The relationship between dyadic coping and hypoglycemic events in elderly patients with type 2 diabetes mellitus complicated by mild cognitive impairment
DAI Jing
WU Haidi
HU Yan
SONG Xiaobo
Abstract：Objective To investigate the dyadic coping of elderly patients with type 2 diabetes mellitus(T2DM)complicated by mild cognitive impairment(MCI)and their spouses,and to analyze the relationship between the dyadic cop-ing and the occurrence of hypoglycemic events.Methods A total of 249 elderly patient-spouse dyads with T2DM and MCI under follow-upmanagement were recruited using a cross-sectional study design from the Department of Endocrinolo-gy,Jiangsu Province Official Hospital(November 2023 to June 2024).The General Information Questionnaire,Montreal Cognitive Assessment,Dyadic Coping Inventory,and Family Caregiver Task Inventory were administered.Structural equa-tion modeling was used to analyze the relationship between dyadic coping of patients and their spouses and the occurrence of hypoglycemic events in patients with T2DM and MCI.Results The dyadic coping scores of elderly patients with T2DM and MCI and their spouses were 105.64±23.31 and 105.94±18.43 respectively,both at a low level.Hypoglycemic events occurred in 80 patients out of 249 patients(32.13%).Point-biserial correlation showed that positive dyadic coping in patients and their spouses was negatively correlated with the occurrence of hypoglycemic events(r=-0.70 and-0.64,respectively,P<0.001);negative dyadic coping of patients and their spouses was positively correlated with the occurrence of hypoglycemic events in patients(r=0.40 and 0.33,respectively,P<0.001).The general path relationship model showed that positive dyadic coping in patients and their spouses was negatively correlated with the occurrence of hypoglyce-mic events(β=-0.47 and-0.42,respectively,P<0.001);negative dyadic coping in patients and their spouses was posi-tively correlated with the occurrence of hypoglycemic events(β=0.33 and 0.21,respectively,P<0.001).Conclu-sions Dyadic coping has a significant impact on hypoglycemic events in elderly patients with T2DM and MCI.Positive dyadic coping may help patients improve glycemic control and reduce the occurrence of hypoglycemic events.
Keywords：type 2 diabetes mellitusmild cognitive impairmentageddyadic copinghypoglycemic events
Publication Date：2025-12-25
Online Publishing Date：2026-01-09(First online date of this platform, not the publication date of the document)
Pages：6( 44-49 )