Meta-synthesis of qualitative research of exercise behavior perception in community-dwelling older adults with frailty
10.3761/j.issn.0254-1769.2025.01.016
- VernacularTitle:社区衰弱老年人对运动行为认知的Meta整合
- Author:
Siqi JIANG
1
;
Huanhuan HUANG
;
Lijuan CHEN
;
Ying PENG
;
Xinyu YU
;
Chunni WANG
;
Mei CHEN
;
Li XU
;
Qinghua ZHAO
Author Information
1. 400016 重庆市 重庆医科大学附属第一医院护理部
- Publication Type:Journal Article
- Keywords:
Frailty;
Exercise;
Aged;
Qualitative Research;
Meta-Synthesis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2025;60(1):113-120
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate and integrate qualitative studies on perception of exercise behaviors in community-dwelling older adults with frailty,and to provide references for clinical development of targeted exercise intervention strategies.Methods A systematic search of PubMed,Medline,Embase,PsycINFO,the Cochrane Library,SinoMed,Wanfang Database,CNKI,and VIP Database for qualitative studies on perception of exercise behaviors in older adults with frailty in the community was conducted from the inception of the databases to June 2024.Literature quality was evaluated using the Australian Joanna Briggs Institute Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research(2016 edition),and Meta-synthesis was performed using the theme synthesis method.Results A total of 10 papers were included,grouped into 10 categories and integrated into the 3 domains of the capability,opportunity,and motivation-behavior model(COM-B model),i.e.Preparation for exercise behavior is influenced by capability factors(physical reserve,knowledge reserve,psychological preparation);stage-specific motivational evolution promotes the internalization of exercise behavior(guiding,focusing,stimulating,and maintaining);external conditions provide opportunities for exercise behavior(individual interaction,community environment,and social support).Conclusion Perceptions of exercise behavior among community-dwelling older adults with frailty or are complex and influenced by a variety of factors.Future exercise intervention strategies should consider modifiable factors,enhance knowledge education,stimulate intrinsic motivation,and solidify external conditions,while also accommodating individual differences and preferences,so as to promote exercise participation and health enhancement in this group.
