背景：糖尿病和牙周病為全球兩大健康問題，國內外流行病學研究表示牙周病和糖尿病之間具有關聯性。如果病人同時罹患第二型糖尿病及牙周病，其血糖控制較差，且發生糖尿病衍生的併發症風險較高。目的：根據美國糖尿病學會指出牙周病為糖尿病第六併發症。加強牙周病預防行為可以提升糖尿病患整體健康。本研究採用以健康信念模式理論，調查第二型糖尿病患預防牙周病之行為相關因素，期望未來能用研究結果，加強糖尿病門診病患預防牙周病的行為，提升病患整體健康。方法：本研究為橫斷式之研究，以健康信念模式為模板設計結構式問卷調查。以非隨機方便取樣方式招募南投縣某診所之糖尿病健康促進機構第二型糖尿病患為研究對象。共招募304人。收集到的資料將以IBM SPSS Statistics 26.0之統計軟體進行統計分析。結果：本研究結果發現，過去有被牙醫師診斷罹患牙周炎或是牙周病的人，近三個月內有牙齒鬆動及有口臭的人數顯著較高 ( p < 0.05)。自覺障礙與年齡成正相關( p < 0.01)。自我效能與教育程度成正相關( p < 0.01)。行動線索與糖尿病齡成負相關( p < 0.05)與牙周病知識成正相關( p < 0.05)。自覺障礙是主要影響牙周病預防行為的重要因素( p = 0.013)。 Context: Diabetes mellitus and periodontal disease are two major health problems in the world. They show a two-way relationship between domestic and abroad research. Patients who suffer from diabetes and periodontal disease at the same time have poor glycemic control and a higher risk of diabetes-related complications.Aim: Based on the data from the American Diabetes Association, periodontal disease is the sixth complication of diabetes. Strengthening periodontal disease prevention behavior can improve patients' overall health with diabetes mellitus. This study used the health belief model to investigate the relative factors to periodontal disease prevention in patients with type 2 diabetes mellitus. We hoped the research outcomes can be applied in strengthening the periodontal disease prevention behavior and improving the health of outpatients with diabetes mellitus.Methods: This cross-sectional study conducted a structural questionnaire survey using the template of the health belief model. We enrolled 304 patients with type 2 diabetes by intentional sampling method at the Clinic in Township. The collected data were analyzed by IBM SPSS Statistics 26.0.Results: The study found that patients suffering from loose teeth and bad breath in the recent three months were significantly higher in patients who were diagnosed with periodontitis or periodontal disease by the dentist before ( p < 0.05). The perceived barriers score was positively correlated to age ( p < 0.01). The action to cue score was negatively related to diabetes age and was positively correlated to the periodontal disease knowledge score ( p < 0.05). The perceived barrier was the main factor affected by periodontal disease prevention behavior ( p = 0.013).
