患有类风湿性关节炎的患者的自我决定的动机和身体活动:一个横截面研究
I S Houge1,2, M Hoff3,4, V Videm1,5
1Department of Clinical and Molecular Medicine, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Scandinavian journal of rheumatology
|January 26, 2024
概括
自我决定的动机是关键的身体活动 (PA) 在类风湿性关节炎 (RA) 患者. 关节疼痛也会影响血压的水平,这表明了改善RA运动参与度的干预目标.
科学领域:
- 类风湿病学 类风湿病学
- 运动科学 运动科学
- 行为医学是一种行为医学.
背景情况:
- 类风湿性关节炎 (RA) 显著影响患者的生活质量,往往导致身体活动 (PA) 减少.
- 了解影响RA的因素对于开发有效的RA管理干预措施至关重要.
研究的目的:
- 在风湿性关节炎 (RA) 患者中确定与自我报告的体力活动 (PA) 相关的因素.
- 探索RA患者心理因素,症状和PA水平之间的关系.
主要方法:
- 一项涉及227名挪威中部RA的医院门诊患者的横截面研究.
- 问卷评估了症状,心理因素和PA.逻辑回归分析了与两个PA措施的关联:满足有氧PA建议和处于PA维护阶段.
- 关键变量包括相对自主指数 (RAI),运动自我效率,关节疼痛,疲劳和功能.
主要成果:
- 相对自主性指数 (RAI) 反映了自我决定的动机,这两个指标都显示出与身体活动 (PA) 有显著的积极关联.
- 关节疼痛与满足有氧PA建议有负面关联,但与PA维护阶段没有关联.
结论:
- 正如RAI所指出的,自我决定的动机是与RAI患者自我报告的PA相关的最一致的因素.
- 关节疼痛也是一个相关的因素,特别是在满足有氧PA指南时.
- 动机和疼痛管理是加强PA参与类风湿性关节炎的干预措施的潜在目标.
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