社区跌倒风险老年人主动身体活动影响因素的质性研究
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女,硕士在读,副主任护师,护理部副主任

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2023年南京医科大学第二附属医院医学发展和医疗救助基金会“医工融合创新项目”(YGRH004);2023年南京医科大学科技发展基金项目(NMUB20230029)


Influencing factors of active physical activity behaviour among community-dwelling fall risk older adults:a qualitative study
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    摘要:

    目的 探讨社区跌倒风险老年人主动身体活动的影响因素,以期为医护人员构建主动身体活动干预方案促进老年人主动健康提供参考。方法 以COM-B模型为基础,通过目的抽样法选取有跌倒风险的社区老年人16人作为访谈对象,采用描述性质性研究方法,对访谈对象进行半结构式访谈,根据内容分析法对资料进行分析,提炼主题。结果 共提炼出3个主题和6个亚主题,即能力因素(身体能力,心理能力)、机会因素(外部环境、科技产品构成的物理机会,来自于祖辈教育、同伴效应的社会机会)、动机因素(自发动机来源于获益健康、感受快乐,疾病触发、负性事件为主动身体活动的反思动机)。结论 社区跌倒风险老年人主动身体活动动机仍有待提升,提升身体活动与心理能力是促进老年人主动身体活动的前提和基础,需要为其创造更多主动身体活动的机会和环境,以促进老年人主动身体活动,提升身心健康。

    Abstract:

    Objective To explore the influencing factors of active physical activity behaviour among community-dwelling fall risk older adults, so as to provide a reference for developing active physical activity program and promoting active physical activity behaviour in older adults.Methods Based on the Capability, Opportunity, Motivation-Behaviour (COM-B) model, a descriptive qualitative study was designed, and 16 community-dwelling older adults with fall risk were selected by using purposive sampling method to conduct semi-structured interviews, then the content analysis method was used to analyze the interview data and refine themes.Results Three themes and six sub-themes were extracted:capability factors (physically ability, mental ability), opportunity factors (the physical opportunities consisted of external environment and scientific and technological products, the social opportunities from the grandparenting and peer effects), and motivation factors (the spontaneous motivation of active physical activity behaviour derived from benefits of health and perceived happiness, and disease triggers and negative events were its reflective motivation).Conclusion Motivation of active physical activity behaviour among community-dwelling fall risk older adults still needs to be improved, and enhancing physical and mental abilities is a prerequisite and foundation for promoting their active physical activity behaviour.It is necessary to create more opportunities and environment to promote active physical activity behaviour of this population, and improve their physical and mental health.

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潘菲,李娜,叶明俊,杨如美.社区跌倒风险老年人主动身体活动影响因素的质性研究[J].护理学杂志,2025,(3):12-15+29

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  • 收稿日期:2024-09-25
  • 最后修改日期:2024-11-28
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  • 在线发布日期: 2025-03-19