Covid-19 Pandemi Sürecinde Otago Egzersiz Programına Katılan Yaşlı Bireylerin Deneyimleri: Fenomenolojik Bir Çalışma
Yıl 2024,
, 270 - 277, 28.06.2024
Fatma Zehra Genç
,
Naile Bilgili
Öz
Bu çalışma, COVID-19 pandemi sürecinde bir huzurevinde uygulanan Otago egzersizlerine katılan yaşlı bireylerin deyimlerini, yaşantılarını ve algılarını keşfetmek ve programa yönelik düşüncelerini ortaya çıkarmak amacıyla gerçekleştirilmiştir. Nitel araştırma desenlerinden fenomenolojik teknik kullanılmıştır. Huzurevinde yaşayan, 65 yaş ve üzeri, üç ay boyunca programa katılan 16 yaşlı birey araştırmanın örneklemini oluşturmuştur. Veriler yarı yapılandırılmış görüşme formu ile toplanmış olup görüşme formunun birinci bölümünde bireylerin sosyo-demografik özelliklerine, ikinci bölümünde de programa yönelik deneyimlerini ve görüşlerini içeren sorular yer almıştır. Verilerin çözümlenmesi sürecinde içerik analizi tekniği kullanılmıştır. Yedi katılımcı COVID-19 hastalığı geçirmiş ve altı katılımcı düzenli olarak fiziksel aktivite yaptığını belirtmiştir. Yaşlı bireyler, egzersizden elde ettikleri kazanımları fonksiyonel, psikososyal terimlerle tanımladılar. Katılımcıların deyimlerine, yaşantılarına, algılarına ve programa ilişkin veri analizinde toplam yedi kategori ile fonksiyonel etki ve psikososyal etki olarak iki tema elde edilmiştir. Bu süreçte huzurevinde yürütülen Otago egzersiz programı bireylerin hem fiziksel sağlığını hem de psikososyal sağlığına etki etmiştir. Pandemi sırasında yaşam tarzlarındaki değişiklikleri incelemek, olumsuz davranışları benimseme riski en yüksek olan nüfus gruplarını belirlemek ve bu gruba özgü hedefli ve etkili halk sağlığı müdahaleleri planlamak kritik öneme sahiptir.
Etik Beyan
Araştırmaya başlamadan önce Gazi Üniversitesi Etik Komisyonundan etik onayı ve kurum izni alındı (Araştırma Kod No: 2022-218). Görüşme öncesi katılımcılara çalışmanın amacı ve yöntemi anlatıldı ve bilgilendirilmiş onam alındı. Katılımcıların kimlik bilgileri ortaya çıkarılmadan K1, K2, K3.. şeklinde kodlandı, katılımcıların yaş ve cinsiyetleri belirtildi (K2, 68, Erkek gibi).
Teşekkür
Bu araştırmaya katılan değerli büyüklerimiz huzurevi sakinlerine teşekkür ederiz.
Kaynakça
- 1. Armitage, R., Nellums, L.B. COVID-19 and the consequences of isolating the elderly, The Lancet Public Health, 2020, 5(5), e256.
- 2. Chen, X., Zhao, L., Liu, Y., Zhou, Z., Zhang, H., Wei, D., Chen, J., Li, Y., Ou, J., Huang, J., Yang, X., Ma, C. Otago exercise programme for physical function and mental health among older adults with cognitive frailty during COVID-19: A randomised controlled trial, Journal of Clinical Nursing, 2021, 1-14.
- 3. Soysal, G.E., Yiğit, Ü. Yetişkin bireylerde covid-19 pandemisinin sağlık algısı üzerine etkisi, Genel Sağlık Bilimleri Dergisi, 2021, 3(3), 239-249.
- 4. Santini, Z.I., Jose, P.E., York Cornwell, E., Koyanagi, A., Nielsen, L., Hinrichsen, C., Meilstrup, C., Madsen, K.R., Koushede, V. Social disconnectedness, perceived ısolation, and symptoms of depression and aanxiety among older Americans (NSHAP): A longitudinal mediation analysis, The Lancet Public Health, 2020, 5(1), e62–e70.
- 5. Kim, HH-S., Jung, J.H. Social Isolation and Psychological Distress During the COVID-19 Pandemic: A Cross-National Analysis, The Gerontologist, 2021, 61(1), 103–113.
- 6. Newman, M.G., Zainal, N.H. The value of maintaining social connections for mental health in older people, The Lancet Public Health, 2020, 5(1), e12–e13.
