[Analysis of health self-management for diabetes self-efficacy].

To evaluate the effect of health self-management on self-efficiency of diabetes patients. A total of 184 eligible and voluntary diabetes patients were recruited for 6 consecutive weeks of knowledge and skills intervention, and interviewed with questionnaire by diabetes self-efficacy scale (DSES) before and after the intervention. The changes in self-efficiency were compared with two paired sample McNemar test. After the intervention, the total scores of self-efficiency on diet, medication, blood sugar monitoring, foot care and complications management were all increased significantly compared with those before the intervention (P<0.05). The intervention model of health self-management for self-efficiency in diabetes patients is effective, and the quality of patients' life can be improved.目的：评价健康自我管理对糖尿病患者自我效能的影响效果。方法：对符合条件、自愿参与健康自我管理的184例糖尿病患者进行连续 6 周的知识和技能指导。干预前后用糖尿病患者自我效能量表(diabetes self-efficacy scale，DSES)进行问卷调查，并采用两配对样本McNemar检验比较患者在干预前后自我效能的改变。结果：干预后，患者总饮食控制、药物治疗、血糖监测、足部护理和并发症应对效能得分均较干预前明显提高(均P<0.05)。结论：健康自我管理可有效提高糖尿病患者的自我效能，改善生存质量。.