Department of Human Development & Family Studies, Penn State University, 114-J Henderson North, University Park, PA 16802, USA.
Ann Behav Med. 2013 Apr;45(2):213-23. doi: 10.1007/s12160-012-9442-x.
Physical activity is critical for the management of knee osteoarthritis, and the spouse may play a role in encouraging or discouraging physical activity.
The purpose of this study was to examine four types of spousal influence-spouses' daily activity, autonomy support, pressure, and persuasion-on the daily physical activity of adults living with knee osteoarthritis.
A total of 141 couples reported their daily experiences for 22 days using a handheld computer and wore an accelerometer to measure moderate activity and steps.
Spouses' autonomy support for patient physical activity, as well as their own level of activity, was concurrently associated with patients' greater daily moderate activity and steps. In addition, on days when male patients perceived that spouses exerted more pressure to be active, they spent less time in moderate activity.
Couple-oriented interventions for knee osteoarthritis should target physical activity in both partners and spousal strategies for helping patients stay active.
身体活动对膝骨关节炎的治疗至关重要,而配偶在鼓励或劝阻身体活动方面可能发挥作用。
本研究旨在探讨四种类型的配偶影响——配偶的日常活动、自主支持、压力和劝说——对膝骨关节炎患者日常身体活动的影响。
共有 141 对夫妇使用手持计算机报告了他们 22 天的日常活动,并佩戴加速度计来测量中度活动和步数。
配偶对患者身体活动的自主支持,以及他们自己的活动水平,与患者日常的中度活动和步数呈正相关。此外,当男性患者感觉到配偶施加更多的活动压力时,他们的中度活动时间会减少。
针对膝骨关节炎的以夫妻为导向的干预措施应该针对夫妻双方的身体活动,以及配偶帮助患者保持活跃的策略。