目的:探讨2型糖尿病患者自我效能在家族主义与自我管理之间的作用，为提高糖尿病患者自我管理水平提供参考。方法:采取便利取样的方法，对210例到北京蓟门里社区卫生服务中心就诊的2型糖尿病患者使用家庭观量表、糖尿病自我管理量表、糖尿病自我效能量表进行调查。结果:2型糖尿病患者家庭观量表总均分为（147.10 ± 14.60）分；家族主义与自我管理不具有相关性（n P>0.05），但自我效能分别与家族主义、自我管理呈正相关（n r值为0.21、0.58，n P<0.01）；家族主义与自我管理间的总效应为0.00，直接效应为-0.17，通过自我效能的间接效应为0.17（SE值为0.04，n Z值为3.98，n P0.05), while self-efficacy was positively correlated with familism and self-management behaviors (n P< 0.01). The total effect coefficient of familism on self-management behaviors was 0.00, the direct effect was -0.17, and the indirect effect through self-efficacy was 0.17(SE=0.04,n Z=3.98, n P<0.001).n Conclusions:Attitudinal familism among people with Tn 2DM is consistent with the cultural background of our country. Self-efficacy partly mediated the relationship between attitudinal familism and diabetes self-management behaviors. For those who are with strong familism, medical staff should encourage them to adhere to diabetes self-management behaviors for the purpose of better fulfilling family responsibilities. Meanwhile, future interventions should consider improve self-efficacy to enhance diabetes self-management behaviors.n