College of Nursing, Chonbuk National University, Jeonju, Republic of Korea.
College of Nursing, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of Korea.
Geriatr Nurs. 2020 May-Jun;41(3):254-260. doi: 10.1016/j.gerinurse.2019.10.005. Epub 2019 Nov 26.
This study aimed to identify factors influencing self-management in patients with Parkinson's disease (PD) based on social cognitive theory. A cross-sectional design was used; data were collected at three tertiary medical centers in Korea from a convenience sample of 356 PD patients. Higher self-management scores were associated with higher education level, having a religion, and higher family income. Self-management score was positively correlated with activities of daily living, self-efficacy, and social support, and negatively correlated with non-motor symptoms. Hierarchical regression analysis revealed that demographic factors and non-motor symptoms explained 26.2% of the variance in self-management in PD. The explanatory power increased by 7.5% when self-efficacy was added, and by 6.7% when social support was added. Assessment of self-management in patients with PD should consider self-efficacy and social support, along with demographic factors and non-motor symptoms. Self-management programs that reflect these factors may be useful for improving self-management in PD patients.
本研究旨在基于社会认知理论,确定影响帕金森病(PD)患者自我管理的因素。采用横断面设计,从韩国的三家三级医疗中心便利抽取 356 名 PD 患者进行数据收集。更高的自我管理评分与更高的教育水平、有宗教信仰和更高的家庭收入相关。自我管理评分与日常生活活动、自我效能和社会支持呈正相关,与非运动症状呈负相关。层次回归分析显示,人口统计学因素和非运动症状解释了 PD 患者自我管理的 26.2%的方差。当加入自我效能感时,解释力增加了 7.5%,当加入社会支持时,解释力增加了 6.7%。对 PD 患者的自我管理评估应考虑自我效能感和社会支持,以及人口统计学因素和非运动症状。反映这些因素的自我管理计划可能有助于改善 PD 患者的自我管理。