Egede Leonard E, Bonadonna Ramita J
The Department of Medicine, Medical University of South Carolina, Charleston (Dr Egede)
The College of Nursing, Medical University of South Carolina, Charleston (Dr Bonadonna)
Diabetes Educ. 2003 Jan-Feb;29(1):105-15. doi: 10.1177/014572170302900115.
This study was conducted to explore the concept of fatalism in relation to diabetes self-management behavior in African Americans with type 2 diabetes.
Participants (n = 39) were recruited from a clinic sample of African Americans with type 2 diabetes. Seven focus groups were conducted; the sessions were recorded, transcribed, and analyzed to identify themes related to fatalism and diabetes self-management. The ISAS paradigm (individual, symbols, audience, situation), a social psychology theory, provided the theoretical framework for the study.
Four dimensions of fatalism were identified: the meaning of diabetes, the illness experience, the individual's coping response, and the individual's religious and spiritual beliefs. For the participants in this study, fatalism seemed to characterize the nature of the interaction between the individual with diabetes and others, the meanings they attached to such interactions, and the decision to adopt an effective or ineffective diabetes self-management behavior.
Fatalism was associated with diabetes self-management in African Americans with diabetes and was multidimensional in this population; the construct appeared to differ conceptually from the perspective of current measures.
本研究旨在探讨宿命论与非裔美国2型糖尿病患者糖尿病自我管理行为之间的关系。
从非裔美国2型糖尿病患者的临床样本中招募参与者（n = 39）。进行了7次焦点小组讨论；对讨论过程进行录音、转录和分析，以确定与宿命论和糖尿病自我管理相关的主题。社会心理学理论ISAS范式（个体、符号、受众、情境）为该研究提供了理论框架。
确定了宿命论的四个维度：糖尿病的意义、患病经历、个体的应对反应以及个体的宗教和精神信仰。对于本研究的参与者而言，宿命论似乎体现了糖尿病患者个体与他人之间互动的本质、他们赋予此类互动的意义以及采取有效或无效糖尿病自我管理行为的决定。
宿命论与非裔美国糖尿病患者的糖尿病自我管理相关，且在该人群中具有多维度性；从当前测量的角度来看，这一概念在概念上似乎有所不同。
