Diabetes Research and Clinical Practice - Volume 120 - Supplement 1 - October 2016

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unacceptably high recently? Patients rated the perception of
hyperglycemia from “0 (none)” to “6 (most of the time).” We
defined patients whose answers were “0” despite their HbA1c
of 7.0% ≤ as patients who did not have a sense of urgency to
improve their blood glucose levels. Clinical characteristics
related to such patients were investigated using a logistic
regression model which included age, sex, body mass index,
use of insulin injection and the number of oral medications for
diabetes.
Results: Of the 1,262 patients (mean age, 66; men, 75%; type 1
diabetes, 10%), 184 (15%) gave “ 0” as the answer in the
question. The proportions of the patients who answered as
suchwere 26%and 9% in thosewithHbA1c of ≤6.9% and 7.0%≤,
respectively. All the patients who did not have a sense of
urgency to improve their blood glucose levels were those with
type 2 diabetes. Patients with older age were more likely to be
such patients. The odds ratios were 2.76 and 4.06 in those aged
60 –69 years and 70≤ years as compare to those aged ≤59 years.
Patients with insulin therapy were less likely to be such
patients. The odds ratio was 0.51 in relation to those without
insulin therapy. On the other hand, sex, body mass index, or
the number of oral medications for diabetes were not
significantly related.
Conclusion: In the patients who did not achieve an optimal
glycemic control (HbA1c ≥7%), 9% did not have a sense of
urgency to improve their blood glucose levels. In order to
detect such patients, patients with type 2 diabetes, older age
and not using insulin injections were carefully examined in
diabetes practice.
PF-03
Effect of memory training on cognitive function in diabetes
patients
Shu-Mei TSAI 1, Yan-Zin CHANG2*, Wen-Miao LIU3,
Jui-Lin CHEN 4. 1Institute of Medicine, Chung Shan Medical
University, 2Institute of Medicine, Chung Shan Medical University,
3 Department of Nursing, Central Taiwan University of Science and
Technology, 4Taichung Tzu Chi Hospital, Taiwan
Background: Diabetes greatly increases the risk of stroke.
The incidence and disability rate of stroke is increasing, with a
reported 75% of stroke survivors having some cognitive
dysfunction.
Objective: To observe the effect of memory training on
cognitive function in diabetes patients.
Methods: This was Quasi-Experimental Design sign. A total of
60 diabetes survivors enrolled in this study. They were
randomly assigned to the experimental group (n = 30) and
control group (n = 30). Participants in the experimental group
under took 14 sections of memory training including stories,
cards of daily items, association and so on. Each section lasted
for 45– 60 minutes. The control group received standard care
only. Both groups were evaluated with the cognitive function
(Mini-Mental State Examination, MMSE) before and after the
intervention.
Results: After the intervention of diabetes patients through
memory training, cognitive function of the experimental
group (t = −10.290, p < 0.001) had significantly improved, com-
pared with the control group and the cognitive function
(t = −3.936, p < 0.001) have significant. Cognitive function was
significantly improved in the experimental group. There were
significant differences between the 2 groups in MMSE.
Conclusion: Memory training provided for the diabetes
survivors is supported as effective strategies in promoting
their cognitive function. Health care personnel should raise
the awareness of assessing cognitive function for diabetes
patients to enhance their quality of life for patients.
PF-04
Shift in parenting style in parents of children with type1
diabetes
Chi-Wen CHANG1,3, Shiaw-Ling WANG2 , Hsing-Yi YU1,5,
Fu-Sung LO3,6, Kang-Hua CHEN1 , Ya-Fen WANG4,
Hui-Hsien HSIEH1, Li-Chen HUNG 7*. 1School of Nursing, Medicine
of College, Chang Gung University, 2School of Nursing, Chung Shan
Medical University, 3Division of Endocrinology, Department of
Pediatrics, Chang Gung Memorial Hospital, Taiwan; 4College of
Nursing, Kent State Univeristy, United States of America,
5Department of Ophthalmology, Chang Gung Memorial Hospital,
6College of Medicine, Chung Gung University, 7Department of
Nursing, Chang Gung University of Science and Technology, Taiwan
In rearing school-aged children with type 1 diabetes, one of
major goals of parenting is to help their children maintain a
normal level of blood sugar. However, with the growth of
children and change in the course of diabetes, parents
constantly experience new conflicts and challenges and need
to adjust their original parenting style whenever necessary.
However, there are limited studies focusing on understanding
the experience of compelling parents to change their parent-
ing style.
This study used qualitative in-depth interviews, and adopted
purposive sampling to interview a total of 10 mothers of
preschool children with type 1 diabetes. Age range of the
parents was 33–49, and the average of disease period of their
children was 4.1 years. The children aged 7– 12 were a total of 4
males and 6 females. This study used content analysis for data
processing and analysis. The results showed that when
parents perceive the following 6 types of needs of their child,
they adjust their parenting style afterwards: children need
age-appropriate normal life; children need to be able to take
care of themselves; children need to be treated fairly; children
need happiness; children need their parents to be their friends;
and lastly children need strict discipline.
It is suggested that the results can be employed to assist
healthcare professionals and parents in understanding the
contexts and factors faced by parents of school-aged children
with type 1 diabetes during child-rearing, as well as be used as
reference for future interventions in order to improve the
quality of life of children with type 1 diabetes.
PF-05
The effect of healthcare word-of-mouth and behavioral status
on improving patient self-management: 1-on-1 interviews
with volunteers regarding their own experiences
Dyna CHAO1,2 *, Neng-Chun YU3, Yuan-Ching LIU 3, Tom LIN 4.
1National Taiwan University of Science and Technology,
2International Business Machines Corporation, Taipei, 3Neng-Chun
Diabetes Clinic, Yilan County, 4National Taiwan University of Science
and Technology, Taipei, Taiwan
Background: Patient engagement and self-efficacy are com-
plicated issues in chronic disease management. This qualita-
tive research investigates key factors to improve the efficacy of
patient self-management and find suitable word-of-mouth
(WOM) engagement scenario based on the personality, psy-
chological status, and behavioral maturity of the patient.
Method: Semi-structured one-on-one interviews were con-
ducted with 10 volunteers who had been diagnosed with
Diabetes Mellitus (DM). Each patient was interviewed for 50–
60 min. The interviews included eight communication
threads, and the interviewees were previously notified of the
main topic in advance to ensure a relaxed interview. The
interview would be terminated in case that any discomfort
occurred during the process.
Result: The research results indicate that there is some
relevant connection between the patient’s characteristics
and whether they like it or not by the positive or negative
WOM. The medical WOM will affect the patient’s self-
monitoring, self-management, disease cognitive level, and
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S152