目的:对通过社区护理干预提高糖尿病患者遵医率及血糖控制的效果进行探讨。方法:将我院于2013年12月至2014年12月期间收治的246例糖尿病患者借助随机数字表法分为对照组与观察组,两组患者在住院期间均予以系统性的健康教育,出院后仅对观察组患者实施社区护理干预,进行为期1年的随访,对比两组患者出院时与随访结束时的空腹及餐后2h血糖值,并对两组患者遵医率进行对比。结果:所有患者均顺利完成随访。经社区护理干预之后,观察组在定期复查、饮食控制、按时用药、自我监测以及运动情况5个主要方面的遵医率现主要比对照组遵医率高,组间数据经X2检验存在统计学意义(P<0.05);观察组无论是空腹血糖还是餐后2h血糖值,较之于出院时均有显著降低(P<0.05),同时在随访结束时也显著低于对照组(P<0.05)。结论:通过社区护理干预,可进一步提高糖尿病患者遵医率,达到有效控制血糖水平的目的,提高其生活质量,可值得在临床上广泛推广。 OBJECTIVE: To explore the effect of community nursing interventions on improving compliance rate and blood glucose control in diabetic patients. Methods: A total of 246 diabetic patients admitted from December 2013 to December 2014 in our hospital were divided into control group and observation group by random number table. Both groups were given systematic health education during hospitalization and were discharged After only one year of follow-up, the patients in the observation group were given community nursing interventions. The fasting and postprandial 2-hour blood glucose levels at the time of discharge and at the end of follow-up were compared between the two groups. The comparisons were made between the two groups. Results: All patients were successfully followed up. After community-based nursing intervention, the compliance rates of the observation group in the five main aspects of regular review, diet control, timely medication, self-monitoring and exercise were higher than that of the control group, and the inter-group data were statistically significant by the X2 test (P <0.05). The fasting blood glucose and postprandial 2h blood glucose in the observation group were significantly lower than those at discharge (P <0.05), and also significantly lower than those in the control group at the end of follow-up (P <0.05) ). Conclusion: Community nursing intervention can further improve the compliance rate of patients with diabetes to achieve the purpose of effectively controlling blood glucose levels and improve their quality of life, which may be worth popularizing clinically.