Institute for Applied Nursing Science, University of Applied Sciences FHS St. Gallen, St. Gallen, Switzerland.
University of Applied Sciences FHS St. Gallen, St. Gallen, Switzerland.
J Clin Nurs. 2019 Jul;28(13-14):2386-2400. doi: 10.1111/jocn.14761. Epub 2019 Jan 15.
To identify the attitudes and needs of nursing home residents regarding physical activity.
Nursing home residents often have mobility problems and are at high risk for further mobility impairment. From their point of view, being physically active is an important part of their perceived quality of life. However, no study has synthesised existing qualitative literature on residents' attitudes and needs regarding physical activity.
Synthesis of qualitative studies.
A systematic review and synthesis of qualitative studies was performed, using ENTREQ statement for reporting. Three databases (PubMed, CINAHL and PsycINFO) were searched, supplemented by a hand search. Qualitative studies published in English or German were included if they addressed the attitudes and needs of residents concerning the promotion of physical activities. Finally, 12 studies were critically reviewed, and a thematic synthesis was conducted.
Four analytical themes relating to residents' attitudes were identified: "promoting physical activity increases the quality of life," "accepting the conditions," "personal initiative is significant" and "promoting physical activity is not helpful." Relating to residents' needs, the analyses yielded five themes: "living autonomously," "continuing life as before," "competent care," "individually adapted programme and support," and "barrier-free accessibility."
Nursing home residents have different attitudes and needs regarding being physically active. It is important to perceive these attitudes and needs of each resident and to offer an individually adapted programme and support. Further research should consider motivational strategies for residents who are not very much familiar with being physically active and offer exercise programmes with individual parts to address residents' preferences.
To motivate and activate residents, institutions should be aware of residents' individual attitudes and needs regarding physical activity. Further development of interventions concerning mobility promotion activities and their implementation in long-term care settings should consider the outlined factors.
确定养老院居民对身体活动的态度和需求。
养老院居民经常有行动问题，并且有进一步行动受损的高风险。从他们的角度来看，积极参与身体活动是他们感知生活质量的重要组成部分。然而，没有研究综合了关于居民对身体活动的态度和需求的现有定性文献。
定性研究的综合。
使用 ENTREQ 报告标准对定性研究进行了系统回顾和综合。在 PubMed、CINAHL 和 PsycINFO 三个数据库中进行了搜索，并辅以手工搜索。如果研究涉及居民对促进身体活动的态度和需求，纳入了以英语或德语发表的定性研究。最后，对 12 项研究进行了批判性评价，并进行了主题综合。
确定了与居民态度相关的四个分析主题：“促进身体活动提高生活质量”、“接受条件”、“个人主动性很重要”和“促进身体活动没有帮助”。与居民需求相关的分析产生了五个主题：“自主生活”、“继续以前的生活”、“有能力的护理”、“个性化的方案和支持”和“无障碍可及性”。
养老院居民对身体活动有不同的态度和需求。重要的是要了解每个居民的这些态度和需求，并提供个性化的方案和支持。进一步的研究应该考虑针对不太熟悉身体活动的居民的激励策略，并提供具有个人部分的锻炼方案，以满足居民的偏好。
为了激励和激活居民，机构应该意识到居民对身体活动的个人态度和需求。关于促进活动能力的干预措施的进一步发展及其在长期护理环境中的实施，应考虑到所概述的因素。
