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目的:调查2型糖尿病（T2DM）管理路径在基层医院的执行效果，并分析其影响因素。方法:河南省人民医院指导郑州市北下街社区卫生服务中心于2019年1—12月实施常规T2DM管理模式，于2020年1—12月实行T2DM管理路径。实施前后分别选取220例患者作为研究对象，观察T2DM管理路径的执行效果；根据路径管理执行效果将实施后的220例T2DM患者设为良好组与不良组。采用Logistic回归分析法分析T2DM管理路径执行效果的影响因素。结果:实施前患者的住院时间、住院费用、护理不良事件发生率、患者满意率，以及用药、饮食、运动、血糖自我监测依从性良好率分别为（15.39±2.14）d、（4 256.87±536.14）元、12.27%（27/220）、81.82%（180/220）、60.45%（133/220）、69.55%（153/220）、56.36%（124/220）、54.55%（120/220），实施后分别为（12.20±2.82）d、（3 158.62±425.16）元、6.36%（14/220）、91.36%（201/220）、72.27%（159/220）、81.82%（180/220）、73.18%（161/220）、78.18%（172/220）。实施后患者的住院时间短于实施前，住院费用、护理不良事件发生率低于实施前，用药、饮食、运动、血糖自我监测依从性良好率及患者满意率高于实施前，差异均有统计学意义（n P<0.05）；Logistic回归分析显示，吸烟、T2DM病程、路径管理不规范均是影响T2DM管理路径执行效果的因素（n P<0.05）。n 结论:T2DM路径管理在基层医院的实施中可获取较好的执行效果，吸烟、T2DM病程、路径管理不规范均是影响其执行效果的因素。“,”Objective:To explore the implementation effect of type 2 diabetes mellitus (T2DM) management pathway in a primary hospital, and analyze its influencing factors.Methods:Henan Provincial People\'s Hospital instructed Zhengzhou Beixia Street Community Health Service Center to implement the conventional T2DM management model from January to December 2019, and to implement the T2DM management pathway from January to December 2020. The implementation effect of the T2DM management pathway was observed. A total of 220 cases of T2DM patients after the implementation were set as the good group and the poor group according to the effect of the pathway management. Logistic regression was used to analyze the influencing factors of the implementation effect of T2DM management pathway.Results:Before the implementation, hospitalization time, hospitalization expenses, incidence of adverse nursing events, patient satisfaction, and good compliance rate of medication, diet, exercise, and blood glucose self-monitoring were (15.39±2.14) d, (4 256.87±536.14) yuan, 12.27% (27/220) , 81.82% (180/220) , 60.45% (133/220) , 69.55% (153/220) , 56.36% (124/220) , 54.55% (120/220) , respectively, and after the implementation were (12.20±2.82) d, (3 158.62±425.16) yuan, 6.36% (14/220) , 91.36% (201/220) , 72.27% (159/220) , 81.82% (180/220) , 73.18% (161 /220) , 78.18% (172/220) , respectively. After the implementation, the hospitalization time of the patients was shorter than that before the implementation, and the hospitalization expenses and the incidence of adverse nursing events were lower than those before the implementation, and the good compliance rate of medication, diet, exercise and blood glucose self-monitoring and patient satisfaction were higher than those before implementation, and the differences were statistical (n P<0.05) . Logistic regression showed that smoking, the course of T2DM, and the irregular pathway management were all factors that affected the implementation effect of the T2DM management pathway (n P<0.05) .n Conclusions:The implementation of T2DM pathway management in primary hospitals can achieve obvious effects. Smoking, the course of T2DM, and irregular pathway management are all factors that affect its implementation effect.