The model of relationships between factors influencing physical activity under the theory of social ecological model in patients with type 2 diabetes
10.3760/cma.j.issn.1672-7088.2016.05.002
- VernacularTitle:社会生态模型下影响2型糖尿病患者体力活动相关因素关系模型的构建
- Author:
Li PEI
;
Yan WANG
;
Meifeng WANG
;
Jianying SHI
;
Qing ZHANG
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 2;
Physical activity;
Self-efficacy
- From:
Chinese Journal of Practical Nursing
2016;32(5):325-328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mechanisms of individual, social and environmental factors influencing physical activity and the relationships among the factors in patients with type 2 diabetes. Methods A survey was conducted from January to July 2015 among 225 patients with type 2 diabetes using convenience sampling. The questionnaire included 9- item Patient Health Questionnaire, the International Physical Activity Questionnaire,Perceived Social Support Scale, Chinese Walkable Environment Scale, Bandura′s Exercise Self- efficacy Scale. Results The effective questionnaire recovery rate was 98.7%(222/225). Exercise self- efficacy was a mediator of factors influencing physical activity. Exercise self- efficacy and physical activity were positively correlated (β=0.24, P<0.05). Walkable environment only affected physical activity indirectly medicated by exercise self- efficacy (β=-0.26, P<0.05). Perceived social support directly associated with physical activity (β=0.14, P<0.05). Depression not only affected physical activity directly (β=-0.28, P<0.05), but also associated with physical activity indirectly medicated by exercise self-efficacy (β=-0.32, P<0.05). Conclusions Interventions should be taken to increase the perceived social support, improve depression and walkable environment, especially to enhance exercise self- efficacy, so as to improve the physical activity level of patients with type 2 diabetes.
