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探索患有慢性多种疾病的社区高龄老年人的身体活动体验:一项定性研究。

Exploring physical activity experiences of community-dwelling oldest-old adults with chronic multimorbidity: A qualitative study.

作者信息

López-Novis Irene, Marques-Sule Elena, Deka Pallav, Dobarrio-Sanz Iria, Klompstra Leonie, Hernández-Padilla José Manuel

机构信息

Andalusian Public Healthcare System, Almería, Spain.

Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain.

出版信息

J Adv Nurs. 2025 Apr;81(4):1953-1965. doi: 10.1111/jan.16403. Epub 2024 Aug 16.

Abstract

AIM

To explore the physical activity experiences of community-dwelling oldest-old adults with chronic multimorbidity.

DESIGN

Descriptive qualitative study.

METHOD

Data collection was conducted through semi-structured interviews with 19 community-dwelling oldest-old adults with chronic multimorbidity. The study was conducted between December 2022 and May 2023. ATLAS.ti software was used for data analysis.

RESULTS

Three main themes with their respective sub-themes and units of meaning were developed from the data analysis: (1) motivational factors for engaging in physical activity; (2) fear of getting hurt during physical activity and (3) confidence in being physically active.

CONCLUSION

Motivation, kinesiophobia and confidence are three core elements that influence the experience of physical activity in oldest-old adults with chronic multimorbidity. Interventions tailored to meet the needs of the oldest-old adults are important for promotion and development of active ageing.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurses and other healthcare professionals should design, implement and evaluate interventions that aim to increase oldest-old adults' motivation and confidence, while decreasing their fear to engage in physical activity.

IMPACT

This study provides insights into the way community-dwelling oldest-old adults with chronic multimorbidity experience physical activity in their daily lives. Our findings suggest that motivation, kinesiophobia and confidence are key factors for oldest-old adults to engage in physical activity. These findings could contribute to the design and implementation of interventions that specifically aim at raising the physical activity levels of community-dwelling oldest-old adults with chronic multimorbidity.

REPORTING METHOD

The study findings are reported according to the COREQ guidelines.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

探讨患有慢性多种疾病的社区高龄老年人的体育活动体验。

设计

描述性定性研究。

方法

通过对19名患有慢性多种疾病的社区高龄老年人进行半结构化访谈来收集数据。该研究于2022年12月至2023年5月进行。使用ATLAS.ti软件进行数据分析。

结果

数据分析得出了三个主要主题及其各自的子主题和意义单元:(1)参与体育活动的动机因素;(2)体育活动期间对受伤的恐惧;(3)进行体育活动的信心。

结论

动机、运动恐惧和信心是影响患有慢性多种疾病的高龄老年人体育活动体验的三个核心要素。针对高龄老年人需求量身定制的干预措施对于促进积极老龄化很重要。

对专业和/或患者护理的启示:护士和其他医疗保健专业人员应设计、实施和评估旨在增强高龄老年人的动机和信心,同时减少他们参与体育活动的恐惧的干预措施。

影响

本研究深入了解了患有慢性多种疾病的社区高龄老年人在日常生活中体验体育活动的方式。我们的研究结果表明,动机、运动恐惧和信心是高龄老年人参与体育活动的关键因素。这些研究结果有助于设计和实施专门旨在提高患有慢性多种疾病的社区高龄老年人体育活动水平的干预措施。

报告方法

本研究结果按照COREQ指南进行报告。

患者或公众贡献

无患者或公众贡献。

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