【摘要】 目的 基于主动健康理念构建2型糖尿病患者自我管理方案并验证其临床应用效果。方法 基于主动健康理念和循证方法构建2型糖尿病患者自我管理方案初稿，通过2轮专家函询对内容进行修改，最终形成方案终稿。采用便利抽样法，选取2023年1-6月的61例患者作为对照组，2023年7-12月的61例作为干预组。对照组实施常规护理，干预组实施主动健康理念下2型糖尿病患者自我管理方案。比较干预前、后两组患者的血糖、糖尿病自我管理行为生活质量。结果 干预后，干预组患者糖化血红蛋白、空腹血糖及餐后2 h血糖显著低于对照组；糖尿病自我管理行为量表的饮食、运动、血糖监测、监测频率及足部护理条目的得分显著高于对照组；生活质量评定量表修订版各维度得分显著低于对照组(均P<0.05)。结论 主动健康理念下的2型糖尿病患者自我管理方案，强调患者主动参与，从多维度展开干预，能提升患者自我管理能力，改善血糖控制与生活质量，为糖尿病护理带来新方法，也为主动健康理念用于慢性病管理提供实践依据。更多还原

【Abstract】 Objective To develop a self-management program for type 2 diabetes mellitus patients based on the concept of active health and verify its clinical application effect. Methods The initial draft of the self-management program for type 2 diabetes mellitus patients was constructed based on the concept of active health and evidence-based methods. The content was revised through two rounds of expert letter consultations, and the final version of the program was formed. Using convenience sampling method, 61 patients from January to June 2023 were selected as the control group, and 61 patients from July to December 2023 were selected as the intervention group. The control group received routine nursing care, while the intervention group was subject to the self-management program for type 2 diabetes mellitus patients under the concept of active health. Compare the blood sugar levels, diabetes self-management behaviors, and quality of life between the two groups of patients before and after the intervention. Results After the intervention, the levels of Glycated Hemoglobin(HbA1c), Fasting Blood Glucose(FBG), Blood Glucose 2 Hours After Meal(2 h PG) in the intervention group were significantly lower than those in the control group; the scores of the diet, exercise, blood glucose monitoring, monitoring frequency, and foot care of the Diabetes Self Care Activities(SDSCA) in the intervention group were significantly higher than those in the control group; the scores of each dimension of the Revised version of Quality of Life Scalefor Type 2 Diabetes Mellitus(Rev. DMQLS) in the intervention group were significantly lower than those in the control group(all P<0.05). Conclusion The self-management program for type 2 diabetes mellitus patients based on the concept of active health emphasizes the active participation of patients and carries out interventions from multiple dimensions. It can improve patients′self-management ability, blood glucose control, and quality of life, bring new methods for diabetes nursing, as well as provide a practical basis for the application of the concept of active health in chronic disease management.更多还原