影响痴呆症患者身体活动的因素:系统性审查和叙述综合
Ruth W Feenstra1, Liese J E de Bruin1, Marieke J G van Heuvelen1
1Department of Human Movement Sciences, University of Groningen, University Medical Center Groningen, P.O. Box 196, 9700 AD Groningen, The Netherlands.
Behavioral sciences (Basel, Switzerland)
|November 24, 2023
概括
促进痴呆症患者的体育活动 (PA) 需要了解新的障碍和动机. 实施研究揭示了关键的护理人员支持和量身定制的干预策略,以提高PA参与度.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 身体活动 (PA) 显著有利于痴呆症患者的身体和认知健康.
- 了解限制或鼓励PA参与的因素对于有效实施和改善健康结果至关重要.
- 以前的审查主要依赖于基于意见的数据,因此需要对实施研究进行更广泛的调查.
研究的目的:
- 通过包括实施研究来确定痴呆症患者参与体育活动 (PA) 的新障碍,促进者和激励因素.
- 通过结合评估实际PA实施的研究数据来扩展之前的审查.
- 为影响PA参与痴呆症护理的因素提供全面的概述.
主要方法:
- 在PubMed,PsycINFO和Web of Science进行了系统的文献搜索,截至2021年9月21日.
- 纳入标准集中在调查PA参与实际PA实施期间的研究上,无论研究设计,PA类型或结果措施如何.
- 分析了13项经验研究,以确定障碍物,促进者和激励因素.
主要成果:
- 在痴呆症患者中确定了35个障碍,19个促进者和12个PA动机.
- 21个障碍物,11个促进因素和4个激励因素是以前审查中未发现的新发现.
- 关键的新因素包括与护理人员建立信任关系的重要性,以及为员工提供机构支持,以解决安全性和有效性问题.
结论:
- 通过基于意见和实施研究发现的因素是互补的,突出显示了在痴呆症护理中PA实施的复杂性.
- 新发现强调需要个性化PA方法,定制的实施策略和高效的资源配置.
- 对这些因素的更好理解可以导致更有效的PA干预措施,并改善痴呆症患者的生活质量.
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