老年认知障碍患者运动依从性影响因素质性研究的Meta整合  

Influencing factors of exercise compliance in elderly patients with cognitive impairment:a Meta-synthesis of qualitative research

作　　者：赵雅洁 孙超[2] 胡慧秀[2] 屈简妮 刘洁[4] Zhao Yajie;Sun Chao;Hu Huixiu;Qu Jianni;Liu Jie(Cardiology Department,Beijing Hospital&National Center for Geriatrics&Geriatrics Research Institute,Chinese Academy of Medical Sciences,Beijing 100730,China;Nursing Department,Beijing Hospital&National Center for Geriatrics&Geriatrics Research Institute,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China;Neurology Department,Beijing Hospital&National Center for Geriatrics&Geriatrics Research Institute,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院心血管内科,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [2]北京医院护理部,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [3]北京中医药大学护理学院,北京100029 [4]北京医院神经内科,国家老年医学中心,中国医学科学院老年医学研究院,北京100730

出　　处：《中华现代护理杂志》2024年第3期281-290,共10页Chinese Journal of Modern Nursing

基　　金：中国医学科学院医学与健康科技创新工程项目(2022-I2M-C&T-B-110);国家自然科学基金项目(72304046);中国医学科学院中央级公益性科研院所基本科研业务费项目(2022-JKCS-12)。

摘　　要：目的整合老年认知障碍患者运动依从性影响因素的质性研究。方法本文研究类型为质性研究的Meta整合。计算机检索PubMed、Embase、Web of Science、CINAHL、Cochrane Library、中国知网、万方数据库、维普网及中国生物医学文献服务系统中有关老年认知障碍患者运动依从性影响因素的质性研究,检索时限为建库至2023年4月25日。2名研究者采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心的质性研究质量评价工具(2016版)独立评价文献,采用汇集性整合方法整合结果。结果共纳入16篇文献,提炼出54个研究结果,重新归纳形成7个类别,整合形成3个结果,即影响老年认知障碍患者运动依从性的个人因素,包括内在动机因素、身体和认知功能因素、心理因素;影响老年认知障碍患者运动依从性的社会人际因素,包括锻炼团队和照顾者因素;影响老年认知障碍患者运动依从性的环境因素,包括社会环境和自然环境因素。结论老年认知障碍患者的运动依从性受多方面因素的影响,医护人员应增强患者运动感知益处信念,关注运动心理体验;建立全方位支持系统,综合评估制定个性化运动方案;全面评估运动环境,营造良好运动氛围,提高患者运动积极性。Objective To integrate qualitative research on the influencing factors of exercise compliance in elderly patients with cognitive impairment.Methods The research is a Meta-synthesis of qualitative research.Qualitative research on the influencing factors of exercise compliance in elderly patients with cognitive impairment were electronically searched on PubMed,Embase,Web of Science,CINAHL,Cochrane Library,China National Knowledge Infrastructure,WanFang Data,VIP,and SinoMed.The search period was from the establishment of the database to April 25,2023.Two researchers independently evaluated the literature using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center(2016 edition).The aggregative integration method was used to integrate the results.Results A total of 16 articles were included,and 54 research results were extracted.These results were reorganized into seven categories and integrated into three outcomes,namely the personal factors that affected the exercise compliance of elderly patients with cognitive impairment including intrinsic motivation factors,physical and cognitive function factors,and psychological factors,social and interpersonal factors that affected exercise compliance in elderly patients with cognitive impairment including exercise team and caregiver factors,environmental factors that affected exercise compliance in elderly patients with cognitive impairment including social and natural environments factors.Conclusions The exercise compliance of elderly patients with cognitive impairment is influenced by multiple factors.Medical and nursing staff should enhance patients'perception and belief in the benefits of exercise,pay attention to patients'psychological experience,establish a comprehensive support system to evaluate and develop personalized exercise plans,comprehensively evaluate the exercise environment and create a good exercise atmosphere to improve patients'enthusiasm for exercise.

关 键 词：老年人 认知障碍 运动依从性 影响因素 质性研究 Meta整合 

分 类 号：R749.1[医药卫生—神经病学与精神病学]