糖尿病前期篩檢工具的建構與測試

The Development and Testing of a 6-items Pre-diabetes Screening Tool

林采蓉(Tsai-Rung Lin)

指導教授 ： 林秋菊

高雄醫學大學/護理學院/護理學系研究所/碩士(2011年)

https://doi.org/10.6832/KMU.2011.00033

摘要

背景：糖尿病預防為一全世界囑目之健康議題。為確認糖尿病高危險群，健康專家以空腹血糖或飯後血糖測試做為篩檢方式，然此兩者方式並不便利。因此，欲發展一簡單糖病前期篩檢工具，不須任何抽血
數據。
目的：本研究目的為發展一簡單篩檢糖尿病前期的工具。
方法：本研究為一社區為主之糖尿病前期篩檢。受試者主要來自南台灣一社區、一區域醫院及一醫學中心體檢部。共召募1112位受試者填寫問卷及參與空腹血糖測試。測試糖尿病前期篩檢工具的敏感性、特異性及準確性。
結果：糖尿病前期篩檢工具所包括預測因為年齡、吸菸狀態、腰圍、收縮壓、高血壓疾病與心血管疾病史。此篩檢工具分數範圍4-14分，最佳切點為4分，準確性AUC為.0.72(95%CI:0.69, 0.76)，敏感性、特異性、陽性預測值、陰性預測值及分別為76.89%, 54.76%, 38.23%, 及86.68%。
結論：實證資料支持本研究發展之篩檢工具為一效度及可行性高篩檢工具，可廣泛使用於社區篩檢以早期確認無症狀之糖尿病前期者。

關鍵字

糖尿病前期 ； 篩檢工具 ； 敏感性 ； 特異性

並列摘要

Background: Diabetes prevention is a global health issues. To identify people at high risk of developing the diabetes, the healthcare professionals have to measure fasting glucose or two-hour oral glucose tolerance test (OGTT) that is inconvenient, and costly. Thus, we attempt to develop a simple prediabetes screening tool (PST) without the laboratory data.

Purpose: The purpose of this study is to develop and test a simple screening tool to identify people with pre-diabetes.
Methods: We conducted a consecutive community-based prediabetes survey. The subjects recruited from the community and department of physical examination of one medical center and one metropolitan hospital in southern Taiwan. The subjects (N=1112) completed the questionnaire and underwent a fasting glucose test after their regular physical examination. The area under the receiver operating characteristic curve (AUC) was used in this study to examine the sensitivity and specificity of PST .
Results: Risk factors comprised in the PST include age, smoking status, waist circumference, systolic blood pressure, hypertension, and history of cardiovascular disease. Scores for the screening tool ranged between 4 and 14 points. The area under the AUC was 0.72 (95%CI:0.69, 0.76) for the cutoff point of 4, the sensitivity , specificity, positive predictive value, and negative predictive value of the screening tool was 76.89%, 54.76%, 38.23%, and 86.68%, respectively.

Conclusions: Empirical data supports the PST is a valid and feasible screening tool that could be widely used to early identify prediabetes people who may be asymptomatic in the community.

並列關鍵字

prediabetes ； screening tool ； sensitivity ； specificity

參考文獻

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