Department of Family Medicine, Royal College of Surgeons in Ireland - Medical University of Bahrain, PO Box 15503, Adliya, Kingdom of Bahrain.
BMC Public Health. 2009 Dec 10;9:455. doi: 10.1186/1471-2458-9-455.
Patients with type 2 diabetes can have an important role in discussing health risk within families. This study aimed to establish the acceptability to first degree relatives towards their relative with type 2 diabetes intervening as health promoters in their own families, using the Health Belief Model as a theoretical framework for evaluation.
Cross-sectional questionnaire design. Survey questionnaire for first degree relative (sibling or child) mailed to a random sample of patients with type 2 diabetes registered with an urban hospital diabetes clinic (n = 607 eligible patients). Patients were asked to pass on questionnaires to one to two first degree relatives.
Questionnaires were returned from 257 families (42% response rate) with two responses provided by 107 families (a total of 364 questionnaires). The majority (94%) of first degree relatives of patients with type 2 diabetes would like to be informed about reducing their risk. Half (48%) of respondents reported being spoken to by a relative with type 2 diabetes about their risk of diabetes. Those spoken to were more likely to see themselves at risk of diabetes, to worry about developing diabetes and to view diabetes as a serious condition.
A role for patients with type 2 diabetes in discussing health risk in their family appears to be acceptable to many relatives. Discussion of risk and interventions to reduce health risk with their relatives should be encouraged in patients with type 2 diabetes.
2 型糖尿病患者可以在家庭中重要地讨论健康风险。本研究旨在以健康信念模型为理论框架进行评估，确定一级亲属对 2 型糖尿病患者在自己家庭中作为健康促进者进行干预的可接受性。
采用横断面问卷调查设计。向城市医院糖尿病诊所登记的 2 型糖尿病患者（n=607 名符合条件的患者）的随机样本邮寄了一份针对一级亲属（兄弟姐妹或子女）的调查问卷。患者被要求将问卷传递给一到两名一级亲属。
共收到 257 个家庭（42%的回复率）的问卷，其中 107 个家庭（共 364 份问卷）提供了两份回复。大多数（94%）2 型糖尿病患者的一级亲属希望被告知如何降低风险。一半（48%）的受访者表示，有 2 型糖尿病患者与他们谈论过患糖尿病的风险。那些被谈话的人更有可能认为自己有患糖尿病的风险，更担心患上糖尿病，并认为糖尿病是一种严重的疾病。
许多亲属似乎可以接受 2 型糖尿病患者在家庭中讨论健康风险的角色。应鼓励 2 型糖尿病患者与其亲属讨论风险并采取措施降低健康风险。
