Goodman Claire, Davies Susan L, Dinan Susie, See Tai Sharon, Iliffe Steve
Community Care University of Hertfordshire.
Br J Community Nurs. 2011 Jan;16(1):12-7. doi: 10.12968/bjcn.2011.16.Sup11.S12.
To discover the current level of nurse-led involvement in activity promotion for older people in primary care and to explore the knowledge and attitudes of primary care nurses about health benefits of activity promotion for older people.
The importance of improving and maintaining activity levels in later life is well established. However, intervention studies show that the uptake of and adherence to physical activity programmes by older people are highly variable. The optimal approach to activity promotion for older people is not well understood. Although many activity promotion schemes and evaluations assume that specialist exercise trainers are needed, it remains unclear who is best placed to facilitate activity promotion for older people, and if this is something in which existing primary care practitioners (specifically nurses) could and should take a leading role.
This study surveyed all nurses and health visitors working in five primary care organizations in an inner city area. A semi-structured postal questionnaire asked about their knowledge and attitudes to the benefits of exercise in later life, their current levels of involvement in promoting physical activity with older people, and their personal activity levels.
The overall response rate was 54% (n=521). The responses of 391 district nurses and practice nurses are presented here. Nurses had the commitment and (depending on the focus of their work) different opportunities to promote physical activity with older patients. There were organizational and individual constraints on their ability to be involved in this aspect of health promotion work themselves, or to refer older people to local activity promotion schemes. Nurses did not have a structured approach when promoting physical activity with older people and had only a partial awareness of the limitations of their knowledge or skills when promoting activity with older people.
For promotion of physical activity by older people to be meaningfully incorporated into primary care nursing work there is a need to develop a more strategic approach that can optimize the opportunities and interest of primary care nurses and develop the knowledge and skills of the workforce in this area of nursing work.
了解在初级保健中护士主导促进老年人活动的当前水平，并探讨初级保健护士对促进老年人活动的健康益处的知识和态度。
改善和维持晚年活动水平的重要性已得到充分证实。然而，干预研究表明，老年人对体育活动计划的接受程度和坚持程度差异很大。促进老年人活动的最佳方法尚未得到很好的理解。尽管许多活动促进计划和评估都假定需要专业的运动训练师，但仍不清楚谁最适合促进老年人的活动，以及这是否是现有初级保健从业者（特别是护士）能够且应该发挥主导作用的事情。
本研究对市中心一个地区的五个初级保健机构的所有护士和健康访视员进行了调查。一份半结构化的邮寄问卷询问了他们对晚年运动益处的知识和态度、他们目前在促进老年人体育活动方面的参与程度以及他们个人的活动水平。
总体回复率为54%（n = 521）。这里呈现的是391名社区护士和执业护士的回复。护士们有意愿，并且（取决于他们的工作重点）有不同的机会促进老年患者的体育活动。在他们自身参与这方面健康促进工作或为老年人推荐当地活动促进计划的能力方面，存在组织和个人的限制。护士们在促进老年人体育活动时没有结构化的方法，并且在促进老年人活动时，对自己知识或技能的局限性只有部分认识。
为了将促进老年人体育活动有意义地纳入初级保健护理工作，需要制定一种更具战略性的方法，以优化初级保健护士的机会和兴趣，并发展该护理工作领域工作人员的知识和技能。
