Objective To explore the effect of cognition-early warning intervention on the cognitive behavior of patients with delayed treatment of diabetes in rural areas,in order to improve their treatment compliance. Methods Rural patients with delayed treatment of diabetes in Datong District,Daqing City,in Heilongjiang Province and Luannan County,Tangshan City,in Hebei Province were conveniently selected as the research subjects from October 2019 to January 2020. According to the random number table method,6 villages were divided into an experimental group and a control group,with 63 cases in each group. The experimental group was given the cognition-early warning intervention for 2 weeks,and the control group was given routine health education. The general demographic data of patients with delayed treatment of diabetes in rural areas were obtained through a general data questionnaire;the cognitive behavior scale of delayed treatment of diabetes in rural areas,medication compliance questionnaire and diabetes management self-efficacy scale were used to evaluate the cognitive behavior,medication compliance and self-efficacy scores of subjects before and after intervention;fasting glucose results were collected by venous blood collection. Results A total of 60 samples were included in the experimental group and the control group respectively. Before intervention,general demographic data,cognitive scores,medication compliance scores and diabetes management self-efficacy scores were comparable between the 2 groups. After intervention,the cognitive behavioral scores and medication compliance scores of the experimental group were higher than these of the control group and these before intervention,and the difference was statistically significant（P<0.05）. The scores of diabetes management self-efficacy in experimental group were higher than these of the control group,with statistical significance（P<0.05）. The self-efficacy score of diabetes management in experimental group was slightly higher than before intervention. Fasting blood glucose level in the experimental group was better than in the control group after intervention,with statistical significance（P<0.05）. Conclusion Cognition-early warning intervention can improve the cognitive and behavioral level of patients with delayed treatment of diabetes in rural areas,and contribute to the standardized treatment of patients with delayed treatment of diabetes in rural areas.

Objective To describe the status of cognitive behaviour in diabetes patients with delayed diagnosis and treatment in rural areas,and to analyze the influencing factors. Methods From June 2018 to December 2019,a convenience sampling method was used to select 832 cases of diabetes patients with delayed diagnosis and treatment in rural areas of Daqing city in Heilongjiang province and Tangshan city in Hebei province. By general data questionnaire and the scale for cognitive behaviour with delayed diagnosis and treatment of diabetes patients in rural areas,we investigated and analyzed its influence factors. Results The total score of cognitive behavioral for delayed diagnosis and treatment of diabetes patients in rural areas was（47.98±11.27）,with the highest score in disease control dimension and the lowest score in symptom alert dimension. The results of linear regression analysis showed that age,gender and per capita monthly family income were independent factors influencing the level of cognitive behaviour for delayed diagnosis and treatment of diabetes patients in rural areas. Conclusion The level of cognitive behaviour of diabetes patients with delayed diagnosis and treatment in rural areas was lower.Medical personnel should pay more attention to the diabetes patients with delayed diagnosis and treatment in rural areas,and help them to improve the diagnosis and treatment rate and control blood glucose level through health education,warning education,dynamic tracking and other interventions.