感知到的社会支持对慢性下背痛患者的运动依从性有影响。
Perceived social support impacts on exercise adherence in patients with chronic low back pain.
机构信息
Sydney Musculoskeletal Health, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Concord Repatriation General Hospital, Sydney, Australia.
出版信息
J Back Musculoskelet Rehabil. 2024;37(6):1467-1477. doi: 10.3233/BMR-230239.
BACKGROUND
Initiating and maintaining physical activity is particularly difficult for at-risk groups such as those with chronic low back pain (LBP).
OBJECTIVE
This study aimed to assess whether there is a relationship between perceived social support (e.g., emotional and physical support) in individuals recently discharged from treatment for chronic LBP and the number of exercise sessions and total amount of exercise they perform over a 6-month period. This study also aimed to investigate a possible mediation effect of exercise self-efficacy on the relationship between perceived social support and exercise adherence (number of exercise sessions and total amount of exercise).
METHODS
This prognostic study employed a secondary analysis of data collected for The Buddy Study; Data was collected through online weekly diaries over a 6-month period. Poisson regression analyses were used to quantify the relationship between social support at baseline and total number of exercise sessions, and total amount of exercise performed (frequency and duration) in the 6-month follow-up period. Where a relationship was observed, the Stata SEM command was used for the mediation analysis.
RESULTS
A positive relationship was found between participants' perceived levels of social support at baseline and the total number of exercise sessions they performed (IRR = 1.56, 95%CI: 1.18 to 2.06) and the total amount of exercise they performed (IRR = 1.57, 95%CI: 1.05 to 2.35) during the 6-month follow-up period. No mediating relationship was found between exercise self-efficacy at 3-months and the total number of exercise sessions performed (β 3.96, 95% CI: -4.91 to 12.84), or the total amount of exercise performed (β 243.96, 95% CI: -258.08 to 746.01).
CONCLUSION
Social support is potentially an important aspect of exercise adherence, following discharge from treatment, for those with chronic LBP. People's self-efficacy to exercise does not appear to mediate this relationship. Harnessing social support following physiotherapy treatment may increase exercise adherence and may therefore improve long term outcomes for those with chronic LBP.
背景
对于有慢性下背痛（LBP）等风险的人群，开始并维持身体活动尤其困难。
目的
本研究旨在评估最近接受慢性 LBP 治疗的个体感知到的社会支持（例如情感和身体支持）与他们在 6 个月内进行的运动次数和总运动量之间是否存在关系。本研究还旨在探讨运动自我效能感对感知社会支持与运动坚持（运动次数和总运动量）之间关系的可能中介作用。
方法
本预后研究对 The Buddy Study 收集的数据进行了二次分析；数据通过在线每周日记收集，时间为 6 个月。泊松回归分析用于量化基线时社会支持与 6 个月随访期间总运动次数和总运动量（频率和持续时间）之间的关系。观察到关系后，使用 Stata SEM 命令进行中介分析。
结果
参与者在基线时感知到的社会支持水平与他们在 6 个月随访期间进行的总运动次数（IRR = 1.56，95%CI：1.18 至 2.06）和总运动量（IRR = 1.57，95%CI：1.05 至 2.35）呈正相关。在 3 个月时，运动自我效能感与进行的总运动次数（β 3.96，95%CI：-4.91 至 12.84）或总运动量（β 243.96，95%CI：-258.08 至 746.01）之间不存在中介关系。
结论
对于慢性 LBP 患者，从治疗中出院后，社会支持可能是运动坚持的一个重要方面。人们锻炼的自我效能感似乎不会调解这种关系。在物理治疗治疗后利用社会支持可能会增加运动的坚持，从而改善慢性 LBP 患者的长期预后。
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