Correlation Analysis Of Fall Efficacy,Coping Style And Family Care In Patients With Parkinson’s Disease

Objective:To understand the current situation of fall efficacy,coping style and family care in Parkinson’s disease patients;to clarify the influence of demographic factors on fall efficacy,coping style and family care in Parkinson’s disease patients;to explore the correlation between fall efficacy,coping style and family care,to clarify the mediating role of coping style between fall efficacy and family care,and to provide a reference for reducing the risk of fall in Parkinson’s disease patients and enhancing This study will provide reference for interventions to reduce the risk of falls and improve the level of fall efficacy in Parkinson’s disease patients.Methods:This study is a cross-sectional survey study,and 224 patients with Parkinson’s disease who met the inclusion criteria in the neurology department of a tertiary care hospital in Nanning between January 2022 and September 2022 were selected using a simple random sampling method and in strict accordance with the inclusion and exclusion criteria.Questionnaires were conducted using the General Information Questionnaire for Parkinson’s Disease Patients,the Revised Falls Efficacy Scale,the Family Care Index Questionnaire,the Simple Coping Style Scale,the H-Y Rating Scale,and the Johns Hopkins Fall Risk Rating Scale,and data analysis was performed using SPSS23.0 statistical software.Data analysis methods included:（1）Count data were expressed as frequency（N）,composition ratio（%）and rate（%）,and measurement data were expressed as mean±standard deviation（（?）±S）or median（M）and quartiles(P₂₅,P₇₅)for descriptive statistics.（2）One-way analysis of variance using two independent samples t-test,ANOVA,Mann-Whitney U-test,Kruskal-Walis H-test and multi-way analysis of variance using multiple linear regression analysis.（3）Pearson correlation analysis was used for correlation analysis.（4）The spss23.0 program process v3.5 was used to construct a mediated effects model of family caring,coping style and fall efficacy and to analyse the pathways between the three.Results:（1）Patients with Parkinson’s disease had a total fall efficacy score of（66.97±19.72）,with a total score of（47.44±12.35）for the indoor dimension and（19.53±8.11）for the outdoor dimension.Multiple linear regression analysis of patients’fall efficacy showed that H-Y classification,motor classification,fall risk,occupational status,and comorbid chronic diseases entered the regression equation and explained 40.6%of the total variance in fall efficacy（F=23.557,P<0.001）.（2）Patients with Parkinson’s disease had a positive coping dimension score of（20.39±5.67）with a mean entry score of（1.70±0.47）and a mean negative coping dimension score of（14.81±3.89）with a mean entry score of（1.85±0.49）.The negative dimension scores were higher than the domestic norm and the positive dimension was lower than the domestic norm.The results of the multiple linear regression analysis of coping styles showed that HY classification,sports classification,monthly per capita household income,and residence mode entered the regression equation of the positive coping style dimension,explaining 26.6%of the variance in the equation（F=19.498,P<0.001）;H-Y classification,education level,sports classification,gender,and duration of illness eventually entered the regression model of the negative coping style dimension,explaining 27.7%of the total variance（F=16.723,P<0.001）.（3）The total score for family care in Parkinson’s disease was（6.14±1.58）,with 87 cases（38.8%）having good family functioning,122 cases（54.5%）having moderate family functioning and 15 cases（6.70%）having severe family functioning.The results showed that motor classification,use of mobility aids,mode of residence,literacy,and duration of illness eventually entered the linear regression model and together explained 22.6%of the total variance（F=20.884,P<0.001）.（4）Correlation analysis showed that fall efficacy in Parkinson’s disease was positively correlated with the total score and dimensions of family care（r=0.254～0.602,P<0.01）;positive coping style was positively correlated with the total score and dimensions of fall efficacy（r=0.637～0.698,P<0.01）and with the total score and dimensions of family care（r=0.190～0.471,P<0.01）;negative coping style was negatively correlated with the total score and dimensions of fall efficacy（r=-0.622～-0.675,P<0.01）and with the total score and dimensions of family care（r=-0.163～-0.408,P<0.05）.（5）Mediating effect analysis:coping style partially mediated the effect between family care and falls efficacy,with the mediating effect of positive coping style between family care and falls efficacy being 0.251（95%CI:0.178,0.331）accounting for 41.72%of the total effect;the mediating effect of negative coping style between family care and falls efficacy was 0.221（95%CI:0.149,0.279）accounted for 34.99%of the total effect.Conclusions:（1）The fall efficacy of Parkinson’s disease patients in this study was moderately low,with the outdoor dimension being more severe than the indoor dimension;in addition,the family care of Parkinson’s disease patients was not optimistic,and the coping style,although dominated by active coping,was still lower than the norm.Fall efficacy is influenced by occupational status,fall risk,comorbidity,H-Y classification,and motor classification.It is recommended that clinical staff enhance early assessment and intervention for Parkinson’s patients who are not in employment,have severe motor impairment,comorbid chronic conditions and are at high risk of falling,and encourage patients to actively participate in treatment and daily activities to slow down disease progression and further enhance fall efficacy.（2）The relationship between fall efficacy,coping style and family care in Parkinson’s disease is strong,with negative coping style negatively predicting fall efficacy and positive coping style and family care positively predicting fall efficacy.Positive and negative coping styles partially mediated the relationship between fall efficacy and family care in Parkinson’s disease patients.（3）It is recommended that medical staff should provide targeted interventions in terms of patients’coping styles and family care,such as providing adequate socio-family support to help patients reduce their negative feelings about illness and falls,maintain their original hobbies and mindset,and help patients choose positive coping styles and maintain good family functioning,so as to improve patients’negative psychological fear of falling,enhance their self-confidence in falling,reduce their risk of falling,and further prevent falls from occurring.