关键词: 分层随访；2型糖尿病；自我效能；自我管理；血糖控制

Abstract: Objective: To analyze the effects of stratified follow-up intervention on self-efficacy, self-management and glucose metabolism in type 2 diabetic patients. Methods: A total of 100 patients with type 2 diabetes in the department of endocrinology in a tertiary grade A hospital were randomly divided into the experimental group (n=50) and the control group (n=50). The patients in the control group were given routine follow up, meanwhile patients in the experimental group were treated according to the standards of stratified follow-up. The self-efficacy, self-management ability, fasting blood-glucose, 2 hours postprandial blood glucose and glycosylated hemoglobin were measured before and after the intervention. Results: After 6 months of intervention, the scores of self-efficacy and self-management in the experimental group were significantly higher than those in the control group (P<0.05). Compared with the control group, the fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin decreased in the experimental group (P<0.05). Conclusion: Stratified follow-up can improve the self-efficacy and self-management ability of patients with type 2 diabetes mellitus, and effectively improve the glucose metabolism. It is an effective follow-up plan for patients with diabetes mellitus.

Key words: stratified follow-up; type 2 diabetes; self-efficacy; self-management; blood glucose control