Abstract: Objective: To explore the influence of family empowerment guidance on blood glucose control, dietary behavior compliance and self-perceived burden in elderly patients with type 2 diabetes. Methods: From June to December 2020, 101 cases were included in the control group. From January to June 2021， 107 cases were included in the observation group. The control group took routine care, and the observation group used family empowerment guidance for intervention.The fasting blood glucose, blood glucose 2 h after breakfast, glycosylated hemoglobin, blood glucose monitoring frequency, dietary behavior compliance, and self-experience burden levels of patients before intervention, 1 month, 3 months, and 6 months after discharge were compared between the two groups. Results: 3 months and 6 months after discharge, the observation group’s fasting blood glucose, 2 h blood glucose, glycosylated hemoglobin, and blood glucose monitoring frequency were better than those of the control group (P<0.05).The total scores of dietary behavior compliance and the scores of all dimensions, the total score of self-feeling burden and the scores of all dimensions of the observation group were higher than those of the control group at 1 month, 3 months and 6 months after discharge (P<0.05).Conclusion: Family empowerment guidance can help stabilize the blood sugar of elderly type 2 diabetic patients, improve compliance with dietary behaviors, and reduce self-perceived burden.

Key words: Family empowerment guidance, Type 2 diabetes, Dietary behavior compliance, Self-perceived burden

摘要： 目的：探讨家庭赋权指导对老年2型糖尿病患者血糖控制、饮食行为依从性、自我感受负担的影响。方法：选取2020年6月至12月老年2型糖尿病患者101例纳入对照组，2021年1月至6月老年2型糖尿病患者107例纳入观察组。对照组采取常规护理，观察组采用家庭赋权指导进行干预。比较两组干预前、出院后1个月、3个月、6个月患者的空腹血糖、早餐后2 h血糖、糖化血红蛋白、血糖监测频率、饮食行为依从性、自我感受负担水平。结果：出院3个月、6个月后，观察组空腹血糖、早餐后2 h血糖、糖化血红蛋白、血糖监测频率均优于对照组，差异有统计学意义（P＜0.05）；出院1个月、3个月、6个月后，观察组饮食行为依从性总分及各维度得分、自我感受负担总分及各维度得分均高于对照组，差异有统计学意义（P＜0.05）。结论：家庭赋权指导有助于稳定老年2型糖尿病患者血糖，提高饮食行为依从性，降低自我感受负担。

关键词: 家庭赋权指导, 2型糖尿病, 饮食行为, 自我感受负担