests, and we measured self-efficacy (self-confidence and outcome expectancies, 13 items). We performed multivariate regressions to study the association between self-efficacy and cognitive impairment, with adjustments for clinical and demographic factors. Results. Memory complaints were present in 36.9% of participants. Cognitive tests scores were low in 20.2% to 76.2% of patients. Self-efficacy was low, with high outcome expectancies, and was related to memory complaints, but not to other tests. Conclusions: Low self-confidence was related to memory complaints, but not to impaired executive function, in this population of poorly controlled type 2 diabetes individuals. In contrast, there was evidence of good understanding of outcome expectancies of health actions. Self-management programs should take into account memory complaints, which could hamper self-confidence in one’s ability to manage the complex health actions in the long term. |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
