意义与伤害风险之间的平衡 - 体弱老年患者对身体活动和锻炼的看法 - 一项访谈研究。
A balance between meaningfulness and risk of harm - frail elderly patients' perceptions of physical activity and exercise - an interview study.
机构信息
Department of Physiotherapy, NU Hospital Group, Trollhättan, Sweden.
Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden.
出版信息
BMC Geriatr. 2020 Nov 23;20(1):490. doi: 10.1186/s12877-020-01868-2.
BACKGROUND
There is growing evidence of the benefits of physical activity and exercise for frail elderly patients with comorbidity. In order to improve participation in physical activity and exercise interventions, there is a need to increase our understanding of the patient's perspective.
AIM
The aim of this study is to explore the perceptions of physical activity and exercise among frail elderly patients with a severe comorbidity burden.
METHOD
Face-to-face, in-depth interviews were conducted with eighteen frail elderly patients with a severe comorbidity burden, median age 85.5 years (min-max 75-94). The interviews were transcribed verbatim and analyzed according to content analysis inspired by Krippendorf.
RESULTS
An overall theme, defined as "Meaningfulness and risk of harm in an aging body" was identified, followed by three main categories, labeled physical activity in daily life, goals of physical activity and exercise and prerequisites for physical activity and exercise, and eight sub-categories.
CONCLUSION
This study suggests that, in frail elderly patients with severe multimorbidity, physical activity and exercise is a balance between what is perceived as meaningful and the risk of harm. Patients perceived aging as an inevitable process that they needed to accept and gradually adapt their physical activities in daily life to match. As patients said they were unclear about the benefits and risks of exercise and referred to their previous life and experiences when describing physical activity and exercise, it is likely that the communication relating to this within the healthcare system needs to be further developed To promote physical activity and exercise to maintain or improve physical fitness in this frail population, healthcare providers need to use extended, personalized information to tailor the type of physical activities, goals and prerequisites for each patient.
背景
越来越多的证据表明，身体活动和运动对患有合并症的体弱老年人有益。为了提高身体活动和运动干预措施的参与度，我们需要更多地了解患者的观点。
目的
本研究旨在探讨患有严重合并症负担的体弱老年人对身体活动和运动的看法。
方法
对 18 名患有严重合并症负担的体弱老年人进行了面对面的深入访谈，中位数年龄为 85.5 岁（最小-最大 75-94 岁）。访谈内容逐字记录，并根据克里彭多夫启发的内容分析进行了分析。
结果
确定了一个总体主题，定义为“衰老身体中的意义和伤害风险”，随后确定了三个主要类别，分别标记为日常生活中的身体活动、身体活动和运动的目标以及身体活动和运动的前提条件，以及八个子类别。
结论
本研究表明，在患有严重多合并症的体弱老年人中，身体活动和运动是意义和伤害风险之间的平衡。患者认为衰老是一个不可避免的过程，他们需要接受并逐渐适应日常生活中的身体活动，以适应身体状况。由于患者表示对运动的益处和风险不清楚，并在描述身体活动和运动时提到他们以前的生活和经历，因此很可能需要进一步发展与医疗保健系统相关的沟通，以促进身体活动和运动，维持或改善这一虚弱人群的身体健康。为了促进身体活动和运动，以维持或改善这一虚弱人群的身体健康，医疗保健提供者需要使用扩展的个性化信息来调整每个患者的身体活动类型、目标和前提条件。
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