对８２例糖尿病社区老年患者实施２个月社区护理干预，在获得近期的显著效果基础上继续干预４个月，仍获降低血糖，提高生活质量，增加社会经济效益（减少住院天数和药量）的效果，某些方面远期效果更佳，提示巩固近期效果，连续、经常的远期干预十分必要；远期和近期干预的内容、方法和重点对象等应有所区别。 Community nursing interventions were conducted in 82 elderly patients with diabetes and continued for 4 months on the basis of the recent significant results. They were still able to lower blood sugar, improve their quality of life and increase their social and economic benefits (reduce the number of days of hospitalization and dosage) , Some aspects of the long-term effect is better, suggesting that to consolidate the near-term effects, continuous, regular long-term intervention is necessary; long-term and recent intervention content, methods and key objects should be different.