강직성 척추염 환자의 운동정도 예측모형.

Purpose: This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by heal...

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Publicado en:Journal of Korean Academy of Nursing Vol. 52; no. 2; pp. 157 - 173
Autores principales: 김문자, 이은남
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
      vid: 52
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      pub: Korean Society of Nursing Science
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        10.4040/jkan.21238
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      tig:
        atl: 강직성 척추염 환자의 운동정도 예측모형.
      aug:
        au:
          김문자
          이은남
        affil: 동의과학대학교 간호학과
      sug:
        subj:
          Spondylitis, Ankylosing
          Exercise
          Human
          Cross Sectional Studies
          Questionnaires
          Chi Square Test
          Motivation
          Professional Competence
          Professional Autonomy
      ab: Purpose: This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels 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 patients, which would increase their autonomous motivation for exercise, resulting in its initiation and continuation. Methods: This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level were used to collect data. Results: The fitness of the hypothetical model met the recommended level (χ²/df ≤ 3, SRMR ≤ .08, RMSEA ≤ .08, GFI ≥ .90, AGFI ≥ .85, NFI ≥ .90, TLI ≥ .90, CFI > .90). The model effect analysis revealed that autonomy support by health care providers had a positive effect on patients' autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and related- ness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on 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 recommend the development of an effective program for improving exercise levels in these patients.
      pubtype: Academic Journal
      doctype:
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        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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