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To explore how life course factors shape the exercise participation decisions of frail older adults living in nursing homes.
This qualitative study is from the approach of social constructivism.
Seventeen frail older adults were purposefully recruited from a nursing home in Beijing, China. Data were collected through face-to-face semi-structured interviews between October 2024 and December 2024. Interviews were audio-recorded, transcribed verbatim and analysed using reflexive thematic analysis. Data collection and analysis continued until thematic saturation was achieved.
Three overarching themes were identified: (1) cumulative effects of key elements in the life course; (2) deficiencies in existing support across various systemic levels; and (3) lack of individual subjective agency. These factors interact dynamically to inhibit participation in exercise interventions.
This study highlights the complex interplay between life course experiences, systemic barriers and individual-level limitations that collectively discourage exercise participation among frail older adults in nursing homes. Tailored and culturally sensitive strategies, strengthened institutional support, family engagement and improved policy communication are needed to address these barriers.
These findings offer practical insights for designing person-centred exercise interventions that align with frail older adults' lived experiences and promote active ageing in institutional settings.
No patient or public contribution.
COREQ (Consolidated criteria for Reporting Qualitative research).
Colorectal endoscopic mucosal resection (EMR) is associated with the risk of postoperative wound infections, prompting investigations into effective prophylactic measures. This meta-analysis aimed to evaluate the efficacy of various prophylactic interventions in reducing the incidence of wound infections following EMR. Adhering to PRISMA guidelines, we conducted a comprehensive search across multiple databases for randomized controlled trials (RCTs) and cohort studies from 2015 to 2022. We included studies that compared the efficacy of antibiotic prophylaxis and antiseptic measures, with clear data on post-procedure infection rates. Eight studies met our inclusion criteria, and data were extracted for meta-analysis. The risk of bias was assessed using the Cochrane Collaboration tool and the Newcastle-Ottawa Scale. The meta-analysis included 3765 patients from eight RCTs. Prophylactic antibiotics (cefixime and cefuroxime) showed moderate to high efficacy, with infection rates as low as 0% and 0.76%. Prophylactic endoscopic closure and clipping showed the highest efficacy, with zero reported infections. The standardized surgical site infection prevention bundle had lower effectiveness, with an infection incidence of 3.83%. The risk of bias assessment indicated potential performance bias due to lack of blinding, but overall evidence quality was upheld by proper random sequence generation and diligent outcome data monitoring. The effectiveness of specific prophylactic measures, notably prophylactic antibiotics and mechanical closure techniques, has been shown in significantly reducing the risk of wound infections following colorectal EMR.
FreshRSS 