Forkan Rebecca, Pumper Breeanna, Smyth Nicole, Wirkkala Hilary, Ciol Marcia A, Shumway-Cook Anne
Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195-6490, USA.
Phys Ther. 2006 Mar;86(3):401-10.
This study looked at adherence, and factors affecting adherence, to a prescribed home exercise program (HEP) in older adults with impaired balance following discharge from physical therapy.
The subjects were 556 older adults (> or =65 years of age) who were discharged from physical therapy during the period 2000 to 2003.
A survey was developed to determine participation in a HEP. Univariate logistic regressions identified specific barriers and motivators that were associated with exercise participation following discharge from physical therapy.
Ninety percent of respondents reported receiving a HEP; 37% no longer performed it. Change in health status was the primary reason for poor adherence to a HEP. Eight barriers (no interest, poor health, weather, depression, weakness, fear of falling, shortness of breath, and low outcomes expectation) were associated with a lack of postdischarge participation in exercise.
Exercise adherence following discharge from a physical therapy program is poor among older adults. Barriers, not motivators, appear to predict adherence.
本研究观察了物理治疗出院后的平衡功能受损老年人对规定的家庭锻炼计划（HEP）的依从性及影响依从性的因素。
研究对象为2000年至2003年期间从物理治疗出院的556名老年人（年龄≥65岁）。
设计了一项调查以确定HEP的参与情况。单因素逻辑回归分析确定了与物理治疗出院后运动参与相关的具体障碍和动机因素。
90%的受访者报告收到了HEP；37%不再执行该计划。健康状况变化是HEP依从性差的主要原因。八个障碍因素（无兴趣、健康状况不佳、天气、抑郁、虚弱、害怕跌倒、呼吸急促和对结果期望低）与出院后缺乏运动参与有关。
物理治疗计划出院后的老年人运动依从性较差。似乎是障碍因素而非动机因素能预测依从性。
