"You Have to Keep Moving, Be Active": Perceptions and Experiences of Habitual Physical Activity in Older Women With Osteoporosis
"You Have to Keep Moving, Be Active": Perceptions and Experiences of Habitual Physical Activity in Older Women With Osteoporosis
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DOI：
10.2522/ptj.20150131
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发表时间：
2016-03-01
期刊：
影响因子：
3.2
通讯作者：
Roaldsen, Kirsti Skavberg
中科院分区：
文献类型：
--
作者：
Dohrn, Ing-Mari;Stahle, Agneta;Roaldsen, Kirsti Skavberg
背景体力活动（PA）对于患有骨质疏松症的老年人至关重要，卫生保健专业人员在促进PA和鼓励患者做出健康选择方面发挥着重要作用。然而，许多因素影响习惯性PA，只有有限的知识的看法和经验的PA老年妇女与糖尿病。本研究的目的是描述的看法和经验的PA和影响因素，习惯性PA的老年人骨质疏松症，平衡受损，害怕跌倒。这是一个定性的访谈研究，采用解释性内容分析与归纳的方法。告密者是18名年龄在66岁至86岁之间的妇女，患有骨质疏松症，平衡受损，害怕摔倒。个人，半结构化，面对面的采访记录，转录，浓缩，并编码，以找到次主题和主题。发现的总主题是“体育活动是骨质疏松症患者保持健康的工具。“这个总的主题包括两个主要主题，解释了骨质疏松症患者身体活动的挑战和可能性。这些主题并不是分开的，而是相互联系的，就像一枚硬币的两面，其因素既可能成为巴勒斯坦权力机构的障碍，也可能成为促进巴勒斯坦权力机构的因素。个人偏好和与自闭症相关的问题影响习惯性PA，个性化被认为是重要的。有些结果可能是特定的上下文和限制的可转移性，以其他文化或社会经济背景的人。妇女认为PA是维持骨质疏松症健康的重要工具，并认为她们有责任使用这种工具。它们适应了特定疾病的局限性，并制定了克服巴勒斯坦权力机构面临的挑战和障碍的战略。缺乏PA的推广和医生对PA的相互矛盾的建议造成了不确定性。物理治疗师的鼓励和指导，无论是个人还是团体，都非常重要。
Background. Physical activity (PA) is essential for older adults with osteoporosis, and health care professionals play important roles in promoting PA and encouraging patients to make healthy choices. However, many factors influence habitual PA, and there is only limited knowledge about the perceptions and experiences of PA among older women with osteoporosis.Objectives. The purpose of this study was to describe perceptions and experiences of PA and the factors that influence habitual PA among older adults with osteoporosis, impaired balance, and fear of falling.Design. This was a qualitative interview study applying interpretive content analysis with an inductive approach.Methods. Informants were a purposeful sample of 18 women, aged 66 to 86 years, with osteoporosis, impaired balance, and fear of falling. Individual, semistructured, face-to-face interviews were recorded, transcribed, condensed, and coded to find subthemes and themes.Results. The overall theme found was "Physical activity a tool for staying healthy with osteoporosis." This overall theme comprised 2 main themes interpreting the challenges and possibilities of being physically active with osteoporosis. These themes were not separate but rather linked to each other like-2 sides of the same coin, with factors that could act as both barriers to and facilitators of PA. Personal preferences and osteoporosis-related concerns influenced habitual PA, and individualization was perceived as important.Limitations. Some results may be context specific and limit the transferability to people with other cultural or socioeconomic backgrounds.Conclusions. The women perceived that PA was an important tool to maintain health with osteoporosis and believed that they had a responsibility to use this tool. They had adapted to disease-specific limitations and developed strategies to overcome challenges and barriers to PA. Lack of PA promotion and conflicting advice about PA from physicians created uncertainty. Encouragement and guidance from physical therapists, individually or in groups, were very important.