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老年人对住院期间身体活动的看法:一项定性访谈研究。

Older adults' perspectives on physical activity during hospitalization: a qualitative interview study.

作者信息

Dalin Eriksson Kristina, Welmer Anna-Karin, Sandberg Linda, Boström Anne-Marie

机构信息

Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden.

Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

出版信息

BMC Geriatr. 2025 Sep 8;25(1):688. doi: 10.1186/s12877-025-06292-y.

DOI:10.1186/s12877-025-06292-y
PMID:40926252
Abstract

BACKGROUND

The benefits of physical activity for frail older acutely hospitalized adults are becoming increasingly clear. To enhance opportunities for physical activity on geriatric wards, it is essential to understand the older adult's perspective.

AIM

The aim of the study was to explore the experiences and perceptions of physical activity among older adults during hospital stays on a geriatric ward.

METHOD

This was a qualitative interview study with an exploratory interview design, where data were collected through semi-structured individual face-to-face interviews with 20 hospitalized older adults aged 75 years and older. The interviews were transcribed verbatim, and the material was analyzed inductively using qualitative content analysis.

RESULTS

An overarching theme Barriers and enablers related to the environment, personal adaptation, and emotional dilemmas influencing changes in physical activity and three main categories and seven subcategories were identified. The main categories are Perceiving how context influences physical activity, Adapting physical activity to aging and health condition, and Balancing emotional dilemmas about engaging in physical activity.

CONCLUSIONS

The results emphasize the need for enhanced communication and personalized care to better support frail older adults in engaging in physical activity during hospitalization. Customized advice and tailored physical activities are key to supporting them in staying active and healthy. Effective strategies, teamwork, and resource allocation are needed to meet these older adults' needs and develop interventions that ensure proper care and support.

TRIAL REGISTRATION

This study did not involve any healthcare interventions on human participants. Data were collected through interviews, and focused solely on exploring experiences and perceptions, with ethical approval obtained for the study.

摘要

背景

体育活动对急性住院的体弱老年人的益处日益明显。为了增加老年病房中体育活动的机会,了解老年人的观点至关重要。

目的

本研究的目的是探讨老年人在老年病房住院期间体育活动的经历和看法。

方法

这是一项采用探索性访谈设计的定性访谈研究,通过对20名75岁及以上住院老年人进行半结构化的个人面对面访谈收集数据。访谈逐字记录,材料采用定性内容分析法进行归纳分析。

结果

确定了一个与环境、个人适应和影响体育活动变化的情感困境相关的总体主题“障碍与促进因素”,以及三个主要类别和七个子类别。主要类别为“感知环境如何影响体育活动”、“使体育活动适应衰老和健康状况”以及“平衡参与体育活动的情感困境”。

结论

结果强调需要加强沟通和个性化护理,以更好地支持体弱老年人在住院期间参与体育活动。定制建议和量身定制的体育活动是支持他们保持活力和健康的关键。需要有效的策略、团队合作和资源分配来满足这些老年人的需求,并制定确保适当护理和支持的干预措施。

试验注册

本研究未涉及对人类参与者的任何医疗干预。数据通过访谈收集,仅专注于探索经历和看法,并已获得该研究的伦理批准。

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本文引用的文献

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Frailty in Older Adults. Reply.老年人的衰弱。回复。
N Engl J Med. 2024 Nov 7;391(18):1759-1760. doi: 10.1056/NEJMc2411327.
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Toward Senior-Friendly Hospitals: An Overview of Programs, Their Elements and Effectiveness in Improving Care.迈向老年友好型医院:项目概述、其要素及改善护理的成效
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Frailty in Older Adults.老年人的衰弱
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Feasibility of the "Preventing functional decline in acutely hospitalized older patients (PREV_FUNC)" study-A three-armed randomized controlled pilot trial.“预防急性住院老年患者功能下降(PREV_FUNC)”研究的可行性-一项三臂随机对照试点试验。
PLoS One. 2024 Jun 21;19(6):e0304570. doi: 10.1371/journal.pone.0304570. eCollection 2024.
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The Epidemic of Immobility in Hospitalised Patients: How to Get Your Patient Up and Moving.住院患者活动减少的问题:如何帮助患者起身并活动
Can J Cardiol. 2024 Aug;40(8):1483-1486. doi: 10.1016/j.cjca.2024.03.010. Epub 2024 Mar 22.
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Malnutrition prevalence according to GLIM and its feasibility in geriatric patients: a prospective cross-sectional study.根据 GLIM 标准评估的营养不良患病率及其在老年患者中的可行性:一项前瞻性横断面研究。
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Attitudes and barriers to resistance exercise training for older adults living with multiple long-term conditions, frailty, and a recent deterioration in health: qualitative findings from the Lifestyle in Later Life - Older People's Medicine (LiLL-OPM) study.生活方式在晚年 - 老年人医学(LiLL-OPM)研究中关于患有多种长期疾病、体弱和近期健康恶化的老年人进行抗阻运动训练的态度和障碍:定性研究结果。
BMC Geriatr. 2023 Nov 24;23(1):772. doi: 10.1186/s12877-023-04461-5.
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Missed nursing care in relation to registered nurses' level of education and self-reported evidence-based practice.与注册护士教育水平和自我报告循证实践相关的护理缺失。
Worldviews Evid Based Nurs. 2023 Dec;20(6):550-558. doi: 10.1111/wvn.12681. Epub 2023 Sep 21.
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Study protocol for the 'preventing functional decline in acutely hospitalised older patients (PREV_FUNC)' study: effects of two multicomponent exercise programmes on physical function - a three-armed randomised controlled trial.研究方案:“预防急性住院老年患者功能下降(PREV_FUNC)”研究:两种多组分运动方案对身体功能的影响 - 一项三臂随机对照试验。
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