Abstract: Background　Studies at home and abroad have shown that effective intervention can reduce the risk of type 2 diabetes in pre-diabetics.Therefore，timely detection of pre-diabetes population and giving them effective management and intervention are the key to reducing the prevalence of diabetes.Objective　To systematically review and synthesize qualitative research on factors affecting the attitudes toward prediabetes and lifestyle of patients with prediabetes，providing evidence for hospitals，communities and families to offer continuing care for this population.Methods　Qualitative studies in English about factors associated with pre-diabetics' attitudes toward prediabetes and lifestyle were searched in databases of PubMed，EMBase，Cochrane Library and Scopus，and those in Chinese were searched in databases of CNKI，Wanfang Data and VIP，from inception to June 2020.Literature screening and data extraction were performed by two researchers independently.Quality assessment was conducted using the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses.Meta-synthesis was carried out to synthesize the results.Results　A total of 8 studies with B level were included.34 themes derived from repeated review were grouped according to their similarities to form 9 categories，which were then synthesized into two findings:（1） The attitudes to prediabetes in pre-diabetics were between two extremes:caring about the disease too much and too little.（2） Prediabetes patients encountered various facilitators or obstacles to healthy life promotion in the process of changing lifestyles.Conclusion　To enhance the attention to prediabetes and actively promote lifestyle changes in pre-diabetics，related departments and professionals should strengthen the public education of prediabetes，and encourage people at high risk of diabetes to screen diabetes.Moreover，medical workers should develop good physician-patient relationships，improve their knowledge about diabetes，and guide pre-diabetics to develop a healthy lifestyle，as well as provide them with targeted diabetes education and healthy life programs.

Key words: Prediabetic state, Attitude to health, Life style, Root cause analysis, Qualitative research, Systematic review

摘要： 背景　国内外研究表明，对糖尿病前期患者进行有效干预，能够降低其发展为2型糖尿病的风险。因此，及时发现糖尿病前期人群并进行有效的管理和干预是降低糖尿病患病率的重点。目的　系统评价和整合糖尿病前期患者疾病态度和生活方式转变影响因素的质性研究，为医院、社区、家庭的延续性护理提供依据。方法　检索PubMed、EMBase、Cochrane Library、Scopus英文数据库和中国知网、万方数据知识服务平台、维普网中文数据库，纳入有关糖尿病前期患者疾病态度和生活方式转变的质性研究的中英文文献。检索时间为建库至2020年6月。由两名研究者独立进行文献检索、筛选和数据提取。文献质量评价采用澳大利亚JBI循证中心质性研究质量评价标准。采用Meta整合方法对结果进行整合。结果　共纳入8篇文献，质量等级均为B级。通过对文献反复阅读，提炼出34个明确结果，对结果进行归纳整理出9个类别，综合出2个整合结果。整合结果1：糖尿病前期患者对疾病的态度出现两个极端，表现出过度紧张或不以为然；整合结果2：糖尿病前期患者在转变生活方式的过程中，会遇到各种阻碍或促进患者进行健康的生活方式的因素。结论　宣传糖尿病前期的相关知识、鼓励糖尿病高风险患者进行筛查、建立良好的医患关系、提高基层医疗人员的疾病知识、提倡健康的生活方式、为患者制定有针对性的健康教育内容和健康生活方案，可加强糖尿病前期患者对疾病的重视程度，并促使患者积极进行生活方式转变。

关键词: 糖尿病前期, 健康态度, 生活方式, 影响因素分析, 质性研究, 系统综述