老年人髋部骨折手术后的久坐行为：障碍和促进因素。一项定性研究。
Sedentary behavior: barriers and facilitators among older adults after hip fracture surgery. A qualitative study.
机构信息
Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
Master's Program in Education, Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
出版信息
Braz J Phys Ther. 2020 Sep-Oct;24(5):407-414. doi: 10.1016/j.bjpt.2019.07.001. Epub 2019 Jul 10.
Abstract
OBJECTIVES
Understand the experience of older adults after hip fracture surgery considering barriers and facilitators related to sedentary behavior.
METHODS
A qualitative study using a semi-structured interview with three men and eight women aged 60 years or older after hip fracture surgery.
RESULTS
Five barriers emerged: physical complaints, lack of accessibility, fear of falling, demotivation and negative social representation of old age, and two facilitators: overcoming dependency and having a caregiver.
CONCLUSION
Our results highlight that physical complaints commonly addressed by physical therapists on their interventions are not the only impediments to reduce sedentary behavior. Important individual and social barriers should not be neglected when physical therapists conduct interventions to reduce sedentary behavior to maximize functional recovery in older adults after hip fracture surgery. Future clinical trials are required to investigate the effectiveness of more comprehensive interventions to reduce sedentary behavior in this population.
摘要
目的
了解老年人髋关节骨折手术后的体验，考虑与久坐行为相关的障碍和促进因素。
方法
一项定性研究，对 3 名男性和 8 名年龄在 60 岁及以上的髋关节骨折手术后的女性进行半结构化访谈。
结果
出现了 5 个障碍：身体不适、缺乏可达性、害怕跌倒、缺乏动力和对老年的负面社会认知，以及 2 个促进因素：克服依赖和有照顾者。
结论
我们的研究结果表明，物理治疗师在干预中常提到的身体不适并不是减少久坐行为的唯一障碍。在物理治疗师进行减少久坐行为的干预以最大限度地促进髋关节骨折手术后老年人的功能恢复时，不应忽视重要的个人和社会障碍。未来需要开展临床试验，以研究更全面的干预措施在该人群中减少久坐行为的有效性。
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