Francis Paul T
Department of Community Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Indian J Community Med. 2019 Oct;44(Suppl 1):S7-S9. doi: 10.4103/ijcm.IJCM_17_19.
The incidence and prevalence of diabetes mellitus type II (DM type II) has been increasing relentlessly over the past few decades despite amassing a great body of evidence regarding its causation and prevention.
To determine the practices of DM type II patients to prevent the disease in their children.
This is a mixed-methods study at a tertiary care teaching hospital. DM type II patients attending the department of endocrinology and its urban health center were the study participants. Data were collected using an investigator-administered questionnaire and in-depth interviews. A total of 137 patients were included in the quantitative part, and 16 in-depth interviews were conducted. Quantitative data were analyzed by SPSS software, and qualitative data were analyzed manually.
Nearly 62% of the patients had a family history of DM type II, 62% of the patients were aware of the genetic risk of the disease, and 26% of the patients had tried some form of preventive measure. Most of them advised their children to be careful about diet and exercise, but did not implement any specific or sustained behavioral change. The main reason was that the patients were not aware of the importance of the hereditary nature of the disease. Other reasons were children were grown up, were living separately, or did not appreciate the seriousness of the risk.
There is a need to educate the patients about the hereditary risk of developing DM type II to empower them to implement preventive practices in their households.
在过去几十年里，尽管积累了大量关于2型糖尿病（DM II型）病因及预防的证据，但该病的发病率和患病率仍在持续上升。
确定DM II型患者预防其子女患该病的做法。
这是一项在三级护理教学医院开展的混合方法研究。内分泌科及其城市健康中心的DM II型患者为研究对象。通过研究者发放问卷和深入访谈收集数据。定量研究部分共纳入137名患者，并进行了16次深入访谈。定量数据采用SPSS软件进行分析，定性数据采用人工分析。
近62%的患者有DM II型家族史，62%的患者知晓该病的遗传风险，26%的患者尝试过某种形式的预防措施。他们大多建议子女注意饮食和运动，但未实施任何具体或持续的行为改变。主要原因是患者未意识到该病遗传特性的重要性。其他原因包括子女已成年、分开居住或未认识到风险的严重性。
有必要对患者进行关于患DM II型遗传风险的教育，使他们有能力在家庭中实施预防措施。
