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一项探索物理治疗师对奥塔哥运动方案预防跌倒看法的定性研究:“安老居家”和对未来充满信心的垫脚石。

A qualitative study exploring physical therapists' views on the Otago Exercise Programme for fall prevention: a stepping stone to "age in place" and to give faith in the future.

机构信息

Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.

出版信息

Physiother Theory Pract. 2022 Jan;38(1):132-140. doi: 10.1080/09593985.2020.1731895. Epub 2020 Feb 24.

Abstract

: One of the most effective interventions to prevent falls is exercise. A commonly used program that prevents falls is the Otago Exercise Programme (OEP). Despite this, user-based knowledge of its applicability in real-world settings for older adults who are dependent on formal care in their homes is lacking. : To explore how physical therapists (PTs) experience the applicability of the OEP in clinical practice for home-dwelling older adults who are dependent on formal home care and to determine their beliefs regarding the benefits of the OEP for living longer at home. : Semi-structured interviews were conducted with 17 physical therapists. Data were analyzed using qualitative thematic analysis. : The OEP was described by PTs to be applicable in clinical practice. Their experience was that the OEP seemed to be meaningful and to have a strong relationship with everyday activities. The OEP improved physical function, mood, self-efficacy, and participation in social activities in older adults, as well as provided faith in the future. : The OEP is suitable for use in a primary care setting, and according to the perceptions of physical therapists, the OEP contributes to older adults' capability to live longer at home.

摘要

预防跌倒最有效的干预措施之一是运动。一种常用的预防跌倒的方案是奥塔哥运动方案(OEP)。尽管如此,对于依赖家庭正式护理的居家老年人来说,用户对其在现实环境中适用性的了解还很缺乏。为了探索物理治疗师(PTs)在临床实践中对依赖家庭正式护理的居家老年患者应用 OEP 的体验,并确定他们对 OEP 延长居家生活的益处的看法。对 17 名物理治疗师进行了半结构化访谈。使用定性主题分析对数据进行分析。PTs 描述 OEP 在临床实践中具有适用性。他们的经验是,OEP 似乎有意义,并与日常活动有很强的联系。OEP 改善了老年人的身体功能、情绪、自我效能和参与社会活动的能力,同时也对未来充满信心。OEP 适合在初级保健环境中使用,根据物理治疗师的看法,OEP 有助于老年人能够更长时间地在家中生活。

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