某社區民眾糖尿病篩檢中血糖值與糖尿病高危險因子及健康促進生活型態之探討

The relationship of blood glucose levels high risk factors and health promotion life style in a community diabetes screening program

本研究為橫斷性相關性研究，探討於糖尿病篩檢中由醫師診斷疑似糖尿病需門診 追蹤之比率，以期早期發現隱藏的糖尿病患及其影響血糖過高之高危險因子與健康促進生活型態間相關性的探討。收案時間為民國91年11月14日世界糖尿病日舉辦糖尿病篩檢之活動。收案條件為參加北部地區某區域醫院糖尿病篩檢之20歲以上成人、未懷孕，經個人意願同意參與本研究之個案，共352人。本研究結果，男性疑似糖尿病者比率高於女性。以年齡層來看，年齡愈大，疑似糖尿病的比率愈高。以卡方檢定血糖值與各變數間之關係時，發現性別、年齡、喝酒、吸菸、血壓、糖尿病家族史等變項具統計意義(p< .05)，以複邏輯式迴歸分析時，糖尿病家族史、高血壓、年齡、吸菸等高危險因子依序與血糖值偏高具有顯著性相關。「健康促進生活型態」整體總分，及分量表個別總分，皆與「血糖值」呈現負相關，即健康促進生活愈差則血糖值愈高；其中「壓力處置」的相關性最大(-0.463，p< .00l)，其次為運動休閒(-0.399，p< .001)。由此研究建議民眾於平日應注意自己的壓力調適及適當的運動，以預防罹患糖尿病。

The purpose of this cross-sectional study was to find out the frequency of provisional diabetes recognized by physician and to explore the relationship orisk factors of hyper-glycemia and life style in a community diabetes screening program. Data were collected on November 14, 2002, 'The World Diabetes Day' in a hospital in northern part of Taiwan. A total number of 352 people who were over 20 years, not pregnant and agreed to attend this study were recruited. The results showed the frequency of provisional diabetes was higher in male, and the rate increased with age. The study revealed using chi square analysis, this significant differences of blood glucose levels in relation to gender, age, alcohol consumption, smoking, hypertension and family history of diabetes. Further more logistic regression analysis confirmed the significant correlation of blood glucose levels and risk factors in the order of family history of diabetes, hypertension, age and smoking. As to health promotion life style, there was negative correlation of blood glucose levels and the total or individual scores. That is, poor health promotion life style was associated with high blood glucose levels. Among those risk factors, the most important one was stress management (-0.463，p< .001) followed by leisure exercises (-0.399, p< .001). Therefore, we recommend the public are: pay more attention to self stress adaptation and do regular exercises to prevent diabetes.