- 7. Amieva, H., Avila-Funes, J.-A., Caillot-Ranjeva, S., Dartigues, J.-F., Koleck, M., Letenneur, L., Pech, M., Pérès, K., Raoux, N., Rascle, N., Ouvrard, C., Tabue-Teguo, M., Villeneuve, R., Bergua, V. Older people facing the crisis of covid-19: Between fragility and resilience, The Journal of Frailty & Aging, 2021, 10(2), 184–186.
- 8. Zou, Z., Chen, Z., Ni, Z., Hou, Y., Zhang, Q. The effect of group-based otago exercise program on fear of falling and p
hysical function among older adults living in nursing homes: A pilot trial, Geriatric Nursing, 2022, 43, 288–292.
9. Gyasi, R.M., Adu-Gyamfi, S., Obeng, B., Asamoah, E., Kisiangani, I., Ochieng, V., Appiah, K. Association between physical activity participation and perceived social ısolation at older ages: Do social participation, age and sex differences matter?, Archives of Gerontology and Geriatrics, 2021, 96, 104441.
- 10. Miller, K.J., Mesagno, C., McLaren, S., Grace, F., Yates, M., Gomez, R. Exercise, mood, self-efficacy, and social support as predictors of depressive symptoms in older adults: Direct and ınteraction effects, Frontiers in Psychology, 2019, 10.
- 11. Arkkukangas, M., Sundler, A.J., Söderlund, A., Eriksson, S., Johansson, A.-C. Older persons’ experiences of a home-based exercise program with behavioral change support, Physiotherapy Theory and Practice, 2017, 33(12), 905–913.
- 12. Genç, F., Uslu, A. Nursing approaches and their effect on the health of elderly with covid-19, International Journal of Emerging Trends in Health Sciences, 2020, 4(3), 100-110.
- 13. World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world. 2024. https://www.who.int/publications/i/item/9789241514187
- 14. Campbell, A.J., Robertson, M.C. Otago Exercise Programme to Prevent Falls in Older Adults, Wellington: ACC Thinksafe, 2003, 3.
- 15. Kocic, M., Stojanovic, Z., Nikolic, D., Lazovic, M., Grbic, R., Dimitrijevic, L., Milenkovic, M. The effectiveness of group otago exercise program on physical function in nursing home residents older than 65years: A randomized controlled trial, Archives of Gerontology and Geriatrics, 2018, 75, 112–118.
- 16. Jahanpeyma, P., Kayhan Koçak, F.Ö., Yıldırım, Y., Şahin, S., Şenuzun Aykar, F. Effects of the Otago exercise program on falls, balance, and physical performance in older nursing home residents with high fall risk: A randomized controlled trial, European Geriatric Medicine, 2020.
- 17. García-Gollarte, F., Mora-Concepción, A., Pinazo-Hernandis, S., Segura-Ortí, E., Amer-Cuenca, J.J., Arguisuelas-Martínez, M.D., Lisón, J.F., Benavent-Caballer, V. Effectiveness of a supervised group-based Otago exercise program on functional performance in frail ınstitutionalized older adults: A multicenter randomized controlled trial, Journal of Geriatric Physical Therapy, 2022.
- 18. Sahin, S., Aykar, F.Ş., Yildirim, Y., Jahanpeyma, P. The impact of the Otago exercise program on frailty and empowerment in older nursing home residents: A randomized controlled trial, Annals of Geriatric Medicine and Research, 2022, 26(1), 25–32.
- 19. Bjerk, M., Brovold, T., Skelton, D.A., Liu-Ambrose, T., Bergland, A. Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: A randomised controlled trial, Age and Ageing, 2019, 48(2), 213–219.
- 20. Worum, H., Lillekroken, D., Ahlsen, B., Roaldsen, K.S., Bergland, A. Bridging the gap between research-based knowledge and clinical practice: A qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme, BMC Geriatrics, 2019, 19(1), 278.
- 21. Martins, A.C., Guia, D., Saraiva, M., Pereira, T. (2020). Effects of a “Modified” Otago exercise program on the functional abilities and social participation of older adults living in the community—The AGA@4life model, International Journal of Environmental Research and Public Health, 2020, 17(4), 1258.
- 22. Cederbom, S., Bjerk, M., Bergland, A. A qualitative study exploring physical therapists’ views on the Otago exercise programme for fall prevention: A stepping stone to “Age in Place” and to give faith in the future. Physiotherapy Theory and Practice, 2022, 38(1), 132–140.
