背景：糖尿病盛行率逐漸上升，糖尿病控制的目標就是將血糖控制在理想範圍，研究指出健康促進生活型態有助於預防糖尿病合併症的發生。目的：探討糖尿病共照網所收案的糖尿病人的健康促進生活型態及其影響因素。方法：採橫斷性、描述性相關性研究設計，以北部某教學醫院糖尿病共照網之600 位糖尿病病人為研究對象，以人口學變項、疾病特徵及健康促進生活型態量表進行資料收集。結果：（1）52.5%為男生，平均年齡為61.66 ± 12.30 歲，55.1% 教育程度為高中職以下，66.7%為沒有工作，88%為已婚，97.5%與家人同住，60.3%有糖尿病家族史，85.8%沒有吸菸，88.8%沒有喝酒。（2）86.4%罹病期間低於10 年，73.8%的病人為口服藥物，平均體重為68.81 ± 13.69 公斤，平均身體質量指數（BMI）為26.54 ± 4.43 kg/m2，糖化血色素（HbA1c）值介於4.0-15.7 %，平均糖化血色素（HbA1c）為7.89 ± 1.68 %，只有4% 病人的HbA1c < 6 %。（3）健康促進生活型態量表總平均為3.71 ± .74 分。（4）研究結果顯示性別、體重、BMI、HbA1c、年齡、喝酒、治療方式與健康促進生活型態上有顯著相關性。（5）由逐步迴歸分析發現：體重、性別、HbA1c、年齡、教育程度可解釋健康促進生活型態7.7%總變異量，其中體重為最強的預測因子。結論：本研究建議醫院應協助糖尿病人將體重控制良好，讓病人能以樂觀、正向及自信的態度生活，進而能實行健康促進的生活行為。本研究結果可以提供臨床護理照護介入措施之參考。

Background: The prevalence of diabetes is increasing. The goal of diabetes control is keeping blood sugar in ideal range. Studies indicated that good health promotion lifestyle could prevent the complicated of diabetes. Purpose: The purposes of this study were to explore the diabetic patients' health promotion lifestyle and its related factors. Method: A cross-sectional survey method was used. Data were collected from 600 Taiwanese adults with type 2 diabetes who recruited from the outpatient Diabetes Shared Care Department of a medical center in northern Taiwan. Ethical approval was obtained from the regional research ethical committee and all participants signed the informed consent. A set of demographic, disease characteristics and health promotion lifestyle questionnaire were completed. Results: The findings were as follows: (1) 52.5% patients were male. The average age was 61.66 ± 12.30 years old. 55.1% patient education level was below senior high school. 66.7% were no jobs. 88% were married. 97.5% lived with family. 60.3% had family diabetes history. 85.8% was no smoking. 88.8% was no drinking alcohol. (2) 86.4% suffered diabetes lower than 10 years. 73.8% took oral medication. The average weight was 68.81 ± 13.69 kg. The average BMI was 26.54 ± 4.43 kg/m2. Data of HbA1c was 4.0-15.7 % which average was 7.89 ± 1.68 %. Only four percent participants’ HbA1c < 6 %. (3) The average score of health promotion lifestyle was 3.71 ± .74. (4) Gender, body weight, BMI, HbA1c, age, drinking alcohol, treatment method, and health promotion lifestyle had significant association. (5) Gender, body weight, HbA1c, age, education level may explain 7.7% total amounts of variation which body weight was the strongest predict factor. Conclusion: Health practitioners could assist patients controlling body weight well to have positive attitudes. The results of this study could be used as a reference for clinical diabetes nursing care.