摘要目的：探讨自我管理支持对肥胖2型糖尿病患者行为及代谢指标的影响。方法选取2014年10月—2015年3月河北医科大学第二医院96例肥胖2型糖尿病住院患者，利用随机数字表将患者随机分为对照组49和干预组47例。对照组给予常规健康教育，干预组在此基础上由科室医生、教育护士、营养师、心理咨询师等8名成员组成的教育团队对患者实施自我管理支持，两组均随访3个月，分别在干预前、干预后3个月评估患者的自我管理行为、体质量、BMI、腹围、糖化血红蛋白情况。结果干预后干预组的自我管理行为优于对照组，差异有统计学意义（P ＜0．05）；糖化血红蛋白、腹围分别为（7．14±0．68）％，（94．82±8．90）cm，优于于对照组的（7．70±0．58）％，（98．31±6．38）cm，差异有统计学意义（P ＜0．05）；体质量、BMI 变化两组差异无统计学意义（P ＞0．05）。结论对肥胖2型糖尿病患者实施自我管理支持可改善患者的自我管理行为、降低血糖、减少腹围，有利于减少患者发生慢性并发症的危险因素。

abstractsObjective To explore the impact of self-management support on the behavior and metabolic parameters of type 2 diabetic patients with obesity.Methods A total of 96 inpatients of type 2 diabetes with obesity,who hospitalized in the Second Hospital of Hebei Medical University from October 2014 to March 2015, were randomly assigned to control group and intervention group with 49 cases and 47 cases respectively.The patients in the control group received routine health education,while the patients in the intervention group were given self-management support by educational team with eight members constituted by physicians,nurse educators,dietitians,psychologists,etc.additionally.The patients in both groups were followed up for 3 months,self-management behaviors,body weight,body mass index (BMI ), waist circumference and glycosylated hemoglobin(HbA1c)that measured before and 3 months after the intervention.Results The self-management behaviors in the intervention group were significantly better than those in the control group after the intervention (P <0.05 ).The values of HbA1c and waist circumference [(7.14 ±0.68 )%,(94.82 ± 8.90)cm]in the intervention group were significantly lower than [(7.70 ±0.58)% ,(98.31 ±6.38)cm]in the control group after the intervention (P <0.05).The body weight and body mass index(BMI)changed were not significantly compared with the control group (P >0.05 ).Conclusions Self-management support can improve the patients′self management behavior,reduce blood sugar,waist circumference and the risk factors for the occurrence of chronic complications.