- 23. Kvale, S., Brinkmann, S. InterViews: Learning the Craft of Qualitative Research Interviewing. SAGE. 2009.
- 24. Creswell, J.W., Poth, C.N. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. SAGE Publications. 2016.
- 25. Tekindal, M., Uğuz Arsu, Ş. Nitel araştırma yöntemi olarak fenomenolojik yaklaşımın kapsamı ve sürecine yönelik bir derleme. Ufkun Ötesi Bilim Dergisi, 2020, 20(1), 153- 182.
- 26. Turan, S. “Nitel Araştırma Nasıl Yazılır?” Asos Yayınevi. 2021.
- 27. Elo, S., Kääriäinen, M., Kanste, O., Pölkki, T., Utriainen, K., Kyngäs, H. Qualitative content analysis: A focus on trustworthiness, SAGE Open, 2014, 4(1), 2158244014522633.
- 28. Braun, V., Clarke, V. Using thematic analysis in psychology. Qualitative Research in Psychology, 2006, 3(2), 77–101.
- 29. Yüksel, P., Yıldırım, S. Theoretical frameworks, methods, and procedures for conducting phenomenological studies in educational settings. Turkish Online Journal of Qualitative Inquiry, 2015, 6(1), 1-20.
- 30. Morgan, D.L. Focus Groups as Qualitative Research. Sage publications. 1996, 16.
- 31. Wilson, A. A guide to phenomenological research. Nursing Standard, 2015, 29(34), 38-43.
- 32. Agha, A., Liu-Ambrose, T.Y.L., Backman, C.L., Leese, J., Li, L.C. Understanding the experiences of rural community-dwelling older adults in using a new dvd-delivered Otago exercise program: A qualitative study, Interactive Journal of Medical Research, 2015, 4(3), e4257.
- 33. Giri, S., Chenn, L.M., Romero-Ortuno, R. Nursing Homes During the COVID-19 Pandemic: A scoping review of challenges and responses. European Geriatric Medicine, 2021, 12(6), 1127–1136.
- 34. Keskin, T., Başkurt, F. Yaşlılarda egzersiz kompliyansı ve motivasyon. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2020, 11(3), 369–375.
- 35. Ferrante, G., Camussi, E., Piccinelli, C., Senore, C., Armaroli, P., Ortale, A., Garena, F., Giordano, L. Did social ısolation during the SARS-CoV-2 epidemic have an ımpact on the lifestyles of citizens?, Epidemiologia E Prevenzione, 2020, 44(5-6 Suppl 2), 353–362.
- 36. Franco, M.R., Tong, A., Howard, K., Sherrington, C., Ferreira, P.H., Pinto, R.Z., Ferreira, M.L. Older people’s perspectives on participation in physical activity: A systematic review and thematic synthesis of qualitative literatüre, British Journal of Sports Medicine, 2015, 49(19), 1268–1276.
- 37. Hawley-Hague, H., Roden, A, Abbott, J. The evaluation of a strength and balance exercise program for falls prevention in community primary care. Physiotherapy Theory and Practice, 2017, 33(8), 611–621.
Experiences of Older People Indıviduals Participating in the Otago Exercise Program During The Covid-19 Pandemic Process: A Phenomological Study
Yıl 2024,
, 270 - 277, 28.06.2024
Fatma Zehra Genç
,
Naile Bilgili
Öz
This study was carried out in order to explore the idioms, experiences and perceptions of the older people individuals who participated in the Otago exercises applied in a nursing home during the COVID-19 pandemic and to reveal their thoughts about the program. The phenomenological technique, one of the qualitative research designs, was used. The sample of the study consisted of 16 people individuals aged 65 and over, living in a nursing home and participating in the programme for three months. The data were collected with a semi-structured interview form, and the first part of the interview form included questions about the socio-demographic characteristics of the individuals, and the second part included questions about their experiences and opinions about the programme. Content analysis technique was used in the analysis of the data. Seven participants had COVID-19 disease and six participants stated that they did physical activity regularly. Older people defined their gains from exercise in functional and psychosocial terms. In the data analysis of the participants' statements, experiences, perceptions, and the program, a total of seven categories and two themes functional effects and psychosocial effects were obtained. In this process, the Otago exercise program carried out in the nursing home affected both the physical health and psychosocial health of individuals. It is critical to examine changes in lifestyles during the pandemic, identify the population groups most at risk of adopting negative behaviors, and plan targeted and effective public health interventions specific to that group.
Kaynakça
- 1. Armitage, R., Nellums, L.B. COVID-19 and the consequences of isolating the elderly, The Lancet Public Health, 2020, 5(5), e256.
