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泰国老年人应用计划-执行-研究-行动(PDSA)循环六个月后的生活方式改变体验。

Experiences of lifestyle changes among Thai older adults six months after applying the Plan-Do-Study-Act (PDSA) cycle.

机构信息

Boromarajonani College of Nursing Nakhonratchasima, Nakhon Ratchasima, Thailand.

School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.

出版信息

BMC Geriatr. 2024 Oct 31;24(1):902. doi: 10.1186/s12877-024-05481-5.

Abstract

BACKGROUND

Thai older adults are valuable resources in their society. The Thai health service system is challenged when it comes to ensuring that older Thai adults can continue to live healthy and independent lives in society. It is of great value to support independence and improve older people's active ageing. Promoting lifestyle changes by applying the Plan-Do-Study-Act cycle (PDSA cycle), at group meetings in a municipality context, is a way of focusing on active ageing. This study aims to describe older adults´ experiences of lifestyle change six months after finishing group meetings applying the PDSA cycle.

METHODS

A qualitative approach with individual interviews and a qualitative content analysis were used with 12 Thai older adults who participated in the meetings applying the PDSA cycle.

RESULTS

Six months after finishing applying the PDSA cycle, some older adults kept their individual goals and were influenced by their family surroundings. They also formulated additional goals. Three categories and six sub-categories emerged: Keeping individual goals, influenced by the surroundings, and formulation of additional goals were the overall categories.

CONCLUSIONS

These Thai older adults showed that they had the ability to make lifestyle changes with the support of the PDSA cycle, but not all maintained their planned activities after six months. The question is how healthcare professionals and the surroundings, may further support and motivate these people to maintain these changes based on their own preferences in a sustainable way.

摘要

背景

泰国老年人是社会的宝贵资源。泰国的卫生服务系统在确保泰国老年人能够继续在社会中健康、独立地生活方面面临挑战。支持独立性和改善老年人积极老龄化的状态具有重要意义。通过在市议会背景下的小组会议中应用计划-执行-研究-行动循环(PDSA 循环)来促进生活方式的改变,是关注积极老龄化的一种方式。本研究旨在描述老年人在完成 PDSA 循环小组会议六个月后生活方式改变的体验。

方法

采用定性方法,对 12 名参加 PDSA 循环小组会议的泰国老年人进行个人访谈和定性内容分析。

结果

在完成 PDSA 循环六个月后,一些老年人保持了个人目标,并受到家庭环境的影响。他们还制定了额外的目标。出现了三个类别和六个子类别:保持个人目标、受环境影响和制定额外目标是总体类别。

结论

这些泰国老年人表明,他们有能力在 PDSA 循环的支持下改变生活方式,但并非所有人在六个月后都能坚持计划的活动。问题是医疗保健专业人员和周围环境如何根据这些人的自身偏好,以可持续的方式进一步支持和激励他们保持这些改变。

相似文献

本文引用的文献

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Running PDSA cycles.运行计划-实施-检查-处理循环
Curr Probl Pediatr Adolesc Health Care. 2018 Aug;48(8):198-201. doi: 10.1016/j.cppeds.2018.08.006. Epub 2018 Sep 27.

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