Abstract:

Objective To explore the effects of physical-cognitive dual-task training based on self-determination theory in older diabetic patients with mild cognitive impairment. Methods From January to June 2019,older patients with diabetes combined with mild cognitive impairment in endocrinology wards of a general hospital in Henan province were assigned to the experimental group（n=37）and the control group（n=36）. Patients in the control group received routine nursing care,while on this basis,patients in the experimental group received the physical-cognitive dual-task training.The blood glucose,glycosylated hemoglobin,cognition level,balance function and daily living ability of the two groups before intervention,after intervention,and after 12 weeks of intervention were compared. Results There were interaction effects between the two groups regarding the blood glucose,glycosylated hemoglobin,cognitive level,balance function,and ability of daily living（P<0.05）. The simple effect analysis showed that there was no statistically significant difference in the physical self-care scores of patients between the two groups after intervention（P>0.05）. All the other outcomes of patients in the experimental group after intervention and after 12 weeks of intervention were better than those of the control group（P<0.05）. Conclusion Physical-cognitive dual-task training based on self-determination theory can effectively improve the blood glucose level,cognitive level,balance function and daily activity ability of older diabetic patients with mild cognitive impairment.

Key words: Aged, Diabetes Mellitus, Mild Cognitive Impairment, Self-determination theory, Physical-cognitive dual-task training