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目的 探讨行为转变护理模式对糖尿病患者血糖水平及服药依从性的影响。方法 选择2019年1月至2020年12月我社区服务中心随访的糖尿病患者280例，随机分为对照组及观察组，每组140例。对照组采用常规护理，治疗组在对照组的基础上采用行为转变护理模式。比较两组患者实施护理前后血糖水平及服药依从性。结果 护理后，对照组和观察组空腹血糖和餐后2h血糖比较，差异均有统计学意义（P＜0.05）。护理后，对照组和观察组服药依从性评分比较，差异有统计学意义（t=14.985，P＜0.001）。护理后，对照组服药依从性为“,”Objective To explore the effect of behavior change nursing mode on blood glucose level and medication adherence in diabetic patients.Methods A total of 280 diabetic patients who were followed up by our community service center from Jan. 2019 to Dec. 2020 were randomly divided into the control group and the observation group， 140 cases in each group. The control group adopted routine nursing， and the treatment group adopted behavior change nursing mode on the basis of the control group. The blood glucose level and medication compliance of the two groups were compared before and after nursing. Results There were significant differences for fasting blood glucose and 2h postprandial blood glucose between the control group and the bservation group after nursing (P＜0.05). The difference of the control group and the observation group after nursing was statistically significant (t=14.985，P＜0.001). The difference of the medication compliance of the control group was 85.00%， and that of the observation group was 98.57%， the medication compliance of the two groups was statistically significant (Z=5.874， P＜0.05). Conclusion The adoption of behavior change nursing measures in the community can improve the cognition and medication compliance of patients with chronic diseases， especially diabetes mellitus， and improve the symptoms and prognosis of disease.