充满乐趣和意义的日常生活：痴呆症患者的身体活动体验。
Fun and a meaningful routine: the experience of physical activity in people with dementia.
机构信息
The Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, PO Box 2136, 3103, Tønsberg, Norway.
Faculty of Health Studies, VID Specialized University, Oslo, Norway.
出版信息
BMC Geriatr. 2022 Jun 10;22(1):500. doi: 10.1186/s12877-022-03149-6.
BACKGROUND
Physical activity is important to health and wellbeing. People with dementia are less physically active than their cognitively healthy counterparts. Reasons for this are multifaceted, and are thought to be social, psychological, and physiological. People with dementia often use services such as home care, day care centres and nursing home, and according to the stage of disease they are less or more dependent on other people to take part in activities. To develop appropriate services to this patient group, their needs and preferences regarding physical activity must be recognized. The aim of the study was therefore to provide insight into experiences with physical activity in people with dementia.
METHODS
The current study is part of a larger research project on needs in people with dementia. The main project included qualitative semi-structured interviews with 35 persons with dementia. 27 of the participants talked about their experience with physical activity. In the current study, the relevant findings on this theme were analysed separately. A phenomenological hermeneutic research design was applied.
RESULTS
The analysis revealed three main categories regarding experiences with physical activity. To be physically active provided positive experiences such as feelings of mastering and post-exercise euphoria. To be physically active was meaningful. The daily walk was an important routine to many, and it gave meaningful content to the day. Keeping up with activities confirmed identity. Lastly, to be active was perceived as challenging. Participants described different barriers to being physically active such as a decline of physical function, lack of motivation and being dependent on others to go out.
CONCLUSIONS
Many of the participants expressed that being physically active was important to them. It is essential that informal and formal carers are aware of the role physical activity plays in the lives of many people with dementia, so that appropriate measures can be taken to assure continued active living in order to preserve health and quality of life.
背景
身体活动对健康和幸福很重要。痴呆症患者的身体活动量比认知健康的同龄人要少。造成这种情况的原因有很多，包括社会、心理和生理等方面。痴呆症患者经常使用家庭护理、日托中心和养老院等服务，并且根据疾病的阶段，他们或多或少依赖他人来参与活动。为了为这一患者群体开发适当的服务，必须了解他们对身体活动的需求和偏好。因此，本研究旨在深入了解痴呆症患者的身体活动体验。
方法
本研究是关于痴呆症患者需求的更大研究项目的一部分。该主要项目包括对 35 名痴呆症患者进行定性半结构化访谈。其中 27 名参与者谈到了他们的身体活动体验。在本研究中，对这一主题的相关发现进行了单独分析。采用了现象学解释学研究设计。
结果
分析揭示了与身体活动体验相关的三个主要类别。积极参与身体活动会带来积极的体验，例如掌控感和运动后的愉悦感。身体活动具有意义。对许多人来说，日常散步是一项重要的日常活动，为日常生活赋予了有意义的内容。保持活动能力确认了身份。最后，积极活动被认为是具有挑战性的。参与者描述了身体活动的不同障碍，例如身体功能下降、缺乏动力以及依赖他人外出。
结论
许多参与者表示身体活动对他们很重要。非正式和正式护理人员必须意识到身体活动在许多痴呆症患者生活中的作用，以便采取适当措施确保继续积极生活，从而保持健康和生活质量。
Zotero 插件