Objective: To study the effect of the nursing intervention on self-management of elderly patients with type 2 diabetes. Methods: 138 cases of elderly patients with type 2 diabetic were randomly divided into intervention group (69 cases) and control group (69 cases). The intervention group was received education in diabetes self-management intervention in the health belief model. The control group was received conventional diabetes health education. The effect before and after intervention in the two groups was assessed by diabetes knowledge questionnaire. Results: The diabetes knowledge 6 months after the intervention in the intervention group was more than that of the control group (t=8.52, P<0.01). 6 months after the intervention in the intervention group, fasting blood glucose, 2 h postprandial glucose, glycated hemoglobin was lower than those of the control group (t=2.13, P<0.05; t=4.61, P<0.01; t=4.60, P<0.01), and there was a significant difference of the incidence of complication between the two groups (x2=6.82, P<0.01). Conclusion: Implementation of systematic, interactive educational diabetes health belief model could reduce complications, improve patient's self-management and quality of life.%目的:探讨护理干预在老年2 型糖尿病患者自我管理中的效果.方法:选择138 例老年2 型糖尿病患者作为研究对象,按随机数字表法分为干预组(69 例)和对照组(69 例).干预组患者接受家属参与的糖尿病健康信念教育自我管理干预模式,对照组患者接受常规糖尿病知识健康教育,两组患者干预前后采用糖尿病知识问卷评定.结果:干预组患者干预后6 个月糖尿病知识掌握显著高于对照组(t=8.52,P＜0.01);干预组患者干预后6 个月空腹血糖、餐后2 h 血糖、糖化血红蛋白指标低于对照组(t=2.13,P＜0.05;t=4.61,P＜0.01;t=4.60,P＜0.01);干预组患者干预后6 个月并发症发生率低于对照组(x2=6.82,P＜0.01).结论:实施系统性、互动性糖尿病健康信念教育模式,减少了并发症,提高了患者自我管理水平和生活质量.
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