目的探究并评价健康干预对空腹血糖受损(Impaired fasting glucose,IFG)患者认知水平及自我管理能力的影响。方法选择2011年1月-2012年12月炼化医院IFG患者261例,随机将患者分为干预组(131例)和对照组(130例)。其中对照组患者维持正常生活习惯,定期检查空腹血糖;干预组在对照组基础上给予健康教育干预。采用蒙特利尔认知评估表(MoCA)对患者的认知水平进行评估,并统计两组患者干预前后的自我管理能力的改变,包括血糖监测、合理饮食和运动锻炼。结果两组患者干预前MoCA评分和血糖监测率、合理饮食率和运动锻炼率相比,差异不具有统计学意义(P>0.05);而干预后,干预组MoCA明显高于对照组,差异具有统计学意义(P<0.05);干预后干预组血糖监测率、合理饮食率和运动锻炼率也明显高于对照组,差异具有统计学意义(P<0.05)。结论健康教育能有效提升IFG患者的认知水平,并改善其自我管理能力,有助于减少糖尿病的发生。 Objective To explore and evaluate the effect of health intervention on cognitive level and self-management ability in patients with impaired fasting glucose (IFG). Methods 261 patients with IFG from January 2011 to December 2012 were randomly divided into intervention group (131 cases) and control group (130 cases). The control group patients to maintain normal living habits, regular fasting blood glucose; intervention group on the basis of the control group to give health education intervention. Patients’ cognitive status was evaluated using the Montreal Cognitive Assessment Scale (MoCA), and the changes in self-management ability, including glucose monitoring, proper diet, and exercise training, before and after intervention were calculated. Results There was no significant difference in MoCA score, blood glucose monitoring rate, reasonable dietary rate and exercise rate between the two groups before intervention (P> 0.05). After intervention, MoCA in intervention group was significantly higher than that in control group (P <0.05). After intervention, the monitoring rate of blood glucose, reasonable dietary rate and exercise rate in the intervention group were also significantly higher than those in the control group (P <0.05). Conclusion Health education can effectively improve the cognitive level of IFG patients and improve their self-management ability, which can help reduce the incidence of diabetes.