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To analyze the factors influencing of physical activity in frail older adults in nursing homes and their pathways based on the health ecology model.
A cluster combined with convenience sampling was used to select eligible elderly from 8 private nursing homes in Shanxi Province from July 2024 to January 2025. The general information questionnaires, International Physical Activity Questionnair-Short Form, Exercise Self-efficacy Scale, Exercise Benefits and Barriers Scale, Social Support Rating Scale and scale of the Elderly Self-neglect were used for the investigation, and a structural equation modeling was constructed.
Among the 352 study participants, 50.9% had low levels of physical activity. Elderly Self-neglect was negatively correlated with physical activity (r=-0.350, P<0.01), Exercise Self-efficacy,Exercise Benefits and Barriers, and Social Support were positively correlated with physical activity (r=0.512，0.236，0.625,respectively; P<0.01). Elderly Self-neglec had only a direct effect on physical activity (β=-0.182, P<0.001), whereas Exercise Self-efficacy, Exercise Benefits and Barriers in exercise, and Social Support had both direct and indirect effects on physical activity (direct effects β=0.254, 0.103, 0.493; indirect effects β=0.033, 0.086, 0.113, respectively; all P<0.001).
The prevalence of low physical activity among frail older adults in nursing homes is high. Particular attention should be given to the physical activity of frail older adults who are elderly, have a low level of education, and suffer from depression. Nursing staff can take comprehensive measures to enhance their exercise self-efficacy, strengthen their awareness of benefits of exercise, and provide adequate social support to reduce self-neglect, so as to promote their physical activity level and improve their health status.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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