僵直性脊椎炎患者的運動動機與障礙

Motivators and Barriers of Exercise in Patients with Ankylosing Spondylitis

背景：僵直性脊椎炎（AS）是一種慢性炎症性疾病，會導致疼痛，僵硬和活動能力降低，嚴重影響患者的生活品質。運動被認為是管理僵直性脊椎炎的重要基石，有助於改善身體功能並減少疾病相關症狀。然而，AS患者在日常生活中融入規律性身體活動（PA）方面面臨著顯著挑戰。
目的：本研究旨在探討台灣AS患者在嘗試進行運動時遇到的動機和阻礙因素。
方法：這是一項橫斷面的問卷調查研究，於2018年至2019年間在台灣風濕免疫科門診進行。共有151名AS患者參與，完成了旨在評估身體活動水平、運動動機和障礙的自填問卷，並使用SPSS進行統計分析。
結果：僅15%的參與者報告有較高的身體活動水平，而大多數顯示為低（47%）至中等（38%）水平。主要的運動動機包括促進健康（96.7%）、改善AS病情（93.4%）以及維持體形（82.8%）。主要的運動障礙包括難以保持運動習慣（65.6%）、缺乏時間（58.3%）和疲勞（51.7%）。對運動安全性的擔憂和缺乏適合運動的知識也是顯著的障礙。
結論：儘管患者認識到運動的益處，台灣AS患者因個人、社會和疾病相關的各種障礙而表現出低水平的身體活動。本研究強調了需要量身定制的運動計劃，並聚焦於教育和社會支持的干預，以克服這些障礙，改善AS患者的生活品質。

Background: Ankylosing spondylitis (AS) is a chronic inflammatory disease which cause pain, stiffness, and reduced mobility, significantly affecting the quality of life. Exercise has been recognized as a cornerstone in AS management, improving physical function and reducing disease-related symptoms. However, AS patients face significant challenges in incorporating regular physical activity (PA) into their daily routines.
Objective: This study aims to identify the motivators and barriers that AS patients encounter when attempting to engage exercise in Taiwanese population.
Methods: This cross-sectional, questionnaire-based study was conducted at a tertiary rheumatology clinic in Taiwan between 2018 and 2019. A total of 151 AS patients participated, completing self-administered questionnaires designed to assess physical activity levels, exercise motivators, and barriers. Statistical analyses were conducted using SPSS.
Results: Only 15% of participants reported high levels of physical activity, with the majority showing low (47%) to moderate (38%) levels. Key motivators for exercise included health promotion (96.7%), improvement of AS condition (93.4%), and physical appearance (82.8%). The primary barriers were difficulty in maintaining exercise habits (65.6%), lack of time (58.3%), and fatigue (51.7%). Safety concerns and lack of knowledge regarding suitable exercises were also significant barriers.
Conclusions: Despite recognizing the benefits, Taiwanese AS patients demonstrate low levels of physical activity due to various personal, social, and disease-related barriers. This study underscores the need for tailored exercise programs and interventions focusing on education and social support to overcome these barriers and improve the quality of life for AS patients.