The influence of disempowerment on the sedentary behaviour and physical activity of hospitalised older adults
Oral Presentation A7.5
DOI:
https://doi.org/10.14288/hfjc.v14i3.403Keywords:
Older Adults, Hospital, Sedentary Behaviour, Physical Activity, QualitativeAbstract
Background: Older adults spend the majority of their time in hospital sedentary. This contributes to functional decline, a longer hospital stay and possible worsening of frailty. Little is known about the perspectives of hospitalised older patients regarding sedentary behaviour (SB) and physical activity (PA). Purpose: To explore older patients’ perspectives on SB and PA, identify influencing factors and their relationship. Methods: This study used the constructivist grounded theory methodology. Semi-structured interviews were conducted with patients aged ≥ 65 years on an orthopaedic and geriatric medicine ward. Results: 23 patients [80±14.1 years; 65.5% (n=15) female] were interviewed. Patients described SB as physical and mental inactivity and PA as activities of daily living and other activities common to older people. Patients were aware that SB is detrimental to their physical and/or mental health, and expressed willingness to get physically active where they feel safe and supported. Older patients opined the hospital processes disempower them from getting physically active. Factors beyond their control, lack of physical support from staff, not communicating their desire to get physically active and lack of activities in hospital were major reasons for SB. The factors influencing SB and PA in hospital were cultural (hospital processes), behavioural (past PA levels), social (activities that offer opportunities for socialisation), cognitive (understanding of SB and PA), interpersonal (communication and support from clinical staff), personal (personal motivators to getting physically active in hospital) and environmental (lack of activities and ward environment). The interplay between these factors encourage SB and discourage PA in hospital Conclusion: Older patients are willing to be physically active if empowered through better communication, education and support. There is a need to improve patient understanding of SB and PA. Understanding and tackling the factors that result in SB and reduce PA is critical if SB is to be reduced and PA increased.
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Copyright (c) 2021 Unyime S. Jasper, Renuka Visvanathan, Agathe Daria Jadczak, Solomon Yu, Joanne Dollard
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