- 2. Chen, X., Zhao, L., Liu, Y., Zhou, Z., Zhang, H., Wei, D., Chen, J., Li, Y., Ou, J., Huang, J., Yang, X., Ma, C. Otago exercise programme for physical function and mental health among older adults with cognitive frailty during COVID-19: A randomised controlled trial, Journal of Clinical Nursing, 2021, 1-14.
- 3. Soysal, G.E., Yiğit, Ü. Yetişkin bireylerde covid-19 pandemisinin sağlık algısı üzerine etkisi, Genel Sağlık Bilimleri Dergisi, 2021, 3(3), 239-249.
- 4. Santini, Z.I., Jose, P.E., York Cornwell, E., Koyanagi, A., Nielsen, L., Hinrichsen, C., Meilstrup, C., Madsen, K.R., Koushede, V. Social disconnectedness, perceived ısolation, and symptoms of depression and aanxiety among older Americans (NSHAP): A longitudinal mediation analysis, The Lancet Public Health, 2020, 5(1), e62–e70.
- 5. Kim, HH-S., Jung, J.H. Social Isolation and Psychological Distress During the COVID-19 Pandemic: A Cross-National Analysis, The Gerontologist, 2021, 61(1), 103–113.
- 6. Newman, M.G., Zainal, N.H. The value of maintaining social connections for mental health in older people, The Lancet Public Health, 2020, 5(1), e12–e13.
- 7. Amieva, H., Avila-Funes, J.-A., Caillot-Ranjeva, S., Dartigues, J.-F., Koleck, M., Letenneur, L., Pech, M., Pérès, K., Raoux, N., Rascle, N., Ouvrard, C., Tabue-Teguo, M., Villeneuve, R., Bergua, V. Older people facing the crisis of covid-19: Between fragility and resilience, The Journal of Frailty & Aging, 2021, 10(2), 184–186.
- 8. Zou, Z., Chen, Z., Ni, Z., Hou, Y., Zhang, Q. The effect of group-based otago exercise program on fear of falling and p
hysical function among older adults living in nursing homes: A pilot trial, Geriatric Nursing, 2022, 43, 288–292.
9. Gyasi, R.M., Adu-Gyamfi, S., Obeng, B., Asamoah, E., Kisiangani, I., Ochieng, V., Appiah, K. Association between physical activity participation and perceived social ısolation at older ages: Do social participation, age and sex differences matter?, Archives of Gerontology and Geriatrics, 2021, 96, 104441.
- 10. Miller, K.J., Mesagno, C., McLaren, S., Grace, F., Yates, M., Gomez, R. Exercise, mood, self-efficacy, and social support as predictors of depressive symptoms in older adults: Direct and ınteraction effects, Frontiers in Psychology, 2019, 10.
- 11. Arkkukangas, M., Sundler, A.J., Söderlund, A., Eriksson, S., Johansson, A.-C. Older persons’ experiences of a home-based exercise program with behavioral change support, Physiotherapy Theory and Practice, 2017, 33(12), 905–913.
- 12. Genç, F., Uslu, A. Nursing approaches and their effect on the health of elderly with covid-19, International Journal of Emerging Trends in Health Sciences, 2020, 4(3), 100-110.
- 13. World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world. 2024. https://www.who.int/publications/i/item/9789241514187
- 14. Campbell, A.J., Robertson, M.C. Otago Exercise Programme to Prevent Falls in Older Adults, Wellington: ACC Thinksafe, 2003, 3.
- 15. Kocic, M., Stojanovic, Z., Nikolic, D., Lazovic, M., Grbic, R., Dimitrijevic, L., Milenkovic, M. The effectiveness of group otago exercise program on physical function in nursing home residents older than 65years: A randomized controlled trial, Archives of Gerontology and Geriatrics, 2018, 75, 112–118.
- 16. Jahanpeyma, P., Kayhan Koçak, F.Ö., Yıldırım, Y., Şahin, S., Şenuzun Aykar, F. Effects of the Otago exercise program on falls, balance, and physical performance in older nursing home residents with high fall risk: A randomized controlled trial, European Geriatric Medicine, 2020.
- 17. García-Gollarte, F., Mora-Concepción, A., Pinazo-Hernandis, S., Segura-Ortí, E., Amer-Cuenca, J.J., Arguisuelas-Martínez, M.D., Lisón, J.F., Benavent-Caballer, V. Effectiveness of a supervised group-based Otago exercise program on functional performance in frail ınstitutionalized older adults: A multicenter randomized controlled trial, Journal of Geriatric Physical Therapy, 2022.
