Classifying self‐management clusters of patients with mild cognitive impairment associated with diabetes: A cross‐sectional study

• Published in: Journal of clinical nursing 2024-03, Vol.33 (3), p.1209-1218
• Main Authors: Wang, Yun‐Xian, Yan, Yuan‐Jiao, Lin, Rong, Liang, Ji‐Xing, Wang, Na‐Fang, Chen, Ming‐Feng, Li, Hong
• Format: Article
• Language: English
• Subjects: Cluster analysis; Cognitive ability; Diabetes; diabetes mellitus; Disease management; Management styles; mild cognitive impairment; Older people; Patients; self‐management
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/jocn.16993

Aims and Objectives This study aims to propose a self‐management clusters classification method to determine the self‐management ability of elderly patients with mild cognitive impairment (MCI) associated with diabetes mellitus (DM). Background MCI associated with DM is a common chronic disease in old adults. Self‐management affects the disease progression of patients to a large extent. However, the comorbidity and patients' self‐management ability are heterogeneous. Design A cross‐sectional study based on cluster analysis is designed in this paper. Method The study included 235 participants. The diabetes self‐management scale is used to evaluate the self‐management ability of patients. SPSS 21.0 was used to analyse the data, including descriptive statistics, agglomerative hierarchical clustering with Ward's method before k‐means clustering, k‐means clustering analysis, analysis of variance and chi‐square test. Results Three clusters of self‐management styles were classified as follows: Disease neglect type, life oriented type and medical dependence type. Among all participants, the percentages of the three clusters above are 9.78%, 32.77% and 57.45%, respectively. The difference between the six dimensions of each cluster is statistically significant. Conclusion(s) This study classified three groups of self‐management styles, and each group has its own self‐management characteristics. The characteristics of the three clusters may help to provide personalized self‐management strategies and delay the disease progression of MCI associated with DM patients. Relevance to clinical practice Typological methods can be used to discover the characteristics of patient clusters and provide personalized care to improve the efficiency of patient self‐management to delay the progress of the disease. Patient or public contribution In our study, we invited patients and members of the public to participate in the research survey and conducted data collection.