The relationship between fatalism, diabetes self-management, and metabolic parameters in individuals with type 2 diabetes in Türkiye.

IF 2.1 3区医学 Q1 ETHNIC STUDIES

Ethnicity & Health Pub Date : 2026-10-01 Epub Date: 2026-09-15 DOI:10.1080/13557858.2026.2731476

Nuriye Efe Ertürk, Neşe Bülbül

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引用次数: 0

Abstract

Objective: The purpose of the study was to determine the relationship between fatalism, diabetes self-management, and diabetes-related metabolic parameters in Turkish society.

Method: This study is cross-sectional and correlational. The study was conducted with 244 adults with T2DM who presented to the endocrinology outpatient clinic at a public hospital between October 2024 and October 2025. Data were collected using a Participant Information Form, the Diabetes Fatalism Scale (DFS), and the Diabetes Self-Management Questionnaire (DSMQ).

Results: The mean score of the DFS was 34.93 ± 4.65; the DSMQ was 5.80 ± 1.30. HbA1c showed a strong positive correlation with DFS (r = .70, p < .001, 95% CI [.63, .76]). DFS demonstrated a negative correlation with DSMQ total scores (r = -.25, p = .004, 95% CI [-.37, -.13]). Triglyceride levels were positively correlated with HbA1c (r = .17, p < .01), and negatively correlated with HDL (r = -.26, p < .001). Only 11.5% of participants had LDL levels below 55 mg/dL.

Conclusion: The higher levels of fatalism are associated with lower self-management. There are significant relationships between fatalism, diabetes self-management, and metabolic parameters. To effectively manage diabetes in Turkish society, healthcare professionals must question beliefs such as fatalism.

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日本2型糖尿病患者宿命论、糖尿病自我管理和代谢参数的关系

目的：本研究的目的是确定土耳其社会宿命论、糖尿病自我管理和糖尿病相关代谢参数之间的关系。方法：本研究采用横断面、相关性研究。该研究在2024年10月至2025年10月期间在一家公立医院内分泌科门诊就诊的244名成年2型糖尿病患者中进行。使用参与者信息表、糖尿病宿命论量表（DFS）和糖尿病自我管理问卷（DSMQ）收集数据。结果：DFS平均评分为34.93±4.65；DSMQ为5.80±1.30。HbA1c与DFS呈显著正相关(r =。70、p p =。004, 95% ci[-.37, -.13])。甘油三酯水平与HbA1c呈正相关(r =。结论：宿命论水平越高，自我管理能力越低。宿命论、糖尿病自我管理和代谢参数之间存在显著关系。为了有效地管理糖尿病在土耳其社会，医疗保健专业人员必须质疑信仰，如宿命论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ethnicity & Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Ethnicity & Health is an international academic journal designed to meet the world-wide interest in the health of ethnic groups. It embraces original papers from the full range of disciplines concerned with investigating the relationship between ’ethnicity’ and ’health’ (including medicine and nursing, public health, epidemiology, social sciences, population sciences, and statistics). The journal also covers issues of culture, religion, gender, class, migration, lifestyle and racism, in so far as they relate to health and its anthropological and social aspects.