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A Prediction Model of Exercise Level in Patients with Ankylosing Spondylitis
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Moon Ja Kim, Eun Nam Lee
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J Korean Acad Nurs 2022;52(2):157-172. Published online April 30, 2022
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DOI: https://doi.org/10.4040/jkan.21238
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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 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 relatedness 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.
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Citations
Citations to this article as recorded by  - A Structural Equation Model for Low Back Pain Management Behavior in Patients With Spinal Disease
Raewan Kim, Aekyung Kim
Pain Management Nursing.2025; 26(1): e107. CrossRef - Exercise and adults with hemophilia: a systematic review and meta-analysis
Doo Young Kim, Mi Yang Jeon, Young Eun, Da In Jeong
Journal of Korean Biological Nursing Science.2024; 26(1): 1. CrossRef
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A Meta-Analysis on the Effects of Mind-Body Therapy on Patients with Irritable Bowel Syndrome
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Eun Hui Choi, Moon Ja Kim, Eun Nam Lee
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J Korean Acad Nurs 2020;50(3):385-400. Published online June 30, 2020
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DOI: https://doi.org/10.4040/jkan.19224
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Abstract
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- Purpose
Previous randomized controlled trials (RCT) found that mind-body therapy can improve the health outcomes of patients with irritablebowel syndrome (IBS). The purpose of this meta-analysis was to identify the combined effects of mind-body therapy on patients’ IBSsymptoms, quality of life, anxiety, and depression.
Methods
A systematic literature search was conducted using various databases such asPubMed, EMBASE, CINAHL CENTRAL, DBpia, RISS, and KISS. The primary outcome variables were IBS symptoms and quality of life; the secondaryoutcome variables were anxiety and depression. Comprehensive Meta-Analysis version 3.0 was used to analyze the extracted data.The effect size was calculated using standardized mean difference (SMD) and 95% confidence interval (CI).
Results
Eleven final RCTs wereused for this meta-analysis. Mind-body therapy was found to have a significant effect on the IBS patients’ symptoms (SMD, -0.63; 95% CI,-0.77 to -0.48), quality of life (SMD, 1.03; 95% CI, 0.40 to 1.66), anxiety (SMD, -0.28; 95% CI, -0.47 to -0.09), and depression (SMD,-0.31; 95% CI, -0.06 to -0.12).
Conclusion
This meta-analysis reveals that mind-body therapy significantly improves IBS patients’ symptoms,quality of life, anxiety, and depression. The results suggest that, in the future, appropriate mind-body therapy should be applied toKoreans suffering from IBS. Moreover, the therapy’s long-term effects should be assessed.
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Citations
Citations to this article as recorded by - Effects of walking exercise on cognitive and physical functions: meta-analysis of older adults
Mi Jin Lee, Hee Ju Ro, Jung Kee Choi, So Yeon Kim
Forest Science and Technology.2024; 20(2): 201. CrossRef - Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis
Sojeong Jo, Haejung Lee, Gaeun Park
Journal of Korean Academy of Nursing.2024; 54(3): 311. CrossRef - The Effect of Laughter Therapy on Physical and Mental Health: Systematic Review
Elif ÜNER, Ayşe SEZER BALCI, Hasibe KADIOĞLU
Halk Sağlığı Hemşireliği Dergisi.2022; 4(3): 251. CrossRef - RESEARCH ARTICLE: Heart Rate Variability Biofeedback: Managing Disorders of Gut-Brain Interaction by Improving Autonomic Homeostasis
Richard Gevirtz
Biofeedback.2022; 50(4): 100. CrossRef - Effects of Korean forest healing programs on stress in adults: a systematic review and meta-analysis
So-Yeon Kim, Jungkee Choi
Forest Science and Technology.2021; 17(4): 206. CrossRef
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