Cheng Yi-Jun, Yang Ni, Wang Li-Fei, Sheng Xiao-Wen
Department of Endocrinology, Ningbo No.2 Hospital, Ningbo, Zhejiang, China.
Faculty of Health, Zhejiang Zhoushan Tourism and Health College, Zhoushan, 316111, Zhejiang, China.
J Relig Health. 2025 Aug;64(4):2465-2494. doi: 10.1007/s10943-025-02367-7. Epub 2025 Jul 28.
This systematic review synthesizes evidence regarding the relationship between fatalism and diabetes self-management outcomes in individuals with type 2 diabetes mellitus (T2DM). A systematic search, adhering to PRISMA guidelines, was conducted using PubMed, Google Scholar, EBSCO, and ProQuest databases. Ten studies met the inclusion criteria. A consensus emerged regarding a negative association between fatalism and glycemic control; however, the relationships with diet, foot care, medication adherence, and blood glucose monitoring were inconclusive. This review highlights the significant association between fatalism and glycemic control, as well as the role of religiosity/spirituality in shaping fatalistic beliefs. These findings underscore the importance of considering this relationship in personalized T2DM treatment plans. Future research should standardize fatalism measures, employ interventional designs, comprehensively assess diabetes self-management outcomes, and include diverse populations to develop culturally responsive care strategies that potentially leverage religiosity as an adaptive coping resource rather than a barrier to self-management.
本系统评价综合了有关2型糖尿病（T2DM）患者宿命论与糖尿病自我管理结果之间关系的证据。按照PRISMA指南，使用PubMed、谷歌学术、EBSCO和ProQuest数据库进行了系统检索。十项研究符合纳入标准。关于宿命论与血糖控制之间的负相关已达成共识；然而，与饮食、足部护理、药物依从性和血糖监测之间的关系尚无定论。本评价强调了宿命论与血糖控制之间的显著关联，以及宗教信仰/精神性在塑造宿命论信念中的作用。这些发现强调了在个性化T2DM治疗计划中考虑这种关系的重要性。未来的研究应规范宿命论测量方法，采用干预性设计，全面评估糖尿病自我管理结果，并纳入不同人群，以制定可能利用宗教信仰作为适应性应对资源而非自我管理障碍的具有文化适应性的护理策略。
