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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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기사명 저자명 페이지 원문 목차
치매 환자의 행동심리 증상완화를 위한 가상현실 프로그램의 효과 = Effect of virtual reality program for alleviating behavioral and psychological symptoms of dementia patients 박선민, 최승이, 김정희 p. 121-133
중환자실 환자의 섬망 경험 = Delirium experience of the intensive care unit patients 정재연, 장수진, 조선미, 이선희 p. 134-143
사회자본이 농촌 거주 노인의 우울 상태에 미치는 영향 : Influence of social capital on depression of older adults living in rural area : a cross-sectional study using the 2019 korea community health survey / 2019년도 지역사회건강조사를 이용한 단면연구 정민호, 김진현 p. 144-156
강직성 척추염 환자의 운동정도 예측모형 = A prediction model of exercise level in patients with ankylosing spondylitis 김문자, 이은남 p. 157-172
한국어판 기후 건강관련 간호사 인지행동 측정도구의 타당도와 신뢰도 = Validity and reliability of the Korean version of the climate, health, and nursing tool 정다운, 김광숙, 박민경 p. 173-186
정신장애인의 동료지원가 활동 경험 : Experience of peer support work among people with mental illness in the community : a grounded theory approach / 근거이론 접근 현명선, 김현례, 남경아, 김수영 p. 187-201
지역사회 기관 간 금연사업 네트워크 모델 : Interorganizational networks for smoking prevention and cessation : a blockmodeling approach / 블록모델링을 중심으로 박은준, 김형수, 이건세, 조정희, 김진형, 정호진, 이지안 p. 202-213
폐경 후 이상지질혈증 발생양상과 위험요인 = Incidence and risk factors of dyslipidemia after menopause 정인숙, 윤혜선, 김묘성, 황윤선 p. 214-227
한국어판 부부 만족도 측정도구 및 단축형의 타당도와 신뢰도 : Validity and reliability of the Korean version of the couple satisfaction index / 성인 부부를 중심으로 김석선, 길민지, 김다은, 김선해, 허다연, 문난영 p. 228-243

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