[目的]探讨团体认知干预联合情景模拟体验在老年2型糖尿病(T2DM )患者中的应用价值.[方法]收集2015年10月至2016年12月本院诊治的老年T2DM 患者124例,采用随机数表法分为观察组和对照组,每组62例.对照组给予包括健康教育、运动指导、饮食干预、并发症预防等在内的常规护理干预,观察组联合应用团体认知干预、情景模拟训练.比较两组患者疾病认知、自我管理能力、血糖控制情况.[结果]观察组“糖尿病对你生活影响到什么程度” 、“你的糖尿病会持续多长时间” 、“你能在多大程度控制糖尿病” 、“糖尿病治疗对你疾病有多大帮助” 、“自我感觉糖尿病症状到什么程度” 、“你对糖尿病关心到什么程度” 、“你对糖尿病了解到什么程度” 、“糖尿病对你情感影响到什么程度”各条目评分均明显高于对照组(P＜0 .05) ;观察组饮食管理、运动管理、血糖监测、足部护理、药物及胰岛素评分均明显高于对照组( P＜ 0 .05 ) ;观察组空腹血糖(FPG ) 、餐后 2h血糖(2hPG)明显低于对照组(P＜0 .05) .[结论]团体认知干预联合情景模拟体验有助于提高老年T2DM患者疾病认知水平,促进自我管理能力的养成,有效控制血糖水平,值得临床推广应用.“,”To investigate the effects of group cognitive intervention combined with scenario simulation ex‐perience on disease cognition and self‐management ability in elderly patients with type 2 diabetes mellitus (T2DM ).[Methods]A total of 124 elderly patients with T2DM admitted from October 2015 to December 2016 were enrolled.The patients were divided into treatment group and control group with 62 cases in each group by random number table method . The control group received routine nursing interventions including health education ,exercise guidance ,dietary interven‐tion ,and prevention of complications .The treatment group used group cognitive intervention and scenario simulation training .The disease cognition , self‐management ability , and blood glucose control were compared between the two groups .[Results]Scores of ＂how much your life affects by diabetes＂,＂How long will your diabetes last ?＂,＂How much can you control diabetes ?＂,＂ How much diabetes treatment can help you ＂,＂How much do you feel about diabetes symptoms ?＂,＂How much do you care about diabetes ?＂,＂How much do you know about diabetes ?＂ and ＂How much does diabetes affect your emotions ?＂of the the treatment group were significantly higher than those of the control group . P ＜0 .05) ;The diet management ,exercise management ,blood glucose monitoring ,foot care ,drug and insulin scores of the treatment group were significantly higher than those of the control group ( P ＜0 .05).The blood glucose before meals and the blood glucose 2h after the meal in the treatment group were significantly lower than those in the control group ( P ＜0 .05).[Conclusion]Group cognitive intervention combined with scenario simulation experience can improve the dis‐ease cognition level of elderly T2DM patients ,promote the development of self‐management ability ,and control blood sugar levels .