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DETERMINING LOCUS OF CONTROL IN HISPANIC PATIENTS WITH GLYCOSYLATED HEMOGLOBINS GREATER THAN 9%
Sellers, Kelsey Gayle
Sellers, Kelsey Gayle
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Abstract
Background: Type II Diabetes Mellitus (T2DM) affects many ages, races, and genders. Each patient has a different perception of their disease and their disease process. This perception may be due in part to their internal (self-responsibility) or external ("chance" or power) locus of control. Evidence suggests that an external LOC plays a role in an individual actively participating in T2DM self-management, leading to poorer disease outcomes. Purpose: This project aimed to determine the prevalence of external locus of control in Hispanic patients with a glycosylated hemoglobin at or above 9%. Understanding the prevalence of external locus of control in this population is the first step in individualizing diabetic education and T2DM self-management support to accommodate the patient's LOC. Methods: The Diabetic Locus of Control survey was administered to patients meeting the criteria. The LOC was screened using the Diabetic Locus of Control Scale. Descriptive statistics were used to determine the prevalence of a patient's LOC. Results: Twenty (representing 22% of patients meeting the criteria) participants were surveyed for LOC. Participants had an average age of 51.55 years and an average A1c of 10.3%. Sixty percent of participants demonstrated a strong internal LOC with a strong belief in the power of others. Conclusion: The predominant LOC was internal with a strong influence of powerful others (Type V). Research has shown Type V pattern of LOC is the most adaptive and is beneficial to persons with chronic conditions.
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2021-05-31
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University of Kansas
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Keywords
Nursing, Diabetes Regimen, Elevated Glycosylated Hemoglobin, Locus of Control, Type 2 Diabetes