关键词: font-size:medium, ">2型糖尿病； 阶段转变理论； 社区健康教育； 自我管理行为

Abstract: Objective： To explore the influence of community health education based on the transtheoretical model (TTM) on self-management behavior of elderly patients with type 2 diabetes mellitus (T2DM). Methods： According to the random number table， 120 elderly patients with T2DM were divided into the experiment group (n=60)， in which the health education was conducted by members of the general practitioner team under the guidance of TTM， and the control group (n=60)， in which the regular health education was conducted. Both groups were intervened for 12 months. The changes of blood glucose levels， self-management behavior (SDSCA) and self-efficacy (C-DMSES) before and after the intervention were compared between the two groups. Results： The levels of FBG and 2hPBG after the intervention in the two groups were lower than those before the intervention， and the experiment group was lower than the control group (P<0.05). The scores of SDSCA and C-DMSES after the intervention in the two groups were higher than those before the intervention， and the experiment group was higher than the control group (P<0.05). Conclusion： Community health education based on TTM can effectively enhance the diabetes self-management behavior and self-efficacy of elderly patients with T2DM， and has good effect on blood sugar control.
  

Key words: font-size:medium, ">Type 2 diabetes mellitus； The transtheoretical model； Community health education； Self-management behavior