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KMID : 0806120220520020157
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대한간호학회지
2022 Volume.52 No. 2 p.157 ~ p.172
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A Prediction Model of Exercise Level in Patients with Ankylosing Spondylitis
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Kim Moon-Ja
Lee Eun-Nam
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Abstract
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Purpose: This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise level in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by health care providers would satisfy the three basic psychological needs of the patients; this would increase their autonomous motivation for exercise, resulting in exercise initiation and continuation.
Methods: This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. The questionnaires used in this study were the Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level.
Results: The fitness of the hypothetical model met the recommended level. The model effect analysis revealed that autonomy support by health care providers had a positive effect on autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and relatedness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on exercise level; however, autonomy did not significantly affect autonomous motivation and exercise level.
Conclusion: The predictive factors of exercise level in patients with ankylosing spondylitis were autonomous motivation, health care providers’ autonomy support, competence, and relatedness. Considering these factors, we recommended the development of an effective program for improving the exercise level in these patients.
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KEYWORD
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Ankylosing Spondylitis, Exercise, Motivation, Health Behavior, Structural Equation Model
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