Objective To explore the effect of health education strategies on compliance medical behavior and self management in patients with type 2 diabetes. Methods Choose type 2 diabetic patients 80 cases,were randomly divided into intervention group and control group,40 cases in each group, the control group received routine treatment and symptomatic care, the intervention group on based on the control group taken health education strategies, before and after the fasting blood glucose,2 h postprandial blood glucose test results,and the compliance rate of patients between two groups after treatment,diet management, sports management,drug management and self monitoring scale were compared between two groups of patients. Results Before treatment,the fasting and postprandial and 2 h glucose of two groups of patients had no statistical significance(P>0.05). After treatment,fasting and 2 h postprandial blood glucose decreased significantly than before treatment, and the fasting and 2 h postprandial blood glucose of intervention group compared with the control group decreased more significantly, the difference was statistical significant(P<0.05),the not compliance rate of patients in the intervention group after the treatment was 5.0%,the not compliance rate of con-trol group after treatment was 25.0%,the difference was statistically significant between two groups(P<0.05). Compli-ance rate of patients in the intervention group after the treatment was 95.0%,was significantly higher than the control group's compliance rate (75.0%),the difference was statistically significant(P<0.05).Intervention group patients after diet management,sports management,medicine management and self monitoring management scores were significantly higher than those in the control group,the difference was statistically significant between two groups(P<0.05). Conclu-sion Health education strategies help to lower blood sugar levels in patients with type 2 diabetes,improve patient com-pliance rate,and improve the level of self management.%目的：探讨健康教育策略对2型糖尿病患者遵医行为及自我管理水平的影响。方法选择符合纳入标准的2型糖尿病患者共80例，随机分为干预组和对照组各40例，对照组予常规治疗和对症护理，干预组在对照组基础上实施健康教育策略，对比两组患者治疗前后空腹血糖、餐后2h血糖检测结果及两组患者治疗后遵医率、两组患者的饮食管理、运动管理、用药管理和自我监测管理评分。结果两组患者治疗前的空腹血糖和餐后2h血糖比较，无统计学意义(P>0.05)，治疗后两组患者的空腹血糖和餐后2 h血糖均较治疗前显著降低，且干预组患者的空腹血糖和餐后2 h血糖较对照组降低更显著，组间比较，差异有统计学意义(P<0.05)，干预组患者治疗后不遵医率5.0%，对照组治疗后的不遵医率25.0%，组间比较，差异有统计学意义(P<0.05)，干预组患者治疗后的总遵医率达95.0%，显著高于对照组治疗后的总遵医率75.0%，组间比较，差异有统计学意义(P<0.05)。干预组患者治疗后的饮食管理、运动管理、用药管理及自我监测管理评分均显著高于对照组，组间比较，差异有统计学意义(P<0.05)。结论健康教育策略有助于降低2型糖尿病患者的血糖水平，提高患者的遵医率，并提高其自我管理水平。
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