Flinders University, Adelaide, South Australia, Australia.
J Appl Gerontol. 2021 Aug;40(8):818-827. doi: 10.1177/0733464820918134. Epub 2020 May 12.
To synthesize older adults' experiences and perceptions of goal setting and pursuit within health systems. Six databases were searched to May 2019 using a combination of MeSH and free text terms. Included papers were written in English and reported original qualitative research for participants aged 65 years and older. Participant quotes from the results sections of included studies were gathered for thematic analysis and synthesis. Initial search yielded 9,845 articles, and 134 were identified for full-text review. Fifteen papers were included in the final synthesis. Two main themes were identified: enablers (intrinsic and extrinsic) and barriers (personal and system). Older adults' self-belief is the strongest enabler for goal activities, enhanced by a personalized coaching approach from health staff. Conversely, inconsistent goal terminology confuses patients and reduces engagement. Likewise, fatigue has profound physical and cognitive impact on patients' ability to engage and participate in goals.
综合老年人在健康系统中设定和追求目标的经验和看法。 2019 年 5 月，使用 MeSH 和自由文本术语的组合，在六个数据库中进行了搜索。纳入的论文为英文撰写，报告了参与者年龄在 65 岁及以上的原始定性研究。从纳入研究结果部分收集参与者引述进行主题分析和综合。初步搜索产生了 9845 篇文章，有 134 篇文章进行了全文审查。最终综合分析纳入了 15 篇论文。确定了两个主要主题：促进因素（内在和外在）和障碍（个人和系统）。老年人的自我信念是目标活动的最强促进因素，健康工作人员的个性化指导方法增强了这种信念。相反，不一致的目标术语使患者感到困惑，降低了参与度。同样，疲劳对患者参与和追求目标的能力产生深远的身体和认知影响。
