Scollan-Koliopoulos Melissa, O'Connell Kathleen A, Walker Elizabeth A
Department of Graduate Nursing, University of Medicine and Dentistry of New Jersey School of Nursing, 65 Bergen Street, Newark, New Jersey 07101, USA.
Res Nurs Health. 2007 Oct;30(5):508-17. doi: 10.1002/nur.20208.
The effect of multigenerational legacies of diabetes on health beliefs and behaviors was explored. Diabetic participants (N = 123) with family histories of diabetes responded to survey questions about their own diabetes self-care behavior, illness representation (including consequences and controllability of diabetes), recollection of a family member's illness representation and complications, and perceived social consequences of diabetes. Recollections about family members' disease controllability (r = .21, p < .05) and social consequences (r = -.19, p < .05) and participants' own perceptions of controllability were significantly related. Significant associations were also found between perceptions of controllability and general and social consequences with medication adherence (beta =-.33, beta = -36, and beta = -.43, respectively, all p<.05). Findings suggest that explorations of patients' recollections of a family member's experiences with diabetes can affect their illness perceptions and behavior.
探讨了糖尿病多代遗传对健康观念和行为的影响。有糖尿病家族史的糖尿病患者（N = 123）回答了关于他们自己的糖尿病自我护理行为、疾病表征（包括糖尿病的后果和可控制性）、对家庭成员疾病表征和并发症的回忆以及糖尿病的感知社会后果的调查问题。关于家庭成员疾病可控制性（r = .21，p < .05）和社会后果（r = -.19，p < .05）的回忆与参与者自身对可控制性的认知显著相关。在可控制性认知与总体和社会后果以及药物依从性之间也发现了显著关联（β分别为-.33、-36和-.43，均p < .05）。研究结果表明，探究患者对家庭成员糖尿病经历的回忆会影响他们的疾病认知和行为。
