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.
rheumatoid arthritiskinesiophobiasocial supportself-efficacy for exercise
NETL
NSTL
万方数据
维普
