A comprehensive literature search was conducted from January 2012 to April 2023 across multiple databases. Ten articles were included in the scoping review, and 3 articles were included in the meta-analysis. The findings consistently indicated an association between reduced neuropsychological functions and poor self-care/self-management in this population. Memory functions, executive functions, and other domains were found to be significantly related to self-care/self-management, including diet management, exercise, blood glucose monitoring, and foot care.
This study highlights the importance of considering neuropsychological factors in understanding and improving diabetes management outcomes. The findings underscore the need for comprehensive neuropsychological assessments and the development of targeted interventions to address specific vulnerable domains. Future research should focus on elucidating underlying mechanisms, addressing methodological inconsistencies, and exploring the effectiveness of interventions targeting neuropsychological impairments. Incorporating technology and personalized approaches into diabetes management can enhance self-care/self-management and clinical outcomes in individuals with T2DM.
■从2012年1月至2023年4月,在多个数据库中进行了全面的文献检索。范围审查中包括了十篇文章,3篇文章纳入荟萃分析。研究结果一致表明,在该人群中,神经心理功能降低与自我保健/自我管理不良之间存在关联。记忆功能,执行功能,发现其他领域与自我护理/自我管理显着相关,包括饮食管理,锻炼,血糖监测,和足部护理。
■这项研究强调了在理解和改善糖尿病管理结果时考虑神经心理因素的重要性。研究结果强调,需要进行全面的神经心理学评估,并制定针对性的干预措施,以解决特定的脆弱领域。未来的研究应该集中在阐明潜在的机制上,解决方法上的不一致,并探索针对神经心理障碍的干预措施的有效性。将技术和个性化方法纳入糖尿病管理可以增强T2DM患者的自我护理/自我管理和临床结局。