|Beitragstitel||Attitudes and needs of residents in long-term care facilities regarding physical activity: A systematic review and synthesis of qualitative studies|
Nursing home residents often have mobility problems and are at high risk for further mobility impairment. From their point of view, being physically active is an important part of their perceived quality of life. However, no study synthesized existing qualitative literature on nursing home residents´ attitudes and needs regarding physical activity. This study is part of a holistic multiple-case study (PhD project) about implementing mobility promotion in long-term care. The first step of the project was to identify residents´ attitudes and needs regarding physical activity.
We performed a systematic review and synthesis of qualitative studies. Three databases (Pubmed, CINAHL, PsychInfo) were searched (20.03.2017 – 03.01.2018), supplemented by a hand search. We included qualitative studies published in English or German if they addressed attitudes and needs of residents concerning the promotion of physical activities. Studies were critically appraised and a thematic synthesis was undertaken.
Twelve studies (n = 404 residents) were included in the synthesis. By means of the analysis we identified four analytical themes relating to residents´ attitudes: 'promoting physical activity increases quality of life', 'personal initiative is significant', 'promoting physical activity is not helpful' and 'accepting the circumstances'. We also determined five themes relating to residents´ needs: 'living autonomously', 'continuing life as before', 'individually adapted program and support', 'barrier-free accessibility' and 'competent care'.
Residents are highly motivated to enhance their independency by staying physically active. They consider themselves responsible for the promotion of physical activities. Simultaneously, they have precise expectations about how the institution and nursing staff should enhance their mobility. Nevertheless, studies show that persons in long-term care settings quickly lose their physical mobility. There seems to be a gap between the needs/attitudes and the practical implementation of mobility promotion activities in long-term care institutions.
To motivate and activate residents, institutions should be aware of residents´ attitudes and needs regarding physical activity. Further development of interventions concerning physical activity or exercise programs and their implementation in long-term care settings should consider the outlined factors.