Turkiye Klinikleri Journal of Gerontology

.: REVIEW
Yaşlı Bireylerde Fiziksel Aktivite Bariyerleri ve Fasilitatörleri: Geleneksel Derleme
Physical Activity Barriers and Facilitators in Elderly Individuals: Traditional Review
Büşra Nur EROLa, Hanifi EROLb
aAnkara Üniversitesi Haymana Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, Ankara, Türkiye
bAnkara Bilkent Şehir Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye
Turkiye Klinikleri J Gerontol. 2023;2(1):17-26
doi: 10.5336/jgeront.2023-97035
Article Language: TR
Full Text
ÖZET
 Fiziksel aktivite ve egzersiz, beklenen yaşam ömrünün ve kişilerdeki uzun vadeli koşulların artmasıyla beraber daha fazla kullanılması muhtemel olan bir tedavi seçeneğidir. Fiziksel aktivitenin yaşlı bireylerde sağlığı geliştirmek adına faydaları oldukça fazla olmasına rağmen; Dünya Sağlık Örgütü raporlarında, yaşlı bireylerin yetersiz fiziksel aktivite düzeylerinin küresel bir sorun olduğu bildirilmektedir. Yeni egzersiz programlarına başlayan yaşlı bireylerin yaklaşık %50'sinin bunları 6 ay içinde askıya alması ve egzersiz seanslarına katıldıktan sonra egzersize devam etme oranının ise yaklaşık %30 olması, kişilerin aktiviteye uyum ve devamlılığının zorluğunu göstermektedir. Bu kritik bir husustur, çünkü bu popülasyondaki tedavi sonuçları müdahalelere gösterilen uyumla yakından ilişkili olmaktadır. Yaşlı bireylerde fiziksel aktiviteye uyum ve devamlılık davranışındaki bariyer ve fasilitatörler çok faktörlü karmaşık bir yapıya sahiptir. Düşük öz yeterlik, düşme korkusu, düşük motivasyon, depresyon, ilgi eksikliği, sağlık durumu, fiziksel yetenek, düşük beklentiler, program özellikleri ve sosyoekonomik durum gibi yaşlı bireylerde fiziksel aktiviteye uyum ve devamlılığı etkileyen bir dizi faktör vardır. Bu davranışı tek bir açıdan ele almaktan ziyade kişisel, sosyal ve çevresel faktörlerin bir bütün hâlinde düşünülmesi gerekmektedir. Fiziksel aktivite ve egzersize uyumu teşvik eden stratejilerin gelecekte de sağlık profesyonelleri için önemli bir faktör olacağı açıktır. Bu hususta ise yaşlı bireyleri fiziksel aktivite yapmaktan alıkoyabilecek bariyerlerin ve yaşlıları fiziksel aktivite yapmaya motive edebilecek fasilitatörlerin bilinmesi gerekmektedir. Yerel yönetimler, sağlık hizmeti sunucuları ve sağlık profesyonellerinin bu bariyerlere yönelik uygun müdahalelerde bulunmalarının yanı sıra fasilitatör faktörleri teşvik etmeleri ve bu yönde yaşlılara gereken imkânları optimal düzeyde sunmaları önem teşkil etmektedir.

Anahtar Kelimeler: Egzersiz; hasta uyumu; motivasyon; yaşlı
ABSTRACT
 Physical activity and exercise is a treatment option that is likely to be used more with the increase in life expectancy and longterm conditions in individuals. Although physical activity has many benefits to improve health in the elderly; in the World Health Organization reports, it is reported that insufficient physical activity levels of the elderly are a global problem. Approximately 50% of the elderly who start new exercise programs suspend them within 6 months, and the rate of continuing exercise is approximately 30%, which indicates the difficulty of compliance and maintaining the activity. This is critical because treatment outcomes in elderly are closely related to compliance to interventions. Barriers and facilitators in the behavior of compliance and maintaining to physical activity in elderly have a complex structure with multiple factors. There are a number of factors that affect compliance and maintaining in physical activity in elderly individuals, such as low self-efficacy, fear of falling, low motivation, depression, lack of interest, health status, physical ability, low expectations, program characteristics and socioeconomic status. Within the scope of this behavior, personal, social and environmental factors should be considered as a whole. It is clear that strategies that promote physical activity and exercise compliance will be an important factor for health professionals in the future. In this respect, it is necessary to know the physical activity barriers and facilitators for the elderly. It is important that local governments, healthcare providers and health professionals make appropriate interventions against these barriers, as well as encourage facilitator factors and provide the necessary opportunities to the elderly at an optimal level in this direction.

Keywords: Exercise; patient compliance; motivation; aged
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We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com