Factors Associated With Uncertainty in Illness Among People With Parkinson's Disease
Factors Associated With Uncertainty in Illness Among People With Parkinson's Disease
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DOI：
10.1177/1054773818788492
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发表时间：
2020-09-01
影响因子：
1.7
通讯作者：
Park, Chang Gi
中科院分区：
文献类型：
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作者：
Choi, MoonKi;Lee, JuHee;Park, Chang Gi
据报道，帕金森病（PD）患者由于疾病特征逐渐进行而无法治愈，并且症状明显且不可预测，因此会经历不确定性。本研究的目的是确定疾病相关的变量影响PD患者的不确定性，并分析这些变量之间的直接和间接路径。使用结构化问卷从206名参与者中收集数据。路径分析揭示了经济状况、疾病严重程度、社会支持和韧性对PD患者不确定性的直接和/或间接影响。疾病的严重程度，社会支持，和弹性被证明有显着的不确定性的直接影响。经济状况和疾病严重程度对不确定感有间接影响，社会支持对不确定感有中介作用。疾病严重程度和社会支持也间接影响不确定性，这是由韧性介导的。因此，卫生保健专业人员的努力不仅应针对PD症状的管理，而且还应促进社会支持和恢复力。
People with Parkinson's disease (PD) reported to experience uncertainty because of gradually progressive disease characteristics with no cure, and variably manifesting and unpredictable symptoms. This study was designed to identify illness-related variables influencing uncertainty in PD patients and to analyze direct and indirect paths between these variables. Data were collected from 206 participants using a structured questionnaire. Path analysis revealed the direct and/or indirect effects of economic status, disease severity, social support, and resilience on uncertainty in people with PD. Disease severity, social support, and resilience were shown to have significant direct effects on uncertainty. Economic status and disease severity had indirect effects on uncertainty, which were mediated by social support. Disease severity and social support also had indirect effects on uncertainty, which were mediated by resilience. Therefore, the efforts of health care professionals should be directed not only toward managing PD symptoms, but also toward facilitating social support and resilience.