Study on the Mediating Effect of Disease Acceptance between Community Self-efficacy and Social Isolation in Elderly with Parkinson's Disease
Yuanrong Wu, Guo Yin, Manxuan Shen, Jiaru Chen, Yu-Wen Fang, Shu-Mei Chao
Abstract
Purpose: To investigate the status quo of disease acceptance, community self-efficacy, and social isolation in elderly patients with Parkinson's disease, to explore the influencing factors and the correlation among them, and to explore the mediation between disease acceptance and community self-efficacy and social isolation effect.
Methods: A convenient selection of elderly patients with Parkinson's disease in outpatient clinics of two tertiary hospitals in Guangdong Province was carried out using the general information questionnaire, Lubben social network scale, community self-efficacy scale, and disease acceptance scale. A total of 157 questionnaires were distributed, including 142 valid questionnaires.
Result: The average community self-efficacy score of 142 elderly Parkinson’s patients was (11.03±6.21), the average social network score was (13.29±5.4), and the average disease acceptance score was (23.56±6.871); the community self-efficacy of elderly Parkinson’s patients, social isolation, and disease acceptance (P<0.01); community self-efficacy was negatively correlated with social isolation (r=0.621, P<0.01), and community self-efficacy was positively correlated with disease acceptance ( r=0.471, P<0.01), disease acceptance was negatively correlated with social isolation (r=0.387, P<0.01). After adjusting covariates, disease acceptance had a partial mediating effect between community self-efficacy and social isolation, with a direct effect size of 83.9% and a mediating effect size of 16.1%.
Conclusion: Community disease acceptance, self-efficacy, and social isolation in elderly PD patients are correlated, and disease acceptance has a partial mediating effect between community self-efficacy and social isolation in elderly Parkinson's patients. Elderly PD patients should be actively encouraged to actively integrate into society, reduce the incidence of social isolation, improve community self-efficacy, and achieve the purpose of helping elderly PD patients control symptoms, delay disease progression, and improve their quality of life.
Full Text: PDF DOI: 10.15640/ijhs.v12n1a1
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