目的：為有效提升糖尿病治療與控制成效，臺灣於1996年開始推動糖尿病共同照護網計畫，並結合健保給付，以期提升糖尿病照護的品質並擴大參與的醫療機構家數。健康識能代表社區民眾具備日常生活維護自身健康的能力，本研究係分析參加金門地區糖尿病共同照護網個案健康識能與糖尿病疾病知識分布情形與影響因素。
方法：採橫斷性研究設計，研究樣本為2020年01月至2020年12月金門縣某衛生所參加糖尿病共同照護網個案，共300人，以自填式結構型問卷進行資料收集，利用獨立樣本t檢定、ANOVA以及多變量線性迴歸進行推論性統計。
結果：研究結果發現，研究個案健康識能得分平均值為9.03±1.93分，糖尿病疾病知識得分平均值為19.67±2.58分，顯示金門地區糖尿病個案之健康識能與糖尿病疾病知識屬於中上程度；教育程度與每週運動次數為影響糖尿病個案之健康識能與糖尿病疾病知識之重要因素，相較於不識字個案，高中以上樣本之標準化係數（β）分別為0.294（95％ CI=0.586-1.878）與0.278（95％ CI=0.783-2.325），與不運動者相比，每週運動三次樣本之標準化係數（β）分別為0.220（95％ CI=0.182-1.515）與0.213（95％ CI=0.457-2.198）。
結論：建議針對教育程度較低民眾設計強化健康識能相關課程，並提倡適合不同對象的運動方案，於民眾投入運動過程以提升自身健康過程，強化民眾健康識能，以提升社區民眾健康促進與慢性病預防之能力。

Purposes: In order to effectively improve the outcomes of diabetes treatment and control, Taiwan began to promote the Diabetes Shared Care Network program in 1996 and included diabetes care in health insurance to improve the quality of care and expand the number of participating medical institutions. Health literacy reflects the ability of individuals to maintain their own health in daily life. This study analyzed the distribution of and factors influencing health literacy and knowledge about diabetes among participants of the Diabetes Shared Care Network in Kinmen.
Methods: A cross-sectional study design was adopted. The study enrolled 300 patients who were a part of the Diabetes Shared Care Network at a public health facility in Kinmen County, from January to December 2020. Data were collected by a self-administered structured questionnaire, and analyzed using t-test, ANOVA, and multivariate linear regression.
Results: The results showed that the average health literacy score of the enrolled cases was 9.03±1.93 points, and the average diabetes knowledge score was 19.67±2.58 points, which indicated that the health literacy and knowledge regarding diabetes were at an upper-to-middle level in inhabitants of Kinmen area. Education level and weekly exercise frequency were important factors influencing the health literacy and knowledge regarding diabetes in these patients. Compared with illiterate patients, the standardized coefficients (β) of samples with an education level above senior high school were 0.294 (95% CI=0.586- 1.878) and 0.278 (95% CI=0.783-2.325), respectively. Compared with those who did not exercise, the standardized coefficients (β) of samples who exercised three times a week were 0.220 (95% CI=0.182-1.515) and 0.213 (95% CI=0.457-2.198).
Conclusions: Our results suggest that courses aimed at strengthening health literacy should be designed for people with relatively low education level, and exercise programs suitable for different subjects should be advocated, so that individuals can improve their health literacy as well as health. This will improve awareness for health and prevent chronic diseases among community-dwellers.