首页|PAC心理弹性理论对老年糖尿病患者治疗依从性的影响

PAC心理弹性理论对老年糖尿病患者治疗依从性的影响

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目的 探究PAC心理弹性理论对老年糖尿病患者治疗依从性的影响.方法 选取2022年1月至2023年10月就诊的老年糖尿病患者83例,按照随机数字表法分为对照组(41例,给予常规护理干预)和研究组(42例,给予常规联合PAC心理弹性理论护理干预),观察并对比2组治疗依从性、心理弹性、血糖指标水平以及生活质量.结果 在护理结束后,2组总治疗依从率均较护理前有所提升,且研究组总治疗依从率(92.86%)显著高于对照组总治疗依从率(75.61%)(P<0.05);研究组的心理弹性量表(CD-RISC)总分明显高于对照组(P<0.05);与护理前相比,2组的空腹血糖(FPG)、餐后2 h血糖(2hPG)以及糖化血红蛋白(HbA1c)水平均降低,且研究组的水平低于对照组(P<0.05);2组的糖尿病生存质量特异性量(DSQL)总分均下降,且研究组的下降幅度更显著(P<0.05).结论 在老年糖尿病患者的护理干预中,采用PAC心理弹性理论护理能够显著提高治疗依从性,改善血糖水平,并促进生活质量的提高.
Effect of PAC psychological resilience theory on treatment compliance in elderly diabetic patients
Objective To explore the effect of PAC(Probabilistic Analysis of Communication)psychological resilience theory on treatment compliance of elderly diabetic patients.Methods A total of 83 elderly diabetic patients who were treated in our hospital from January 2022 to October 2023 were randomly assigned to receive either routine nursing intervention(control group,n=41)or PAC psychological resilience theory nursing intervention plus routine nursing intervention(study group,n=42).The treatment compliance,psychological resilience,blood glucose index and quality of life were assessed between the two groups.Results After nursing,the total treatment compliance rate of the two groups was significantly higher than that before nursing,which in the study group was significantly higher than that of the control group(92.86%vs 75.61%,P<0.05).The total score of Connor-Davidson Resilience Scale(CD-RISC)in the study group was significantly higher than that of the control group(P<0.05).Compared with before nursing,the levels of fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2hPG)and glycosylated hemoglobin(HbA1c)in the two groups were significantly decreased,and with significant difference between groups(P<0.05).The total score of diabetes specific quality of life(DSQL)significantly decreased in both groups,and the decrease in the study group was more pronounced(P<0.05).Conclusion The application of PAC psychological resilience theory nursing can significantly improve the treatment compliance,blood glucose level and quality of life in the nursing intervention of elderly diabetic patients.

PAC psychological resilience theoryelderlydiabetes mellituspsychological resilienceblood glucose indicatorsquality of life

苗黎、王其丽、朱晓玲、张雁青、杨思娟

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222000 江苏省连云港第二人民医院内分泌

PAC心理弹性理论 老年 糖尿病 心理弹性 血糖指标 生活质量

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(16)
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