目的 观察精细护理模式对老年2型糖尿病患者心理状态、胰岛素治疗依从性及生活质量的影响。方法 将50例糖尿 病患者按信封法随机分为对照组和观察组，每组25例。对照组给予常规护理，观察组在对照组基础上联合精细化护 理模式。分别于干预前后对患者行焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及生活质量评分；分别于干 预前后检测患者空腹血糖(FBG)、餐后2h血糖(PBG)、糖化血红蛋白(HbA1c)水平；比较两组胰岛素治疗依从情况。 结果 干预后，观察组较对照组SAS评分、SDS评分均明显降低(P<0.05)。干预后，观察组胰岛素治疗完全依从率为 88.00%，明显大于对照组的52.00%(P<0.05)。干预后，观察组较对照组生活质量评分明显改善(P<0.05)，且FBG、 PBG、HbA1c水平明显降低(P<0.05)。结论 精细护理模式可改善2型糖尿病患者心理状态，提高胰岛素治疗依从性， 改善临床症状及生活质量。

Objective To observe the effect of refined nursing mode on psychological status, insulin treatment compliance and quality of life in elderly patients with type-2 diabetes. Methods 50 cases of diabetic patients were randomly divided into control group (25 cases) and observation group (25 cases) by envelope method. Both groups were given routine nursing, besides, the observation group was given additional refined nursing. The scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS) and life quality, and levels of fasting blood glucose (FBG), postprandial 2H blood glucose (PBG) and glycosylated hemoglobin (HbA1c) were measured before and after intervention, and the insulin treatment compliance in the two groups was compared. Results After intervention, the scores of SAS and SDS in the observation group were significantly lower than those in the control group (P<0.05), the complete compliance rate of insulin treatment in the observation group was 88.00% which was significantly higher than that in the control group 52.00% (P<0.05), the improvement of life quality score in the observation group was significantly higher than that in the control group (P<0.05), and the levels of FBG, PBG and HbA1c in the observation group were significantly lower than those in the control group (P<0.05). Conclusion Refined nursing model can improve not only psychological status, but also insulin treatment compliance, clinical symptoms and life quality of patients with type-2 diabetes.