- 18. Sahin, S., Aykar, F.Ş., Yildirim, Y., Jahanpeyma, P. The impact of the Otago exercise program on frailty and empowerment in older nursing home residents: A randomized controlled trial, Annals of Geriatric Medicine and Research, 2022, 26(1), 25–32.
- 19. Bjerk, M., Brovold, T., Skelton, D.A., Liu-Ambrose, T., Bergland, A. Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: A randomised controlled trial, Age and Ageing, 2019, 48(2), 213–219.
- 20. Worum, H., Lillekroken, D., Ahlsen, B., Roaldsen, K.S., Bergland, A. Bridging the gap between research-based knowledge and clinical practice: A qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme, BMC Geriatrics, 2019, 19(1), 278.
- 21. Martins, A.C., Guia, D., Saraiva, M., Pereira, T. (2020). Effects of a “Modified” Otago exercise program on the functional abilities and social participation of older adults living in the community—The AGA@4life model, International Journal of Environmental Research and Public Health, 2020, 17(4), 1258.
- 22. Cederbom, S., Bjerk, M., Bergland, A. A qualitative study exploring physical therapists’ views on the Otago exercise programme for fall prevention: A stepping stone to “Age in Place” and to give faith in the future. Physiotherapy Theory and Practice, 2022, 38(1), 132–140.
- 23. Kvale, S., Brinkmann, S. InterViews: Learning the Craft of Qualitative Research Interviewing. SAGE. 2009.
- 24. Creswell, J.W., Poth, C.N. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. SAGE Publications. 2016.
- 25. Tekindal, M., Uğuz Arsu, Ş. Nitel araştırma yöntemi olarak fenomenolojik yaklaşımın kapsamı ve sürecine yönelik bir derleme. Ufkun Ötesi Bilim Dergisi, 2020, 20(1), 153- 182.
- 26. Turan, S. “Nitel Araştırma Nasıl Yazılır?” Asos Yayınevi. 2021.
- 27. Elo, S., Kääriäinen, M., Kanste, O., Pölkki, T., Utriainen, K., Kyngäs, H. Qualitative content analysis: A focus on trustworthiness, SAGE Open, 2014, 4(1), 2158244014522633.
- 28. Braun, V., Clarke, V. Using thematic analysis in psychology. Qualitative Research in Psychology, 2006, 3(2), 77–101.
- 29. Yüksel, P., Yıldırım, S. Theoretical frameworks, methods, and procedures for conducting phenomenological studies in educational settings. Turkish Online Journal of Qualitative Inquiry, 2015, 6(1), 1-20.
- 30. Morgan, D.L. Focus Groups as Qualitative Research. Sage publications. 1996, 16.
- 31. Wilson, A. A guide to phenomenological research. Nursing Standard, 2015, 29(34), 38-43.
- 32. Agha, A., Liu-Ambrose, T.Y.L., Backman, C.L., Leese, J., Li, L.C. Understanding the experiences of rural community-dwelling older adults in using a new dvd-delivered Otago exercise program: A qualitative study, Interactive Journal of Medical Research, 2015, 4(3), e4257.
- 33. Giri, S., Chenn, L.M., Romero-Ortuno, R. Nursing Homes During the COVID-19 Pandemic: A scoping review of challenges and responses. European Geriatric Medicine, 2021, 12(6), 1127–1136.
- 34. Keskin, T., Başkurt, F. Yaşlılarda egzersiz kompliyansı ve motivasyon. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2020, 11(3), 369–375.
- 35. Ferrante, G., Camussi, E., Piccinelli, C., Senore, C., Armaroli, P., Ortale, A., Garena, F., Giordano, L. Did social ısolation during the SARS-CoV-2 epidemic have an ımpact on the lifestyles of citizens?, Epidemiologia E Prevenzione, 2020, 44(5-6 Suppl 2), 353–362.
- 36. Franco, M.R., Tong, A., Howard, K., Sherrington, C., Ferreira, P.H., Pinto, R.Z., Ferreira, M.L. Older people’s perspectives on participation in physical activity: A systematic review and thematic synthesis of qualitative literatüre, British Journal of Sports Medicine, 2015, 49(19), 1268–1276.
- 37. Hawley-Hague, H., Roden, A, Abbott, J. The evaluation of a strength and balance exercise program for falls prevention in community primary care. Physiotherapy Theory and Practice, 2017, 33(8), 611–621.