Horne Maria, Skelton Dawn A, Speed Shaun, Todd Chris
The University of Manchester, Faculty of Medical and Human Sciences, School of Nursing, Midwifery and Social Work, Manchester, UK.
Clin Nurs Res. 2014 Feb;23(1):94-110. doi: 10.1177/1054773813488938. Epub 2013 Jun 6.
The importance of increasing exercise to prevent falls among older adults remains a key worldwide public health priority. However, older adults do not necessarily take up exercise as a preventative measure for falls. This qualitative study aimed to explore the beliefs of community-dwelling South Asian and White British older adults aged 60 to 70 about falls and exercise for fall prevention through 15 focus groups (n = 87) and 40 in-depth interviews. Data were transcribed verbatim and analyzed using a framework approach. Data analysis identified six salient beliefs that influenced older adults' intention to exercise for fall prevention. In general, older adults aged 60 to 70 did not acknowledge their risk of falling and were not motivated to exercise simply to help prevent falls. Positive beliefs were found to be an unlikely barrier to taking up exercise for fall prevention for those who had experienced a fall. The implications for health promotion and health professionals with this group of older adults are discussed.
增加锻炼以预防老年人跌倒的重要性仍是全球关键的公共卫生重点。然而，老年人不一定会将锻炼作为预防跌倒的措施。这项定性研究旨在通过15个焦点小组（n = 87）和40次深入访谈，探索60至70岁居住在社区的南亚和英国白人老年人对跌倒以及通过锻炼预防跌倒的看法。数据逐字转录，并采用框架法进行分析。数据分析确定了六个影响老年人预防跌倒锻炼意愿的显著看法。总体而言，60至70岁的老年人不承认自己有跌倒风险，也没有仅仅为了预防跌倒而锻炼的动力。对于那些经历过跌倒的人来说，积极的看法不太可能成为他们参与预防跌倒锻炼的障碍。本文讨论了对这组老年人进行健康促进及对健康专业人员的启示。
