中文摘要：

目的 探讨家庭参与式的健康管理对社区2型糖尿病患者自护行为的影响.方法 便利选取郑州市3个社区,通过健康档案选择78例病情稳定的2型糖尿病患者作为研究对象,采用单盲法,将不同社区按整群随机分为干预组40例和对照组38例.干预组实施以家庭参与式的健康管理教育,对照组进行常规患者教育,干预后3个月比较两组患者自我护理能力和代谢指标的改善情况.结果 以家庭为单位的健康管理干预前两组患者各指标差异无统计学意义（P＞0.05）.干预后3个月,干预组空腹血糖[（8.34±0.98）mmol/L 比 （9.50±1.04）mmol/L]、餐后2 h血糖[（8.97±0.76）mmol/L 比 （9.89±0.94）mmol/L]、糖化血红蛋白（HbA1c）[（7.40±0.86）% 比 （7.98±0.97）%]低于对照组,差异均有统计学意义（P＜0.05）.自护行为评分各项指标干预组亦优于对照组,差异有统计学意义（P＜0.05）.结论 家庭参与式健康管理有助于提高2型糖尿病患者的自护行为,建立良好的行为习惯,控制代谢指标.

英文摘要：

Objective To explore the effects of family involved health management on self - care behavior of patients with type 2 diabetes mellitus （T2DM） in community. Methods Based on the health records 78 T2DM patients with stable conditions were enrolled from three communities selected by convenience sampling. The single blind method was taken to randomly divide the subjects into intervention group and control group. The patients in the intervention group were given family involved health management education, while those in the control group were given routine education. The effects of intervention were compared between the two groups three months later. Results There were no significant differences between the two groups for all the indicators. After the three month intervention, there were significant difference in parameters of fasting blood sugar [ （ 8.34 ± 0. 98） mmol/L vs. （ 9. 50 ± 1.04 ） mmol/L], 2 h postprandial blood glucose [ （ 8.97 ± 0. 76 ） mmol/L vs. （ 9. 89±0.94） mmol/L）, andglycosylatedhemoglobin Atc [ （7.40 ±0.86）% vs. （7.98±0.97）%] （P〈0.05） .And the scores of indicators for patients＇self -care behaviors were significantly better in the intervention group than in the control group （ P 〈 0. 05 ） . Conclusion Family involved health management intervention is more beneficial for T2DM patients to improve their self - care, establish good habit and control their metabolic index.