Influencing factors of exercise compliance in elderly patients with cognitive impairment: a Meta-synthesis of qualitative research
10.3760/cma.j.cn115682-20230529-02124
- VernacularTitle: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
- Author:
Yajie ZHAO
1
;
Chao SUN
;
Huixiu HU
;
Jianni QU
;
Jie LIU
Author Information
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
- Keywords:
Aged;
Cognitive dysfunction;
Exercise compliance;
Influencing factors;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2024;30(3):281-290
- CountryChina
- Language:Chinese
-
Abstract:
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.
