类风湿关节炎患者运动自我效能在社会支持与运动恐惧间的中介效应分析  

Mediating effect of self-efficacy for exercise on social support and kinesiophobia in patients with rheumatoid arthritis

作　　者：孙学菁 王丽芹[2] 高兆虹 邸之悦[2] SUN Xuejing;WANG Liqin;GAO Zhaohong;DI Zhiyue(Graduate School,Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150040,China)

机构地区：[1]黑龙江中医药大学研究生院,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《预防医学》2024年第5期378-382,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：黑龙江中医药大学优秀创新人才支持计划资助项目(2018RCD02);黑龙江省中医药管理局中医药科研课题项目(ZHY2022-121);黑龙江中医药大学研究生创新科研项目(2023yjscx029)。

摘　　要：目的分析类风湿关节炎(RA)患者运动自我效能在社会支持与运动恐惧间的中介效应,为消除患者运动恐惧,制定运动干预方案提供参考。方法选择2023年6—12月哈尔滨市某三级甲等医院住院治疗的RA患者为研究对象,采用恐动症评估简表中文版、运动自我效能量表和社会支持评定量表分别调查运动恐惧、运动自我效能和社会支持水平;构建结构方程模型分析运动自我效能在社会支持与运动恐惧间的中介效应。结果调查RA患者216例,年龄M(Q_(R))为54.00(13.75)岁。其中男性45例,占20.83%;女性171例,占79.17%。居住在城镇159例,占73.61%。病程1~<6年102例,占47.22%。运动恐惧、运动自我效能、社会支持得分M(Q_(R))分别为31.00(5.00)、5.00(2.00)和39.50(17.00)分。中介效应分析结果显示,社会支持不仅对运动恐惧有直接的负向效应(直接效应为-0.358,P<0.05),还通过运动自我效能对运动恐惧产生间接的负向效应(间接效应为-0.887,P<0.05),中介效应占总效应的93.86%。结论社会支持可直接影响或通过运动自我效能间接影响RA患者的运动恐惧。Objective To explore the mediating effect of self-efficacy for exercise on social support and kinesiophobia in patients with rheumatoid arthritis(RA),so as to provide insights into alleviating fear for exercise and formulating ex⁃ercise intervention programs.Methods RA patients hospitalized in a tertiary hospital in Harbin City from June to De⁃cember 2023 were selected,and the levels of kinesiophobia,self-efficacy for exercise and social support were investigat⁃ed using the Tampa Scale of Kinesiophobia(Chinese version),the Self-Efficacy for Exercise and the Social Support Rat⁃ing Scale,respectively.The mediating effect of self-efficacy for exercise on social support and kinesiophobia was exam⁃ined using a structural equation model.Results A total of 216 people were investigated,including 45 males(20.83%)and 171 females(79.17%),with the median age of 54.00(interquartile range,13.75)years.There were 159 of patients living in the urban areas,accounting for 73.61%.There were 102 of patients with a disease course of 1 to 5 years,ac⁃counting for 47.22%.The median scores of kinesiophobia,self-efficacy for exercise and social support were 31.00(inter⁃quartile range,5.00),5.00(interquartile range,2.00)and 39.50(interquartile range,17.00),respectively.Social support had a direct negative effect on kinesiophobia(effect value=-0.358,P<0.05)and a indirect negative effect on kinesiopho⁃bia through self-efficacy for exercise(effect value=-0.887,P<0.05),and the mediating effect contributed 93.86%to the total effect.Conclusion Social support can directly or indirectly influence kinesiophobia through self-efficacy for exer⁃cise among patients with RA.

关 键 词：类风湿关节炎 运动恐惧 社会支持 运动自我效能 

分 类 号：R593.22[医药卫生—内科学]