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基于社区的锻炼计划对老年人健康和幸福感的认知的主题分析。

A thematic analysis of the perceptions of a community-based exercise program on the health and well-being of ageing adults.

机构信息

School of Health, Federation University Australia, Churchill, Victoria, Australia.

出版信息

Health Soc Care Community. 2021 Nov;29(6):1990-1997. doi: 10.1111/hsc.13343. Epub 2021 Mar 17.

Abstract

This study explores a weekly community-based exercise program (CBEP) for ageing adults in Gippsland, Victoria, Australia. This program aims to improve the health and well-being of ageing adults and was evaluated using an exploratory qualitative study design. Four focus group discussions and two individual interviews were conducted before a thematic analysis using Braun & Clark's (2006) six-step approach. A total of 23 participants were involved in the study over a 6-week period. The thematic analysis resulted in two main themes: (a) meeting community needs and (b) benefits to health and well-being. Five minor themes stemmed from these two themes, in which participants identified that a service gap existed within the community and the program was adaptive in its design to meet community needs. Participants reported benefits to health and well-being, specifically perceived improved mobility and independence, social connections and 'recharging the batteries to feel good'. The inclusion of Tai Chi exercises was noted for increased vitality and pain management benefits. The role of the exercise instructor was deemed to be instrumental to the success of the CBEP. The CBEP provides motivation for older adults to attend, increasing physical activity. Future CBEPs for ageing adults should provide a social component and relevant health education for participants. Exercises should be safely adapted by the exercise instructor to suit people of various abilities and to promote a more 'inclusive' environment.

摘要

本研究探索了澳大利亚维多利亚州吉普斯兰地区面向老年人的每周社区基础锻炼计划(CBEP)。该计划旨在改善老年人的健康和福祉,并采用探索性定性研究设计进行评估。在使用 Braun 和 Clark(2006)的六步方法进行主题分析之前,进行了四次焦点小组讨论和两次个人访谈。共有 23 名参与者在 6 周内参与了这项研究。主题分析产生了两个主要主题:(a)满足社区需求和(b)对健康和福祉的益处。这两个主题衍生出五个次要主题,参与者认为社区存在服务缺口,并且该计划在设计上具有适应性,可以满足社区需求。参与者报告了健康和福祉方面的益处,特别是感知到改善了移动性和独立性、社会联系以及“充电以感觉良好”。参与者注意到太极拳练习可以增加活力和缓解疼痛。锻炼指导员的作用被认为是 CBEP 成功的关键。CBEP 为老年人提供了参加的动力,增加了他们的身体活动量。未来面向老年人的 CBEP 应该为参与者提供社交部分和相关健康教育。锻炼应该由锻炼指导员安全地调整,以适应各种能力的人,并促进更“包容”的环境。

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