在养老院居民中解决久坐行为和身体不活动的障碍和促进因素:一项定性研究
Yihan Mo1, Helen Chen2, Yuxin Zhou3,4
1Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK. yihan.mo@kcl.ac.uk.
BMC geriatrics
|August 21, 2025
概括
养老院的干预措施必须针对个人,工作人员,家庭和社会因素, 适应变革理论模型可以提高居民福祉和活动参与度的定制策略.
科学领域:
- 老年学
- 公共卫生
- 医疗服务研究
背景情况:
- 久坐不动的行为和身体不活跃是养老院居民肌肉衰退,慢性疾病和残疾的重要原因.
- 了解居民和工作人员的观点对于制定有效的干预措施至关重要.
- 现有的干预措施需要改进以解决多层次的体育活动决定因素.
研究的目的:
- 探讨养老院居民和工作人员对静坐行为和身体不活动的看法.
- 改进养老院的体力活动逻辑模型.
主要方法:
- 通过对中国两个城市养老院的14名住户和12名工作人员进行面试,进行了定性研究.
- 数据分析采用了由生态社会理论 (微,中,外,宏观层面) 构建的代码书主题分析.
主要成果:
- 个人因素 (身体,心理,认知) 和感知到的好处影响了参与.
- 居民之间的社会互动和工作人员的角色是组织层面的关键促进因素和约束因素.
- 家庭支持和社会联系对居民的动力和参与活动产生了积极影响.
结论:
- 个人,组织,家庭和社会背景的多层次因素显著影响养老院的体力活动.
- 一个精细的变化理论逻辑模型为特定环境的多层次干预策略提供了一个框架.
- 优化干预需要加强员工角色,战略性社会参与,持续的资金和社区合作来打击久坐.
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