Association of Fatalism and Diabetes-Related Stigma With Self-Care in Individuals With Type 2 Diabetes: A Cross-Sectional Study.
Derya Şimşekli, Candan Doğan, Mehtap Tan
PMID 42447294WHAT IT FOUND
Higher fatalism and stigma scores were linked to lower diabetes self-care in 150 adults.
Fatalism had the stronger association. Screening for these beliefs during nurse-led education may help identify patients at risk of poor self-management.
Key findings
01Multiple regression showed that higher fatalism and higher stigma scores were both associated with lower self-care scores, with fatalism having a stronger negative effect.
02Self-care scores were significantly lower in patients with poor economic status, lower education levels, and those using only oral antidiabetic drugs compared to those on insulin.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The cross-sectional design prevents establishing causality; it is unclear if fatalism causes poor self-care or if poor self-care leads to fatalistic beliefs. The study was conducted in a single training and research hospital in Turkey, limiting generalisability to other cultural or healthcare settings. Data relied on self-report, which may be subject to social desirability bias. The regression model explained only 15.7% of the variance in self-care, indicating that other factors not measured in this study are likely more influential.
Declared interests
The authors declare no conflicts of interest. No specific funding source is mentioned in the provided text.
The easy way to misread this
Do not assume that addressing fatalism will directly improve self-care outcomes. This study shows an association, not a cause-and-effect relationship, and the statistical model accounted for only a small portion of the variation in patient behaviour.