Autonomous University of Baja California, Mexicali, México.
College of México, City of México, México.
Medicine (Baltimore). 2023 Aug 4;102(31):e34594. doi: 10.1097/MD.0000000000034594.
The aim of this study is to examine the relationship between fatalistic beliefs, self-care, and glycemic control among Mexican men with type 2 diabetes mellitus. This is a cross-sectional study in men diagnosed with type 2 diabetes mellitus from 18 to 59 years of age from the Northeast of Mexico. Fatalistic beliefs, self-care, medication adherence, and HbA1C were evaluated. Patients were divided into glycemic control (<7% HbA1c) and without glycemic control (>7% HbA1c). Tests were performed to compare 2 independent groups, Student's t and U Mann Whitney. Correlation tests and multiple linear regression models were also performed. For statistical analysis, the SPSS v27 program was used. Forty-nine percent of the men had glycemic control (<7% HbA1c). Fatalistic beliefs were negatively correlated with self-care and medication adherence, but not with HbA1c. In multiple linear regression models, fatalistic beliefs were a negative predictor of self-care and medication adherence. In the model for HbA1c, the pessimism subdimension and self-care were the predictors. Fatalistic beliefs negatively affect self-care compliance and medication adherence, while the pessimism subdimension was related to the increase in HbA1c.
本研究旨在探讨墨西哥 2 型糖尿病男性患者宿命信念、自我护理与血糖控制之间的关系。这是一项横断面研究，纳入了来自墨西哥东北部、年龄在 18 至 59 岁之间的 2 型糖尿病男性患者。评估了宿命信念、自我护理、药物依从性和 HbA1C。患者被分为血糖控制组（<7%HbA1c）和血糖未控制组（>7%HbA1c）。采用学生 t 检验和 U 曼-惠特尼检验比较两组之间的差异。还进行了相关性检验和多元线性回归模型分析。采用 SPSS v27 程序进行统计分析。49%的男性患者血糖得到控制（<7%HbA1c）。宿命信念与自我护理和药物依从性呈负相关，但与 HbA1c 无关。在多元线性回归模型中，宿命信念是自我护理和药物依从性的负向预测因子。在 HbA1c 模型中，悲观维度和自我护理是预测因子。宿命信念会对自我护理依从性和药物依从性产生负面影响，而悲观维度与 HbA1c 的升高有关。
