Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Internal Medicine, Section of Gerontology and Geriatrics, De Boelelaan 1117, 1081, HV Amsterdam, the Netherlands.; Amsterdam Movement Sciences, Van der Boechorststraat 9, 1081, BT Amsterdam, the Netherlands.
Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Internal Medicine, Section of Gerontology and Geriatrics, De Boelelaan 1117, 1081, HV Amsterdam, the Netherlands.
Geriatr Nurs. 2021 Mar-Apr;42(2):599-604. doi: 10.1016/j.gerinurse.2021.02.013. Epub 2021 Mar 11.
Better understanding of older patients' perspective on physical, motivational and environmental barriers and enablers in physical activity promotion during hospitalization contributes to the development of strategies to increase in hospital physical activity. Using a mixed method approach, barriers and enablers from patients (in)dependent in physical activity (Functional Ambulation Categories ≥4 versus <4) were identified. Forty-nine patients (median age 77 years IQR:75-83, female: n = 25) were interviewed. Barriers reported as most important were feeling weak (n = 10), having lines/drains (n = 9) and pain (n = 7) and enablers reported as most important were feeling physically independent (n = 19), sense of importance of physical activity (n = 12), and maintaining physical strength (n = 10). Physically dependent patients were more frequently encouraged by professionals to be physically active compared to independent patients. Focus on physical barriers and motivational enablers for older patients may help to increase their physical activity during hospitalization and encouragement by health care professionals should also encompass physically independent patients.
更好地了解老年患者在住院期间促进身体活动方面的身体、动机和环境障碍和促进因素，有助于制定增加医院身体活动的策略。本研究采用混合方法，确定了身体活动依赖（功能活动能力分类≥4 与<4）患者的障碍和促进因素。对 49 名患者（中位年龄 77 岁，IQR：75-83，女性：n=25）进行了访谈。报告的最重要的障碍是感到虚弱（n=10）、有管路/引流管（n=9）和疼痛（n=7），报告的最重要的促进因素是感到身体独立（n=19）、重视身体活动（n=12）和保持身体力量（n=10）。与独立患者相比，身体依赖的患者更频繁地被专业人员鼓励进行身体活动。关注老年患者的身体障碍和动机促进因素可能有助于增加他们在住院期间的身体活动，医护人员的鼓励也应包括身体独立的患者。
