Cognitive performance associated with self-care activities in Mexican adults with type 2 diabetes.
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.



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.



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.



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.
Compeán-Ortiz
Lidia G
LG
The Universidad Autonoma de Tamaulipas School of Nursing, Tampico, Tamulipas, Mexico (Dr Compeán-Ortiz)
Gallegos
Esther C
EC
Universidad Autonoma de Nuevo Leon (UANL) School of Nursing, Doctoral Program Department, Monterrey, Nuevo Leon, Mexico (Dr Gallegos)
Gonzalez-Gonzalez
José G
JG
UANL School of Medicine, “Dr. José Eleuterio Gonzalez” University Hospital, Monterrey, Nuevo Leon, Mexico (Dr Gonzalez-Gonzalez)
Gomez-Meza
Marco V
MV
UANL School of Economics, Statistics Center, Monterrey, Nuevo Leon, Mexico (Dr Gomez-Meza)
Therrien
Barbara
B
University of Michigan School of Nursing, Center for Enhancement and Restoration of Cognitive Function, Ann Arbor, Michigan (Dr Therrien)
Salazar
Bertha C
BC
UANL School of Nursing, Associate Dean of Research, Monterrey, Nuevo Leon, Mexico (Dr Salazar)
D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D003071:Cognition; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000523:psychology*; D004522:Educational Status; D006706:Homeostasis; D006801:Humans; D007858:Learning; D008568:Memory; D017058:Mexican Americans / Q000523:psychology*; D008875:Middle Aged; D012648:Self Care; D012727:Sex Characteristics; D011795:Surveys and Questionnaires
D001786:Blood Glucose