Abstract: Objective　To explore the effect of intervention strategies based on goal execution concept on the treatment compliance of diabetic patients. Methods　From November 2019 to November 2020, 70 diabetic patients hospitalized in Linzhou Hospital of Traditional Chinese Medicine were divided into a study group and a control group by the random number table method, with 35 cases in each group. The control group had 19 males and 16 females and were (64.28±3.25) years old. The study group had 20 males and 15 females and were (64.28±3.25) years old. The control group was given diabetes cognition education. The study group took intervention strategies based on goal execution concept. The cognition levels, blood glucose control, and treatment compliance of the two groups before and after the intervention were observed. The measurement data of normal distribution were expressed as (x±s) and were compared between the two groups by the independent-sample t test. The enumeration data were expressed as cases (%) and compared between these two groups by χ² test. Results　After the intervention, the cognition levels of medication, exercise, diet, and smoking in the study group were significantly higher than those in the control group [(34.03±4.42) vs. (27.26±4.47), (33.38±4.61) vs. (25.45±4.55), (28.54±4.13) vs. (24.33±4.16), and (35.27±4.14) vs. (29.03±4.55); all P<0.001]; the fasting blood-glucose and 2-hour postprandial blood glucose in the study group were better than those in the control group [(6.08±1.41) mmol/L vs. (8.86±1.94) mmol/L and (9.94±2.41) mmol/L vs. (11.97±2.46) mmol/L; both P<0.001]. The compliance rate in the study group was significantly higher than that in the control group [97.14% (34/35) vs. 71.43% (25/35)], with a statistical difference (χ²=8.373, P=0.003). Conclusion　The intervention strategies based on goal execution concept can improve patients' awareness of diabetes and treatment compliance, and effectively control their blood glucose, which has positive clinical significance and is worthy of promotion and application.

Key words: Goal execution concept, Diabetes, Compliance

摘要： 目的　探讨目标执行理念干预策略影响糖尿病患者治疗依从性的效果。方法　选取2019年11月至2020年11月在林州市中医院住院治疗的70例糖尿病患者，随机分为对照组和研究组，各35例。对照组男19例，女16例，年龄（64.28±3.25）岁；研究组男20例，女15例，年龄（64.28±3.25）岁。对照组给予糖尿病认知教育；研究组给予基于认知目标执行理念的干预策略。观察两组干预前后的糖尿病认知水平、血糖控制情况、治疗依从性。符合正态分布的计量资料以均数±标准差（x±s）表示，组间比较采用独立样本t检验；计数资料以例（%）表示，组间比较采用χ²检验。结果　干预后，研究组患者糖尿病认知水平的用药治疗［（34.03±4.42）分比（27.26±4.47）分］、运动锻炼［（33.38±4.61）分比（25.45±4.55）分］、饮食状况［（28.54±4.13）分比（24.33±4.16）分］、吸烟状况［（35.27±4.14）分比（29.03±4.55）分］4个维度评分均明显高于对照组（均P<0.001）；空腹、餐后2 h血糖控制情况均明显优于对照组［（6.08±1.41）mmol/L比（8.86±1.94）mmol/L、（9.94±2.41）mmol/L比（11.97±2.46）mmol/L］（均P<0.001）；研究组患者的治疗总依从率明显高于对照组［97.14%（34/35）比71.43%（25/35）］，差异有统计学意义（χ²=8.373，P=0.003）。结论　目标执行理念干预策略可提高患者对糖尿病的认知度，提高治疗依从性，有效控制血糖，有积极的临床意义，值得推广和应用。

关键词: 目标执行理念, 糖尿病, 依从性