Buttery Amanda K, Martin Finbarr C
Guy's and St Thomas' NHS Foundation Trust, Guys and St Thomas' Hospital, London, UK.
Physiotherapy. 2009 Sep;95(3):192-8. doi: 10.1016/j.physio.2009.03.002. Epub 2009 Jun 30.
Most older people have suboptimal levels of habitual physical activity. This study investigated the knowledge, attitudes, intentions and barriers to participation in physical activity among older people recovering from acute illness or injury.
A structured face-to-face questionnaire was developed, incorporating previously validated questions for older people.
Elderly care unit of an urban hospital.
Of 256 consecutively admitted patients, 66 were eligible and 44 (71% female) completed the interview before discharge. MAIN INSTRUMENTS AND OUTCOME MEASURES: Questionnaire using open and closed questions. Baseline data included Barthel Index, gait aid, length of hospital stay and grip strength (indicator of frailty).
Median age was 83 years (range 67 to 91), median Barthel Index was 18/20 (range 9 to 20), mean hospital stay was 13.7 days (standard deviation 9.7) and 72% (31/43) were frail. Despite hospitalisation, only 23% (10/44) reported 'poor' general health. Knowledge of specific health benefits of physical activity was mixed, and knowledge about hypertension and osteoporosis was poor. Most patients (23/44, 52%) wrongly believed that their habitual activity levels were adequate. Barriers to increasing activity were predominantly related to health, including 'breathing' and 'leg' problems. Intentions towards future physical activity were varied and unrelated to frailty. Needing to rest and relax was a reason given for not being more active. Few patients (5/44, 11%) recalled being advised to be physically active.
These patients, potential benefactors from increased physical activity, had mixed knowledge and attitudes towards physical activity which was unrelated to frailty. These data provide insights relevant to the design and delivery of exercise-related health messages and interventions.
大多数老年人的日常身体活动水平欠佳。本研究调查了从急性疾病或损伤中恢复的老年人参与身体活动的知识、态度、意愿及障碍。
开发了一份结构化的面对面调查问卷，纳入了先前针对老年人验证过的问题。
城市医院的老年护理单元。
在256名连续入院的患者中，66名符合条件，44名（71%为女性）在出院前完成了访谈。主要工具和结果测量：使用开放式和封闭式问题的问卷。基线数据包括巴氏指数、助行器、住院时间和握力（虚弱指标）。
年龄中位数为83岁（范围67至91岁），巴氏指数中位数为18/20（范围9至20），平均住院时间为13.7天（标准差9.7），72%（31/43）为虚弱患者。尽管住院，但只有23%（10/44）的患者报告总体健康状况“不佳”。对身体活动具体健康益处的了解参差不齐，对高血压和骨质疏松症的了解较差。大多数患者（23/44，52%）错误地认为他们的日常活动水平足够。增加活动的障碍主要与健康有关，包括“呼吸”和“腿部”问题。对未来身体活动的意愿各不相同，且与虚弱无关。需要休息和放松是不更积极活动的一个原因。很少有患者（5/44，11%）记得曾被建议进行身体活动。
这些患者可能从增加身体活动中受益，但他们对身体活动的知识和态度参差不齐，且与虚弱无关。这些数据为与运动相关的健康信息和干预措施的设计与实施提供了相关见解。
