庄前玲，陆锦华，陆轶群，杜建刚（.苏州卫生职业技术学院医护学院，江苏苏州5009；.苏州市立医院本部，江苏500；.苏州大学附属第一人民医院，江苏苏州500）

糖尿病前期现状及人群对疾病认知的调查*

庄前玲1，陆锦华2，陆轶群3，杜建刚2
（1.苏州卫生职业技术学院医护学院，江苏苏州215009；2.苏州市立医院本部，江苏215002；3.苏州大学附属第一人民医院，江苏苏州215002）

目的对苏州社区居民糖尿病前期的筛查，调查该人群流行病特征及对疾病的自我认知情况。方法选取2013～2014年881例在苏州市3个社区大于或等于20岁参与糖尿病前期筛查的患者148例，采用自制的“糖尿病前期人群疾病认知”问卷对其进行疾病认知的现状调查。研究糖尿病前期人群和正常糖耐量人群在年龄、性别、体质量指数（BMI）、家族史及高血压、吸烟、保健人员给予健康宣教等方面是否有差异。结果16.80%的苏州成人处于糖尿病前期，19.50%的患者对糖尿病前期有所了解；约有23.65%知道该状态可能是2型糖尿病和心血疾管病的危险因素；老年、低学历、吸烟、高血压、有家族史和卫生保健人员没有给予健康宣教与糖尿病前期发生密切相关，但差异均有统计学意义（P＜0.05）。结论糖尿病前期人群对疾病的认知是不够的，卫生保健人员对居民糖尿病前期方面的宣教应加强。

糖尿病前期；流行病学；数据收集；血糖；问卷调查

【Abstract】Objective To screen the prediabetes in the community residents of Suzhou and to investigate the epidemical characteristicsand self-cognition on this disease.Methods A total of 148 in dividuals aged≥20 years old and participating in the prediabetes screening from 3 communities of Suzhou City during 2013-2014 were selected，among them 148 cases of prediabeteswere performed the status quo investigation of disease cognition by self-designed Prediabetes Population Disease Cognition Questionnaire.To studywhetherhaving the differences in the aspectsof the age，sex，BMI，family history and giving the health education on the individuals ofhypertension and smoking，and health careworkers between the prediabetes population and population of normalglucose tolerance.Results 16.80% of Suzhou adultpeoplewere in prediabeteas，19.50% of patients had some understanding on prediabetes；about 23.65% of respondents knew that this status could be the risk factor of type 2 diabete smellitus and cardiovascular diseases；advanced age，low cultural level，smoking，hypertension，family history and health care workers not giving the health propaganda were closely correlated with prediabetes occurrence，but the differences were statistically significant （P＜0.05）.Conclusion The prediabetes population has no enough cognition on this disease，the health care workers should streng then the propaganda and education of prediabeteson the residents.

【Key words】Prediabetic state；Epidemiology；Data collection；Blood glucose；Questionnaires

美国糖尿病协会（ADA）指出糖尿病前期为血糖超过正常值，但尚未达到糖尿病诊断标准，包括空腹血糖受损（IFG）和葡萄糖耐量减退（IGT）［1-2］。Yang等［3］对国内14个城镇20岁以上人群中的4万多人进行了调查，结果显示糖尿病的患病率为9.17%，糖尿病前期患病率为15.15%。……