PACE模式对老年2型糖尿病患者自我效能的影响  

Effects of PACE Model on Self-Efficacy in Elderly Patients with Type 2 Diabetes

作　　者：韦薇[1] 庾蓝玲 陆丽荣 黄玉珠[1] 戴霞[1] 

机构地区：[1]广西医科大学第一附属医院老年消化科,南宁市530021

出　　处：《中国病案》2018年第1期106-109,共4页Chinese Medical Record

基　　金：广西壮族自治区卫生厅自筹经费科研项目(Z2013089)

摘　　要：目的采用老年全成护理项目(PACE)模式对老年糖尿病患者进行管理,探讨该模式对患者自我效能的影响。方法选取2015年5月至2016年12月在某院就诊的103例老年2型糖尿病患者随机分成两组。对照组采用常规诊疗方法,干预组采用PACE管理模式,比较两组患者干预后6个月及干预1年时观察患者自我效能水平情况。结果对照组患者的自我效能干预6个月评分为(2.696±0.201)分,干预1年后的评分为(2.717±0.227)分;患者糖化血红蛋白浓度干预1年后为(8.7±1.3)%,生理功能评分为(30.1±3.7)分,社会功能评分为(9.0±1.5)分,精神维度为(29.4±3.9)分。观察组患者自我效能干预6个月评分为(3.012±0.252)分,干预1年后的评分为(3.410±0.328)分;患者的糖化血红蛋白浓度干预1年后为(7.1±0.8)%;生理功能评分为(21.3±3.9)分,社会功能评分为(7.2±1.7)分,精神维度为(20.3±4.6)分;P<0.05,差异有统计学意义。结论 PACE管理模式可提高老年2型糖尿病患者自我效能水平,可有效提升患者的生存生活质量,最终有助于患者康复,值得在临床中推广应用。Objectives To investigate the PACE model affects the self-efficacy in elderly patients with type 2 diabetes. Methods A total of 103 elderly patients with type 2 diabetes mellitus who were treated in a hospital from May 2015 to December 2016 were randomly divided into two groups. The patients in the control group were treated with PACE management mode. The patients＇ self-efficacy level was observed at 6 months after intervention and 1 year after intervention. Results The self-efficacy intervention group was （2. 696± 0. 201） in the control group and （2. 717± 0. 227） after 1 year. The rate of glyeosylated hemoglobin was （8.7 ± 1.3）% in 1 year and the physiological score was （30. 1± 3.7）, the social function score was （9.0± 1.5）, the spiritual dimension was （29.4± 3.9）. The score of the self-efficacy intervention group was （3. 012 ± 0. 252） in the observation group and （3. 410 ±0. 328） after 1 year. The glycosylated hemoglobin concentration in the patients was （7. 1± 0. 8） % after 1 year; the physiological function score was （21.3±3.9）, The social function score was （7.2±1.7）, the mental dimension was （20. ± 4.6） ; P〈0.05, the difference was statistically significant. Conclusions The application of PACE model could improve the level of self-efficacy of elderly patients with type 2 diabetes, as well as improve their life quality effectively, finally helpful for the recovery of the patients and worth to be promoted in clinical work.

关 键 词：PACE 自我效能 2型糖尿病 老年人 

分 类 号：R473.5[医药卫生—护理学]